Discussion on Schizophrenia

3 questions. each question in atleast a page. so totals 3 double spaced pages
Case Study SchizophreniaFor this case study, you may find yourself challenged when trying to treat this disorder based on your perspective only. My expectation is that each question will be about 1 page.You will need to read the following case study and then answer the following questions:1.Diagnose the case (we know it is schizophrenia… what kind). Use the DSM-5 and identify the criteria you have used to diagnose.2.Distinguish between the neuroleptic “conventional” antipsychotic medications such as Thorazine and the more second-generational “atypical” antipsychotic medications such as Risperdal as to their negative side effects.” How effective are these drugs? What precautions should be taken to mitigate the negative side effects of these drugs?3.Based on your answer to #2, what kind of treatment would your perspective recommend (this is based on WHY your perspective identifies the basis of behavior) in addition to medication. Based on your research is there a successful way to treat Schizophrenia without drugs?Note that the word doc is ocr copy of the images. might contain some typo errors. if you are not sure use the images

Case Study Schizophrenia

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For this case study, you may find yourself challenged when trying to treat this disorder based on your perspective only. My expectation is that each question will be about 1 page.

You will need to read the following case study and then answer the following questions:

  1. Diagnose the case (we know it is schizophrenia… what kind). Use the DSM-5 and identify the criteria you have used to diagnose.
  2. Distinguish between the neuroleptic “conventional” antipsychotic medications such as Thorazine and the more second-generational “atypical” antipsychotic medications such as Risperdal as to their negative side effects.” How effective are these drugs? What precautions should be taken to mitigate the negative side effects of these drugs?
  3. Based on your answer to #2, what kind of treatment would your perspective recommend (this is based on WHY your perspective identifies the basis of behavior) in addition to medication. Based on your research is there a successful way to treat Schizophrenia without drugs?

CASE STUDY

At the time of his admission to a private psychiatric hospital, Sonny Ford was a 21-year-old single Caucasian man who lived with his adoptive parents. Sonny had been referred for hospital admission by his outpatient psychotherapist. Over the past 2 years, Sonny had struggled with symptoms such as concentration difficulties, anxiety, and obsessional thinking. More significantly, within the year prior to his admission, Sonny began to experience paranoid and delusional thoughts that had become quite persistent. These difficulties started after he smoked marijuana. While experiencing the effects of the marijuana, Sonny believed that his mind had gone “numb.” From that time on, he believed that marijuana had permanently “warped” his mind. Moreover, he had experienced considerable distress and frustration over his inability to get others to agree that marijuana had this effect on him. More recently, Sonny had developed paranoid concerns that nniir.e and FBI were out to get him (persecutory delusions). In addition, he had begun to feel that certain television snows had special importance to him, in that information embedded in these programs was directed especially to him to remind him that he was at risk for some sort of persecution by the authorities (delusions of reference, that is, all events that occurred somehow “referred” to Sonny). On a few occasions, Sonny also heard voices in his head (auditory hallucinations). Although he could not make out what they were saying, he perceived the voices as angry and critical.

Over the past several months, Sonny’s symptoms had worsened to the point that they were interfering substantially with his attendance at work as a state office janitor. Because of these factors, and because Sonny had not responded to outpatient treatment thus far, his outpatient therapist made the referral for the hospital admission.

At the intake evaluation for his inpatient admission, Sonny’s emotions were quite restricted. Although appearing very tense and anxious, Sonny’s face was, for the most part, immobile throughout the intake. He engaged in very little eye contact with his doctors, and his body movements were quite constricted, with the exception of restless movements in his legs and the occasional rocking back and forth of his body as he sat in his chair. His speech was very hesitant and deliberate, and he often responded to the interviewer’s questions with terse and empty replies. For instance, when the interviewer asked, “What difficulties are you having that you would like help for?” Sonny replied, “I think it was the marijuana.”

