Present Illness: A Case Study
Chief Complaint: “The voices told me to do it.”
History of Present Illness (tell us also whether this is inpatient or outpatient setting): MJ a 23-year-old African American male brought to the Emergency Department by family member after he was found sitting in the middle of the street. The patient states, “The voices told me to do it.” The patient states that, for the past 7-8 months that people are not who they say they are so; he began to isolate himself in his room, dropped out of school, and quit his job. He states that the voices are telling him to do bad things. He claims that there are two or three voices talking, and they often make remarks on his behavior. Patient denies that he is currently using drugs or alcohol but he occasionally …show more content…
Yes! Therapy approach that consists of cognitive behavioral therapy (CBT) and Multidimensional family therapy (MDFT) are essential. Family therapy is beneficial in developing safety plans/no self or others harm contract, provide psycho education about schizophrenia to increase family insight into MJ, helps reduce stress, emotional processing, cognitive reappraisal, structured problem solving, and increase family ability to support/encourage patient in treatment compliance and utilize new coping skills (Nichols, 2013; Caqueo-Urízar, Rus-Calafell, Urzúa, Escudero, & Gutiérrez-Maldonado, …show more content…
Schizophrenia is a disturbance of thought delusions and hallucinations. The cultural beliefs, stigma, fear, and lack of information regarding mental health impacts African Americans decisions in seeking mental health treatment. Therefore, the patient’s and family beliefs on mental health should be properly evaluated in order to provide cultural congruent care.
What could other team members provide? (Example - social worker, RD, therapist, case manager): Multidisciplinary team is needed to care for this patient. The case manager will arrange for placement and follow up care. Registered dietitian will monitor weight and plan for appropriate meal. Social worker and therapist will help patient achieve and maintain relief from symptoms of schizophrenia and gear patient in returning to normal, everyday life such as work, education, and social relationship with
History of Present Illness (tell us also whether this is inpatient or outpatient setting): MJ a 23-year-old African American male brought to the Emergency Department by family member after he was found sitting in the middle of the street. The patient states, “The voices told me to do it.” The patient states that, for the past 7-8 months that people are not who they say they are so; he began to isolate himself in his room, dropped out of school, and quit his job. He states that the voices are telling him to do bad things. He claims that there are two or three voices talking, and they often make remarks on his behavior. Patient denies that he is currently using drugs or alcohol but he occasionally …show more content…
Yes! Therapy approach that consists of cognitive behavioral therapy (CBT) and Multidimensional family therapy (MDFT) are essential. Family therapy is beneficial in developing safety plans/no self or others harm contract, provide psycho education about schizophrenia to increase family insight into MJ, helps reduce stress, emotional processing, cognitive reappraisal, structured problem solving, and increase family ability to support/encourage patient in treatment compliance and utilize new coping skills (Nichols, 2013; Caqueo-Urízar, Rus-Calafell, Urzúa, Escudero, & Gutiérrez-Maldonado, …show more content…
Schizophrenia is a disturbance of thought delusions and hallucinations. The cultural beliefs, stigma, fear, and lack of information regarding mental health impacts African Americans decisions in seeking mental health treatment. Therefore, the patient’s and family beliefs on mental health should be properly evaluated in order to provide cultural congruent care.
What could other team members provide? (Example - social worker, RD, therapist, case manager): Multidisciplinary team is needed to care for this patient. The case manager will arrange for placement and follow up care. Registered dietitian will monitor weight and plan for appropriate meal. Social worker and therapist will help patient achieve and maintain relief from symptoms of schizophrenia and gear patient in returning to normal, everyday life such as work, education, and social relationship with