Case Study For Psychosis And Mental Illness Essay Paper

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Case Study For Psychosis And Mental Illness Essay Paper

Psychiatrist. Assessing and diagnosing patient with schizophrenia, other psychotic disorders, medication-induced movement disorder.
In one of the word document you will find the transcript of the interview. Please let me know if any questions

SUBJECTIVE:

Chief complaint/s: delusions and hallucinations

CPT code: 90834

1. HPI: Ms. Fatima Branning is a 28-year-old female presenting with a history of hallucinations and delusions at her workplace. She reports thinking lustful behavior from her supervisor and thinks her manager now want to fire her from work. She also complains of feeling heart brain pain from on his back following her previous learning of firing presumption from her manager. She confuses the pain to cancer. Case Study For Psychosis And Mental Illness Essay Paper
   

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III. Past Medical History

1. Medical History: scoliosis, currently treated with chiropractic care
2. Surgical History: No previous surgeries.
3. Acute care stays: No recent hospitalizations.
4. Vaccination status: Patient’s vaccination status is up to date.
5. Family History: No significant family history.
6. Social history: administrative assistance in car sales, has a bachelor’s in hospitality
7. Allergies: latex; menses regular, no birth control

VII. Medication History/Review: No medications.

VIII. Review of Systems:

Constitutional signs: Denies weight loss/gain, fever, chills, malaise

Skin: No itching, rash or changes in color

Head: No headaches, dizziness or syncope

Eyes: No visual changes, blurriness or diplopia

Ears/Nose/Throat: No hearing loss, tinnitus or sore throat

Respiratory: No shortness of breath, cough or sputum production

Cardiovascular: No chest pain, palpitations, edema or orthopnea

Gastrointestinal: No nausea, vomiting, diarrhea or abdominal pain.

Genitourinary: No hematuria, dysuria or urinary frequency

Musculoskeletal: No joint pain or swelling

Neurological: No numbness, tingling or weakness. Reports with pain sensation at the back Case Study For Psychosis And Mental Illness Essay Paper

Psychiatric: Positive for hallucinations, delusions, paranoia, anxiety, and depression.

1. OBJECTIVE:

T- 98.4 P- 82 R 18 124/74 Ht 5’0 Wt 118lbs

Physical Examination:

General Appearance:

Patient appears anxious and disheveled.

Skin: No diaphoresis or cyanosis noted.

Head: Normocephalic and atraumatic.

Eyes: Pupils equal, round and reactive to light. No visual field deficits.

Ears/Nose/Throat: No discharge or erythema.

Neck: Supple with no lymphadenopathy or jugular venous distension.

Chest/Lungs: Clear breath sounds bilaterally, no wheezing, or rales noted.

Cardiovascular: Regular rhythm, no murmurs or gallops.

Abdomen: Soft and non-tender, no hepatosplenomegaly.

Musculoskeletal: No joint tenderness or swelling.

Neurological: Alert and oriented, cranial nerves II-XII intact. Strength and sensation grossly intact in all extremities.

Psychiatric: Patient is cooperative but reports hearing voices during the examination.

Lab values: Case Study For Psychosis And Mental Illness Essay Paper

Complete blood count, comprehensive metabolic panel, and urinalysis are within normal limits.

1. ASSESSMENT:

Schizophrenia: Schizophrenia is a severe mental disorder that affects how a person thinks, feels, and behaves. Schizophrenia is characterized by a combination of symptoms, including delusions, hallucinations, disorganized thinking and speech, and abnormal behavior. Schizophrenia typically begins in adolescence or early adulthood and is often a chronic condition that requires ongoing treatment (Pardede & Ramadia, 2021).

Differential Diagnosis

Bipolar Disorder: Bipolar disorder is a mood disorder that is characterized by periods of elevated or irritable mood (mania or hypomania) and periods of depression. Patients of bipolar disorder often experience psychotic symptoms, such as delusions or hallucinations, which can be mistaken for schizophrenia (Bobes et al., 2022).

Borderline Personality Disorder: Borderline personality disorder (BPD) is a mental health disorder that affects personal reasoning and interaction with others in social places (Fonseca et al., 2020). Some symptoms of BPD, such as unstable moods, impulsivity, and dissociation, can overlap with symptoms of schizophrenia.

PLAN:

I will admit to hospital for further management and stabilization of symptoms. I will refer for psychiatric evaluation and treatment. I will administer lithium tablet to the patient as need, naloxone for back pain as needed. I will initiate psychotherapy and behavioral therapy to help the patient cope with her symptoms and improve her overall quality of life (Siregar, Rahmadiyah & Siregar, 2021)Case Study For Psychosis And Mental Illness Essay Paper.

Follow-up:

The patient will be monitored closely for her workplace relationship to avoid accusation of others. Monitor the patient on her response to medication.

 Reflection:

Schizophrenia is a long-term mental health condition characterized by severe hallucination, dementia and delusion. They are using the DSM5 criteria of diagnosis. When the patient appears to have more than 2 of the set symptoms, they are preferably diagnosed with schizophrenia. However, on many occasions, mental illness is associated with socioeconomic status, environmental condition and family history. Therefore, a complete investigation of the patient would provide a better diagnosis. To ascertain mental ill health asking relevant questions providing a history of illness, duration, and presentation gives a better impression of the patient. Seeking severity of symptoms and help in planning treatment and patient management. With associated symptom similarities, the differential diagnosis for schizophrenia included bipolar disorder and borderline personality disorder Case Study For Psychosis And Mental Illness Essay Paper.

