Psychopathology Case Study #1: Lyonel
Noopur Shah
The Chicago School of Professional Psychology
Psychopathology Case Study #1: Lyonel
Introduction of Client
Lyonel had low social functioning as a child. He has two brothers a sister but was always in isolation. Adults and his siblings would criticize him as being peculiar and “nervous.” As a teenager he learned about witchcraft and casting spells. When he got older he decided to become a minister and would isolate himself learning the Bible passages.
Currently, he has hallucinations and delusions. He met Mary in college and he asked her to a New Years Eve party, she politely declined. He found it odd that she would say hello to him but would say no to go out with him. …show more content…
The Z-codes that pertain to Lyonel are Z-code Z56.9 “other problem related to employment,” Z72.811 “Adult antisocial behavior”,” Z91.19 “nonadherence to medical treatment,” and Z60.4 social exclusion or rejection (DSM 5, 894-896) The severity rating for Lyonel would be a 3 on a 0-4 scale. There is not much information on his siblings besides them finding him to be peculiar (V61.8 sibling relational problem). The personality disorder present is Schizotypal Personality Disorder (301.22). There are no medical disorders present; if he does have medical disorders there needs to be more information. The psychosocial stressors are the non-existent social relationships Lyonel has with his family and Mary.
Differential Diagnosis
Delusional disorder has been ruled out due to the presence of hallucinations as well as delusions. Schizoaffective Disorder is ruled out due to the absence of mood disturbances. Substance/Medication-Induced Psychotic Disorder is ruled out due to Lyonel telling the doctor he does not use substances. The presence of delusions and hallucinations also rule out Pervasive Developmental Disorders. (American Psychiatric Association [DSM-IV-TR], 2000) …show more content…
When he moved into his parents’ house he would lock himself in his room for most of the time. There is no information about Lyonel’s socioeconomic status, and a small amount of information about his family, if they show support, and education. Lyonel shows low social functioning and low employment opportunities due to the increase of psychotic experiences. (Kinderman & Cooke, 12) It is presumed he has a higher socioeconomic status because he is in college and he has a vehicle so he is able to receive the recourses that are necessary. His education will probably have to be put on hold until his disorder is
Noopur Shah
The Chicago School of Professional Psychology
Psychopathology Case Study #1: Lyonel
Introduction of Client
Lyonel had low social functioning as a child. He has two brothers a sister but was always in isolation. Adults and his siblings would criticize him as being peculiar and “nervous.” As a teenager he learned about witchcraft and casting spells. When he got older he decided to become a minister and would isolate himself learning the Bible passages.
Currently, he has hallucinations and delusions. He met Mary in college and he asked her to a New Years Eve party, she politely declined. He found it odd that she would say hello to him but would say no to go out with him. …show more content…
The Z-codes that pertain to Lyonel are Z-code Z56.9 “other problem related to employment,” Z72.811 “Adult antisocial behavior”,” Z91.19 “nonadherence to medical treatment,” and Z60.4 social exclusion or rejection (DSM 5, 894-896) The severity rating for Lyonel would be a 3 on a 0-4 scale. There is not much information on his siblings besides them finding him to be peculiar (V61.8 sibling relational problem). The personality disorder present is Schizotypal Personality Disorder (301.22). There are no medical disorders present; if he does have medical disorders there needs to be more information. The psychosocial stressors are the non-existent social relationships Lyonel has with his family and Mary.
Differential Diagnosis
Delusional disorder has been ruled out due to the presence of hallucinations as well as delusions. Schizoaffective Disorder is ruled out due to the absence of mood disturbances. Substance/Medication-Induced Psychotic Disorder is ruled out due to Lyonel telling the doctor he does not use substances. The presence of delusions and hallucinations also rule out Pervasive Developmental Disorders. (American Psychiatric Association [DSM-IV-TR], 2000) …show more content…
When he moved into his parents’ house he would lock himself in his room for most of the time. There is no information about Lyonel’s socioeconomic status, and a small amount of information about his family, if they show support, and education. Lyonel shows low social functioning and low employment opportunities due to the increase of psychotic experiences. (Kinderman & Cooke, 12) It is presumed he has a higher socioeconomic status because he is in college and he has a vehicle so he is able to receive the recourses that are necessary. His education will probably have to be put on hold until his disorder is