Case Study: Axis II: Schizophrenia
Name (initials only): S.S Unit: 2 East
Current Legal Status (Vol., 5150, 5250, 30 day, T-Con, LPS-Conservatorship): 5150 Baker Act
Multiaxial Diagnostic System: Axis I (Clinical Disorder): Schizophrenia
Axis II (Personality Disorder / Mental Retardation): Avoidant at times/borderline. Inability to form new relationships
Axis III (General Medical Conditions): Overall health is average however, the patient has Hypertension (which is common for adults her age), and Anemia.
Axis IV (Psychosocial and Environmental Problems): The patient has a lack of familial support and also has an economic issue (reason why she is living in an Adult Living Facility).
Axis V (Global Assessment of Functioning Scale): 30 points. The Patient demonstrates delusions …show more content…
Every time that I found the patient, she was either sitting alone by the window in the recreational room or sitting, watching TV in the dining room. The recreational area was a very spacious room with white lights in the ceiling, chairs going around the perimeters of the room, and TV on, playing movies. Other patients were present, hanging around in the recreational room while our interactions took place. The dining area on the other hand was a small little room with about 4 to 5 horizontal tables with chairs going around while also facing towards the direction of the television that was mounted onto the wall in the center of the room. In that environment, the patient was alone and focused on the show that was playing on. The interactions lasted for a total of 20 minutes, with 2-5-minute intervals throughout the 10-hour shift. The patient did not have any issues with the external stimuli such as the TV and lights that were on, so despite the milieu, the environments that were used were perfect locations for the interviews to be …show more content…
Offering self is a therapeutic technique “used to demonstrate a willingness to spend time with the client. It indicates to the client genuine concern,” (Effective Communication, pg. 17). This technique obviously didn’t work for the client as she literally stood up and turned over from me. The defense mechanism that I can best correlate with this action is suppression, which is the “voluntary denying of unpleasant thoughts and feelings,” which the client clearly did with reasons to probably dismiss the question (Stress and Defense Mechanism, pg. 21). When I witnessed the patient leaving, I automatically thought that I was the worst communicator ever because almost all of my techniques didn’t seem to work with this patient. This last technique was not effective and I did not meet my goal, however, after the experience, I came to understand that all psych patients are not the same, and what might work for one may not work for the other, so I need to further my communication skills by assessing these different types of patients and recognize what works best for each
Current Legal Status (Vol., 5150, 5250, 30 day, T-Con, LPS-Conservatorship): 5150 Baker Act
Multiaxial Diagnostic System: Axis I (Clinical Disorder): Schizophrenia
Axis II (Personality Disorder / Mental Retardation): Avoidant at times/borderline. Inability to form new relationships
Axis III (General Medical Conditions): Overall health is average however, the patient has Hypertension (which is common for adults her age), and Anemia.
Axis IV (Psychosocial and Environmental Problems): The patient has a lack of familial support and also has an economic issue (reason why she is living in an Adult Living Facility).
Axis V (Global Assessment of Functioning Scale): 30 points. The Patient demonstrates delusions …show more content…
Every time that I found the patient, she was either sitting alone by the window in the recreational room or sitting, watching TV in the dining room. The recreational area was a very spacious room with white lights in the ceiling, chairs going around the perimeters of the room, and TV on, playing movies. Other patients were present, hanging around in the recreational room while our interactions took place. The dining area on the other hand was a small little room with about 4 to 5 horizontal tables with chairs going around while also facing towards the direction of the television that was mounted onto the wall in the center of the room. In that environment, the patient was alone and focused on the show that was playing on. The interactions lasted for a total of 20 minutes, with 2-5-minute intervals throughout the 10-hour shift. The patient did not have any issues with the external stimuli such as the TV and lights that were on, so despite the milieu, the environments that were used were perfect locations for the interviews to be …show more content…
Offering self is a therapeutic technique “used to demonstrate a willingness to spend time with the client. It indicates to the client genuine concern,” (Effective Communication, pg. 17). This technique obviously didn’t work for the client as she literally stood up and turned over from me. The defense mechanism that I can best correlate with this action is suppression, which is the “voluntary denying of unpleasant thoughts and feelings,” which the client clearly did with reasons to probably dismiss the question (Stress and Defense Mechanism, pg. 21). When I witnessed the patient leaving, I automatically thought that I was the worst communicator ever because almost all of my techniques didn’t seem to work with this patient. This last technique was not effective and I did not meet my goal, however, after the experience, I came to understand that all psych patients are not the same, and what might work for one may not work for the other, so I need to further my communication skills by assessing these different types of patients and recognize what works best for each