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Axis I: 295.90 Schizophrenia Case Study

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DSM Diagnosis: Include behaviors & symptoms consistent with diagnosis. Axis I: 295.90 Schizophrenia; Axis II: none; Axis III: deferred; Axis IV: primary and social

Background information: John Smith is a Caucasian male in his mid-forties still living with his parents. The patient was admitted at the SBBH for having hallucinations, delusions, and suicidal thoughts. John Smith reported that his hallucinations and delusions kept progressing over the past few weeks. The patient has an ongoing struggle with psychosis and suicidal ideation for a couple of years. John Smith reports that he had his first psychotic breakdown in 2003. The patient was unaware of him receiving therapeutic treatments in the past. Currently, the patient is disabled and his major
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The intern student ended the session by asking him do you have any questions for me? John Smith nods no.

This is the first time I interview John Smith. He presented in a flat affect and had impaired cognitive thoughts. In addition, the patient was withdrawn and avoided eye contact throughout the session.

The patient appeared to be somewhat paranoid during the interview.

I felt like he was not comfortable with me asking him personal questions.

The intern student utilizes a wide range of social work skills include the following: empathy, rapport building, active listening, and Socratic questioning.

The student utilized empathy during the interview.

The student attempted to establish a rapport with the client, but was unable to do so cause of him still being paranoid.

The technique I tried to utilize was being silent for a few minutes. I noticed this did not have an effect on him.
The patient will attend assigned therapies prior to discharge.

The patient will be compliant when taking his medications


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