African American Reflection

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Prior to this lesson, I worked with patients in a community psychiatry setting in Baltimore Maryland. I was surprised to learn that there may be a correlation between schizophrenia and African Americans. The hypothesis makes sense particularly in places like Baltimore and where the teaching hospital there is responsible for the unauthorized research of an African American’s cells, the lead poisoning experiment that was tested on low income kids in the area, the continuation of the displacement of many poor African Americans to expand their business interest and the experiment in Guatemala wherein hundreds of people were infected with syphilis and gonorrhea for the sake of research. It took a lot of hard work to gain the trust of patients there. …show more content…
Embarrassingly did not know that people could function with schizophrenia however considering the context of my experience in Baltimore, it certainly makes sense that it would be more difficult for patients there. The last chapter and this one really melds the issues of mental illness, drug abuse, and race and socioeconomic status. I was also shocked to learn that marijuana use could raise the risk of psychosis by 40%. I was fascinated by the section on neurostructures which indicated that people with schizophrenia have decreased volume in the cortex and that ventricular enlargement may be an early indication of schizophrenia. I am not sure how someone would check for large ventricular. Sounds like something managed care would balk at paying. The section about the role of excessive dopamine influencing symptoms versus serotonin blockers was a bit confusing. I suppose because I was expecting a new hypothesis but the text did not go further into detail about …show more content…
For example, if a person is depressed they may have difficulty remembering names, poor hygiene, difficulty focusing on and completing familiar tasks. Age may also be an obstacle in diagnosing mild neurocognitive disorder as there is expected a neurocognitive decline. Last but not least, medications and other physical conditions can mimic a neurocognitive delay. Taking high doses of B vitamins may slow down the rate of brain atrophy. The emotional reverberations of being unable to rely on your body can devastating and many people who have been diagnosed with cognitive impairments battle depression and anxiety. Psychotherapy can provide a forum for working on coping skills and treatment for depression. Securing a person’s environmental supports and adding in a few lifestyle changes may be appropriate. For example, daily exercise may decrease brain

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