 

CLINICAL HISTORY

Sonny was adopted at birth, and no records were available about the medical and psychiatric history of his family of origin. Sonny was raised in a household of four: In addition to his parents, he had a sister 4 years older who had also been adopted. He could recall very few memories from his early childhood. However, Sonny said that throughout his life he had always been a loner who, to this day, never had any friends. Sonny’s parents, who were present at the time of his admission to the hospital, confirmed that Sonny had always been very frustrated by social interactions and added that their son had always been hypersensitive to real or perceived criticism during his school years. They also noted that Sonny had great difficulty at college in classes that required some form of an oral presentation or class participation. Sonny was very attached to his father and, for many years, experienced considerable distress and loneliness when he was separated from the family’s home or his father for extended periods. Whereas Sonny regarded his father to be very understanding and accepting, he later described his mother as “not accepting of me as a person.” Sonny claimed that his mother, with her excessively critical demeanor, had significantly affected his self-esteem in a negative way. Sonny also claimed that his mother was an alcoholic, a statement that was not upheld by either of his parents.

When Sonny was approximately 16, he began to realize that he had a homosexual preference. Although his father had been accepting, Sonny reported that his mother had been very unaccepting of his homosexuality and had often referred to him with pejorative labels such as “fag.” While Sonny had accepted his sexual orientation, he said that being gay had caused him many troubles in that the lifestyle was a difficult one that could often be lonely. Many of Sonny’s current obsessive thoughts pertained to persistent thoughts about the possibility of having contracted the human immunodeficiency virus (HIV) from having unprotected sex on one occasion. Sonny’s fears of having HIV had not been allayed by his knowing that the person with whom he had had sex did not have HIV or that all of his recent HIV testing was negative.

Despite his lifelong difficulties with social adjustment, Sonny had been able to meet most of the demands and responsibilities of adolescence. Following his graduation from high school (with a C+ grade average), Sonny decided to attend a local college to take introductory courses. This decision was strongly influenced by his apprehension of moving out of his parents’ house to attend a school away from his immediate community. However, it was during his freshman year of college that Sonny had smoked the marijuana that he believed had permanently damaged his brain. Following this incident, Sonny’s functioning worsened steadily. He dropped out of college but later enrolled in a different local college. Sonny took classes at the second school for only one semester before dropping out once again, because of his inability to cope with sitting in crowded classrooms and completing required assignments and tests. Over the 2 years preceding his referral to the psychiatric hospital, Sonny had experienced considerable difficulties in maintaining part-time employment in a handful of jobs (e.g., fast-food restaurant busboy, printer’s apprentice). Yet, noted that sonny had a great difficulty at college in classes that required some form or an oral presentation or class participation. Sonny was very attached to his father and, for many years, experienced considerable distress and loneliness when he was separated from the family’s home or his father for extended periods. Whereas Sonny regarded his father to be very understanding and accepting, he later described his mother as “not accepting of me as a person.” Sonny claimed that his mother, with her excessively critical demeanor, had significantly affected his self-esteem in a negative way. Sonny also claimed that his mother was an alcoholic, a statement that was not upheld by either of his parents.

When Sonny was approximately 16, he began to realize that he had a homosexual preference. Although his father had been accepting, Sonny reported that his mother had been very unaccepting of his homosexuality and had often referred to him with pejorative labels such as “fag.” While Sonny had accepted his sexual orientation, he said that being gay had caused him many troubles in that the lifestyle was a difficult one that could often be lonely. Many of Sonny’s current obsessive thoughts pertained to persistent thoughts about the possibility of having contracted the human immunodeficiency virus (HIV) from having unprotected sex on one occasion. Sonny’s fears of having HIV had not been allayed by his knowing that the person with whom he had had sex did not have HIV or that all of his recent HIV testing was negative.

Despite his lifelong difficulties with social adjustment, Sonny had been able to meet most of the demands and responsibilities of adolescence. Following his graduation from high school (with a C+ grade average), Sonny decided to attend a local college to take introductory courses. This decision was strongly influenced by his apprehension of moving out of his parents’ house to attend a school away from his immediate community. However, it was during his freshman year of college that Sonny had smoked the marijuana that he believed had permanently damaged his brain. Following this incident, Sonny’s functioning worsened steadily. He dropped out of college but later enrolled in a different local college. Sonny took classes at the second school for only one semester before dropping out once again, because of his inability to cope with sitting in crowded classrooms and completing required assignments and tests. Over the 2 years preceding his referral to the psychiatric hospital, Sonny had experienced considerable difficulties in maintaining part-time employment in a handful of jobs (e.g., fast-food restaurant busboy, printer’s apprentice). Yet, Sonny had held his current position as a janitor in a state office for 7 months, in part because this position allowed him to work alone for the most part and did not require extensive social interaction (although Sonny’s symptoms had progressed to the point that his attendance in this job had become sporadic).

 

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