The essay will concentrate on Steve case scenario outlining the mental health condition, which will be define and explain in terms of aetiology, signs and symptoms. This will also include the understanding of health promotion and recovery concepts.
From the Steve’s case scenario, he appears to be suffering from Schizophrenia. According to National Institute for Health and Care Excellence, England (NICE, 2014), schizophrenia is a psychiatric disorder which modifies a person’s perception, thoughts and behaviour. However, there are elements of paranoia in Steve’s case as there is a stable delusion (man in local pub knew of his concerns, government scientists experiments on him, coded information from the radio and dog baking), auditory hallucinations …show more content…
As stated in ICD-10 (WHO, 1992) sign and symptoms of schizophrenia is grouped into positive and negative symptoms. Royal College of Psychiatrist (Rcpsych, 2016) explain positive symptoms as unusual experiences which are more intense and distressing. This includes hallucination, delusion and thought disorder. With reference to the Steve’s case, he has 3rd person auditory hallucination (hearing ‘men’s voices’ clear as day and continually commenting on his thoughts), persecuted and delusion of reference were clear display (government scientists experiments, coded information on radio and dog barking respectively). His thought about the man in the local pub is another indication of positive symptom. Negative symptom is a loss of function (Tsoi et al, 2008) such as spending more time alone in his flat, refusing to answer the door to see his friends and terminating his part work might be due to lack of energy/motivation which is yet to be explore in relation to Steve’s case. Aside the social isolation/withdrawal from Steve other negative symptoms include poor self-care, lack of emotion, unconcern and slow emotional response. Patient with schizophrenia may show mixture of positive and negative …show more content…
These psychosocial interventions such as family therapy and cognitive behavioural therapy (CBT) will help Steve and promote his recovery. In the family therapy, emotional atmosphere must be created for Steve and family; where family is not always blood relation. This has been proven to be effective in preventing relapse in schizophrenia patients for at least 24 months following treatment (Pharoah et al, 2010). Steve have a say on who is involved in this intervention so they cope with his problems, provide support and education which will facilitate his recovery (Norman and Ryrie, 2013; NMC, 2008). Likewise, the aim of CBT is to help Steve to make sense out of his psychotic understandings and to reduce any misery causing on his functioning. NICE (2014) further suggest that CBT is provided on one-to-one basis to all schizophrenia patients. This will improve Steve’s self-efficacy that is his professed level of confidence/ability to make changes in his own behaviour hence promoting recovery and readmission to hospital (Williams at el, 2014). Through CBT, Steve can build resilience that is making him cope with hardship and not struggle in the face of important stressors (Norman and Ryrie,
From the Steve’s case scenario, he appears to be suffering from Schizophrenia. According to National Institute for Health and Care Excellence, England (NICE, 2014), schizophrenia is a psychiatric disorder which modifies a person’s perception, thoughts and behaviour. However, there are elements of paranoia in Steve’s case as there is a stable delusion (man in local pub knew of his concerns, government scientists experiments on him, coded information from the radio and dog baking), auditory hallucinations …show more content…
As stated in ICD-10 (WHO, 1992) sign and symptoms of schizophrenia is grouped into positive and negative symptoms. Royal College of Psychiatrist (Rcpsych, 2016) explain positive symptoms as unusual experiences which are more intense and distressing. This includes hallucination, delusion and thought disorder. With reference to the Steve’s case, he has 3rd person auditory hallucination (hearing ‘men’s voices’ clear as day and continually commenting on his thoughts), persecuted and delusion of reference were clear display (government scientists experiments, coded information on radio and dog barking respectively). His thought about the man in the local pub is another indication of positive symptom. Negative symptom is a loss of function (Tsoi et al, 2008) such as spending more time alone in his flat, refusing to answer the door to see his friends and terminating his part work might be due to lack of energy/motivation which is yet to be explore in relation to Steve’s case. Aside the social isolation/withdrawal from Steve other negative symptoms include poor self-care, lack of emotion, unconcern and slow emotional response. Patient with schizophrenia may show mixture of positive and negative …show more content…
These psychosocial interventions such as family therapy and cognitive behavioural therapy (CBT) will help Steve and promote his recovery. In the family therapy, emotional atmosphere must be created for Steve and family; where family is not always blood relation. This has been proven to be effective in preventing relapse in schizophrenia patients for at least 24 months following treatment (Pharoah et al, 2010). Steve have a say on who is involved in this intervention so they cope with his problems, provide support and education which will facilitate his recovery (Norman and Ryrie, 2013; NMC, 2008). Likewise, the aim of CBT is to help Steve to make sense out of his psychotic understandings and to reduce any misery causing on his functioning. NICE (2014) further suggest that CBT is provided on one-to-one basis to all schizophrenia patients. This will improve Steve’s self-efficacy that is his professed level of confidence/ability to make changes in his own behaviour hence promoting recovery and readmission to hospital (Williams at el, 2014). Through CBT, Steve can build resilience that is making him cope with hardship and not struggle in the face of important stressors (Norman and Ryrie,