References

Bobes, J., Garcia-Portilla, M. P., Bascaran, M. T., Saiz, P. A., & Bouzoño, M. (2022). Quality of life in schizophrenic patients. Dialogues in clinical neuroscience.

Fonseca, L., Diniz, E., Mendonca, G., Malinowski, F., Mari, J., & Gadelha, A. (2020). Schizophrenia and COVID-19: risks and recommendations. Brazilian Journal of Psychiatry, 42, 236-238.

Pardede, J. A., & Ramadia, A. (2021). The Ability to Interact With Schizophrenic Patients through Socialization Group Activity Therapy. International Journal, 9(1), 7.

Pardede, J. A., Silitonga, E., & Laia, G. E. H. (2020). The Effects of Cognitive Therapy on Changes in Symptoms of Hallucinations in Schizophrenic Patients. Indian Journal of Public Health Research & Development, 11(10), 256-262.

Siregar, I., Rahmadiyah, F., & Siregar, A. F. Q. (2021). Therapeutic communication strategies in nursing process of angry, anxious, and fearful schizophrenic patients. British Journal of Nursing Studies, 1(1), 13-19 Case Study For Psychosis And Mental Illness Essay Paper.

ASSESSING AND DIAGNOSING PATIENTS WITH SCHIZOPHRENIA, OTHER PSYCHOTIC DISORDERS, MEDICATION-INDUCED MOVEMENT DISORDERS

Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
• Objective: What observations did you make during the psychiatric assessment?
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.)Case Study For Psychosis And Mental Illness Essay Paper.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.
• Identify at least three possible differential diagnoses for the patient.

Name: Ms. Fatima Branning
Gender: female
Age: 28 years old
T- 98.4 P- 82 R 18 124/74 Ht 5’0 Wt 118lbs
Background: Raised by parents, lives alone in Coronado, CA. Only child. Works as an
administrative assistance in car sales, has a bachelor’s in hospitality. Has medical history of scoliosis, currently treated with chiropractic care. Guarded and declined to discuss past psychiatric history. Denied family mental health issues, declined to allow you to speak to parents for collaborative information. Allergies: latex; menses regular, no birth control

Symptom Media. (Producer). (2016). Training title 9 [Video].

https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/watch/training-title-9

OFF CAMERA Ms. Branning, Mr. Nehring asked suggested you see me. He said your having some issues at work. Case Study For Psychosis And Mental Illness Essay Paper

1. BRANNING You could call them that.

OFF CAMERA What kind of difficulty are you having at work?

1. BRANNING Well Mr. Nehring wants to fire me.

OFF CAMERA Why do you think Mr. Nehring wants to fire you?

1. BRANNING Because Eric is in love with me. And it’s probably getting in the way. And he wants to fire me.

OFF CAMERA Who is Eric?

1. BRANNING Eric is my supervisor.

OFF CAMERA Are the two of you in a relationship?

1. BRANNING No! Eric has his own girlfriend, I have my own boyfriend. But Mr. Nehring got it in his head that this is my fault. And they’ve been ganging up against me.

OFF CAMERA What happened to make you feel this way?

1. BRANNING Eric is lustful for me. Lust. Lustful.

OFF CAMERA Well has Eric done anything inappropriate?

1. BRANNING No, he doesn’t have to.

OFF CAMERA What do you mean?

1. BRANNING Well, he has this way of walking toward me and he gives me the easiest assignments to do and he asks me to voice my opinion a lot in our weekly meetings. And I’m beautiful. I mean, not to be boastful or anything but I’m a strong woman. And people are attracted to that. And others, like Mr. Nehring feel threatened by it. He probably feels I could replace him in a couple years. And I could.

OFF CAMERA But there have been no instances of sexual harassment.

1. BRANNING No. And now they want to fire me, and it’s probably because they don’t want me to get in the way of their day. I’m probably a distraction or something.

OFF CAMERA According to Mr. Nehring you haven’t made a sale in three weeks.

1. BRANNING Oh, it’s been a slow time period. I guess it wouldn’t be bad thing if they fired me. I mean after all of this, all the bad it’s done for my health. You know I should really sue for discrimination, you know the stress and the health problems. Case Study For Psychosis And Mental Illness Essay Paper
   

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OFF CAMERA You’ve been having health problems?

1. BRANNING Yes. Yes. It keeps getting worse.

OFF CAMERA Can you describe it for me?

1. BRANNING Well you know there’s this pain in my neck, it aches, it spreads to my back, I think there’s a lump, right here. I’m really worried.

OFF CAMERA And what do you feel is the cause?

1. BRANNING I told you, pain, suffering, broken heart. I think it’s cancer.

OFF CAMERA Have you been seen by a doctor?

1. BRANNING No. But it’s probably cancer. And it’s slowly killing me. And it’s all because of them. And Eric’s obsession with me.

OFF CAMERA Ms Branning, I don’t think you have to worry, a broken heart can’t cause cancer.

1. BRANNING You never know until it happens. Case Study For Psychosis And Mental Illness Essay Paper