Overcoming Role Confusion Case Study

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Nathaniel is a 28-years-old African American gifted musician whose mental illness drove to the streets of Los Angeles. Nathaniel new friend and his sister referred him for the treatment of his delusions, hallucination, and disturbed behavior. Nathaniel does not agree that he should take medication, but he does agree that his current circumstances, being homeless, he was willing to enter for treatment. He entered specialized outpatient treatment clinic at the urging of his friend and his sister who were concerned about his behavior. Nathaniel is tall in stature, dressed poorly, and spoke somewhat timidly of his problem. He admitted to having experienced several episodes of hearing voices in the past, too. He said that while he now knew what …show more content…
Although his in the late twenties, he still needs some reinforcement to consider his own life to take it seriously and listen to his friend who looks after him. According to Erikson (1980), individuals between 13 and 20 years of age face challenges of developing an identity versus overcoming role confusion. Within this age, stage, they often ask questions such as “Who am I, where do I belong” and what is my purpose? At the end of this life stage, Erikson believes that these individuals should form and identity. As such, Nathaniel is experiencing a crisis due to his current inability to develop a healthy stable …show more content…
Nathaniel meets the criteria for an adjustment disorder with mixed anxiety, depressed, and schizophrenia. The client’s presenting problem the complaining of hearing voices, agitation, and argumentativeness is due to his inability to develop an identity and decide on future goals. Cognitive theory posits that as individuals develop from infancy through old age, they develop and maintain beliefs about themselves and the world. These beliefs develop around important themes or social issues such as success and failure, acceptance and rejection, and respect and disdain (Beck, 1991). Nathaniel’s behavior reflected both success and failure as his core beliefs suggest that he is a

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