Schizophrenia and Other Psychotic Disorders; Medication-Induced Movement Disorders
For individuals with disorders such as schizophrenia and other psychotic disorders, the development of mental disorder seldom occurs with a singular, defining symptom. Rather, many who experience such disorders show a range of unique symptoms. This range of symptoms may impede an individual’s ability to function in daily life. As a result, clinicians address a patient’s ability or inability to function in life.
Explore psychotic disorders, including schizophrenia. Also, explore medication-induced movement disorders and formulate a diagnosis for a patient in a case study.
· Apply concepts, theories, and principles related to patient interviewing, diagnostic reasoning, and recording patient information
· Formulate differential diagnoses using DSM-5 criteria for patients with schizophrenia, other psychotic disorders, and medication-induced movement disorders across the life span.
Psychotic disorders and schizophrenia are some of the most complicated and challenging diagnoses in the DSM. The symptoms of psychotic disorders may appear quite vivid in some patients; with others, symptoms may be barely observable. Additionally, symptoms may overlap among disorders. For example, specific symptoms, such as neurocognitive impairments, social problems, and illusions may exist in patients with schizophrenia but are also contributing symptoms for other psychotic disorders.
For this Assignment, you will analyze a case study related to schizophrenia, another psychotic disorder, or a medication-induced movement disorder.
Name: Mrs. Bunny Warren Gender: female Age: 33 years old Background: Bunny was brought in by her best friend, Patty, after the police responded to her home the fifth time today. The police was threatening to arrest her for misuse of the 911 system, Bunny called you and you informed the police she needed to go the emergency room. She has been calling 911 saying people are looking in her windows, standing across the street watching her, stated they are watching for her husband to return home so they can hurt him. Today, she has a stomachache. She believes there is a snake inside of her stomach which she would like to have removed. She stopped eating 2 days ago because of this. During the assessment, the patient seemed on edge, anxious, and paranoid. The patient has history of scoliosis. This is her third presentation to this hospital, she had one psychiatric admission 2 years ago. No self-harm behaviors but has been physically aggressive toward others in the past. She is guarded and refuses to answer questions whether there are memory or concentration problems. She denies any recent head injuries. She states that she has been sleeping nightly, one or two hours at a time and waking up throughout the night. Refuses labs, refuses to have her vital signs obtained. She obtains SSDI. She lives in Atlanta, GA. Bunny denies ever using any drugs and drinks occasionally, once a month. She has a sister who is ten years older, both parents deceased in the last two years. She has no children, her husband is out of town, truck driver. Family history includes that her father had two previous inpatient psychiatric hospitalizations after bad drug experiences in the 1970s, for one week each time. Mother had diagnosis and ongoing treatment for depression. Her paternal grandmother was state hospitalized for several years. She denies any past history of traumatic experiences, but her friend does say that losing her parents was hard for her emotionally. No history of military service. No legal issues currently. Has HS diploma. Allergies: haloperidol
TRANSCRIPT OF VIDEO FILE:
00:00:15UNKNOWN Hi, Mrs. Warren, nice to see you again. How are you doing?
00:00:20WARREN You’re with them.
00:00:20UNKNOWN Pardon me.
00:00:25WARREN I know you are. But you won’t tell me, people like you never do.
00:00:30UNKNOWN I’m not sure that I follow.
00:00:30WARREN Sure. They dumb just like everybody else. We’re on to you.
00:00:40UNKNOWN Who do you mean by we?
00:00:45UNKNOWN You are not going to tell me?
00:00:50WARREN I don’t need to tell you. You have eyes and ears planted everywhere.
00:00:55UNKNOWN Everywhere meaning other places away from the hospital…
00:01:00WARREN Everywhere, enough set.
00:01:00UNKNOWN Let me make sure I understand. Are you saying you feel that I or someone else has been spying on you?
00:01:05WARREN I don’t feel that. I know it. You and your people had… I don’t need to explain it, you already know.
00:01:15UNKNOWN You feel safe here in the emergency department?
00:01:20WARREN There’s nowhere that is safe. Don’t pretend like there is.