THE PRESENTING PROBLEM: Hector was a university student that was carried to the emergency room by a campus police, with claims by a professor that Hector walked into the room shouting, “he was the joker who was looking for batman” and he refused to leave (Delusions and Hallucinations, APA, 2013).
Hector behavior became increasingly odd during the past year, which he starts to isolate himself from family and friends; he spent most of his time lying in bed and starring at the ceiling. Hector was suspended from college for none attendance (isolation and social retraction, NMIH, 2016). Hector has been seen mumbling to himself as well as standing on the roof top as if he was conducting a symphony. He denies any attempts of jumping from the roof …show more content…
Negative symptoms(i.e., diminished emotional expression or avolition)
Diagnostic Criteria: C
1. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or by two or more symptoms listed in Criterion a present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences.
JUSTIFICATIONS:
1) Bizarre behavior, “he is joker looking for batman
2) Isolation, quit seeing friends or family
3) Hallucinations and delusions, mumbling to himself
4) False romantic relationship (Janet, states barely talks to Hector)
5) Easily angered, when asked about drug use
6) Disorganized thinking, preoccupied internally
RULED OUT DIAGNOSIS:
1. The Brief Psychotic Disorder, Duration of an episode of the disturbance is at least 1 day, but less than 1 month with eventual full return to pre-morbid level of functioning.
2. Schizophreniform Disorder, there is a difference in duration, the total duration of the illness including prodromal, active, and residual phases is at least 1 month, but less than 6 months, schizophrenia which last for at least 6 months.
TREATMENT PLANS:
SMART GOALS:
Specific: Long-term Goal is to reduce or stop Hector’s symptoms to reduce the chances of relapses or the return of
Hector behavior became increasingly odd during the past year, which he starts to isolate himself from family and friends; he spent most of his time lying in bed and starring at the ceiling. Hector was suspended from college for none attendance (isolation and social retraction, NMIH, 2016). Hector has been seen mumbling to himself as well as standing on the roof top as if he was conducting a symphony. He denies any attempts of jumping from the roof …show more content…
Negative symptoms(i.e., diminished emotional expression or avolition)
Diagnostic Criteria: C
1. During these prodromal or residual periods, the signs of the disturbance may be manifested by only negative symptoms or by two or more symptoms listed in Criterion a present in an attenuated form (e.g., odd beliefs, unusual perceptual experiences.
JUSTIFICATIONS:
1) Bizarre behavior, “he is joker looking for batman
2) Isolation, quit seeing friends or family
3) Hallucinations and delusions, mumbling to himself
4) False romantic relationship (Janet, states barely talks to Hector)
5) Easily angered, when asked about drug use
6) Disorganized thinking, preoccupied internally
RULED OUT DIAGNOSIS:
1. The Brief Psychotic Disorder, Duration of an episode of the disturbance is at least 1 day, but less than 1 month with eventual full return to pre-morbid level of functioning.
2. Schizophreniform Disorder, there is a difference in duration, the total duration of the illness including prodromal, active, and residual phases is at least 1 month, but less than 6 months, schizophrenia which last for at least 6 months.
TREATMENT PLANS:
SMART GOALS:
Specific: Long-term Goal is to reduce or stop Hector’s symptoms to reduce the chances of relapses or the return of