Principle Diagnosis: Schizophreniform 295.40 with good prognostic features
Mr. Daishi has had Delusions (referential delusions) (persecutory delusions) and negative symptoms such as avolition and asociality for a significant portion of time during a month period (Criteria A). This is his first episode and it hasn’t lasted 6 months so schizophrenia disorder is ruled out due to duration. The symptoms have been present for longer than 1 month so brief psychotic disorder should be ruled out. For about 3 months he has shown active-phase symptoms (Criteria B). Mr. Daishi hasn’t had any major depressive or manic episodes during the active phase symptoms, he denies feeling elated or euphoric and denied any ideas of guilt, suicide, or worthlessness …show more content…
Intensity is moderate to high as his baseline was no fear or anxiety to being anxious and afraid of what is happening to him to the point he is withdrawn and has stopped going to school, sleeping well and being less productive then he was able to be before the delusions started. Duration is nearly all day every day since the onset 3 months ago. Onset was 3 months ago after returning from a trip to …show more content…
He needs a referral to a psychiatrist. Medication management Antipsychotic medications can be used to diminish the delusions • Attend all scheduled appointments with the psychiatrist of his choice.
• Take medications as prescribed on a daily basis.
• Report any medication concerns to the doctor as soon as possible. • Pharmacotherapy (Antipsychotic medication such as risperidone or olanzapine Dr. Daishi has become withdrawn and stopped attending school. Go to class consistently, pay attention to lecture & complete class work/assignment • Go to school every day that he has class (can begin slowly if needed and worked up to every class, schedule if needed)
• Focus attention on lectures by listening and taking notes.
• Complete school tasks and assignments on time. • Psychotherapy
• Cognitive Behavioral
Mr. Daishi has had Delusions (referential delusions) (persecutory delusions) and negative symptoms such as avolition and asociality for a significant portion of time during a month period (Criteria A). This is his first episode and it hasn’t lasted 6 months so schizophrenia disorder is ruled out due to duration. The symptoms have been present for longer than 1 month so brief psychotic disorder should be ruled out. For about 3 months he has shown active-phase symptoms (Criteria B). Mr. Daishi hasn’t had any major depressive or manic episodes during the active phase symptoms, he denies feeling elated or euphoric and denied any ideas of guilt, suicide, or worthlessness …show more content…
Intensity is moderate to high as his baseline was no fear or anxiety to being anxious and afraid of what is happening to him to the point he is withdrawn and has stopped going to school, sleeping well and being less productive then he was able to be before the delusions started. Duration is nearly all day every day since the onset 3 months ago. Onset was 3 months ago after returning from a trip to …show more content…
He needs a referral to a psychiatrist. Medication management Antipsychotic medications can be used to diminish the delusions • Attend all scheduled appointments with the psychiatrist of his choice.
• Take medications as prescribed on a daily basis.
• Report any medication concerns to the doctor as soon as possible. • Pharmacotherapy (Antipsychotic medication such as risperidone or olanzapine Dr. Daishi has become withdrawn and stopped attending school. Go to class consistently, pay attention to lecture & complete class work/assignment • Go to school every day that he has class (can begin slowly if needed and worked up to every class, schedule if needed)
• Focus attention on lectures by listening and taking notes.
• Complete school tasks and assignments on time. • Psychotherapy
• Cognitive Behavioral