The presenting complication with the client, Carl Landau is his incapacitating symptoms and behaviors. Those symptoms and behaviors continued to propel him further out of control. The behaviors, specifically included; excessive washing and showering; ceremonial rituals for dressing and studying; compulsive placement of any objects he handled; grotesque hissing, coughing and head tossing while eating; and shuffling and wiping his feet while walking. Unexplained physical symptoms that interfere with motor control, such as shuffling and wiping feet could also be considered as a conversion disorder (Comer, 2016). Over the next two years, Carl Landau continued to deteriorate, he withdrew himself from school, friends, family; began to avoid meals
…show more content…
The symptoms of schizotypal personality disorder are: ideas of reference; odd beliefs or even magical beliefs (DSM-5, 2013), such as when Carl Landau believed that his hissing would prevent toxins from entering his body; unusual perceptual experiences including bodily illusions; odd thinking and speech(DSM-5, 2013), such as when Landau would keep his body waste in his closet to protect his family; paranoid or suspiciousness (DSM-5, 2013), for instance that most food was poison; inappropriate affect; behavior that was odd or eccentric (DSM-5, 2013), like his hissing and coughing when he ate food; lack of close friends or relationships, other than 1st degree family; and lastly excessive social anxiety (DSM-5, 2013). Noticeably, Landau was paranoid about toxins and poisons in and around his food. He was afraid that the toxins would harm him or his family. However, again, he did not have bodily illusions and even he isolated his 1st degree relatives by slowly retreating from the adjacent room to eat, to his …show more content…
et al., 2015). This patient restricted his foods to boiled rice, fried potato chips, chicken nuggets, potato crisps and the occasional chocolate, which is similar to Landau’s short and limited list of food intake (Chandran, J. et al., 2015). Because this patient limited his food intake, the patient saw deterioration of his spinal cord and also because of the dehydration from lack of nutritious food, venous sinus thrombosis, a secondary symptom due to his avoidant/restrictive food intake disorder (Chandran, J. et al.,
The symptoms of schizotypal personality disorder are: ideas of reference; odd beliefs or even magical beliefs (DSM-5, 2013), such as when Carl Landau believed that his hissing would prevent toxins from entering his body; unusual perceptual experiences including bodily illusions; odd thinking and speech(DSM-5, 2013), such as when Landau would keep his body waste in his closet to protect his family; paranoid or suspiciousness (DSM-5, 2013), for instance that most food was poison; inappropriate affect; behavior that was odd or eccentric (DSM-5, 2013), like his hissing and coughing when he ate food; lack of close friends or relationships, other than 1st degree family; and lastly excessive social anxiety (DSM-5, 2013). Noticeably, Landau was paranoid about toxins and poisons in and around his food. He was afraid that the toxins would harm him or his family. However, again, he did not have bodily illusions and even he isolated his 1st degree relatives by slowly retreating from the adjacent room to eat, to his …show more content…
et al., 2015). This patient restricted his foods to boiled rice, fried potato chips, chicken nuggets, potato crisps and the occasional chocolate, which is similar to Landau’s short and limited list of food intake (Chandran, J. et al., 2015). Because this patient limited his food intake, the patient saw deterioration of his spinal cord and also because of the dehydration from lack of nutritious food, venous sinus thrombosis, a secondary symptom due to his avoidant/restrictive food intake disorder (Chandran, J. et al.,