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USW1.57380.202270 - NRNP-6675-21-PMHNP Across the Lifespan II-2022-Summer-QTR-Term-wks-1-thru-11-(05/30/2022-08/14/2022)-PT27
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IFEOMA ABOLARIN
on Sat, Jul 02 2022, 5:42 AM
100% highest match
Submission ID: 0901481e-5d29-465e-91e3-516865e52eac
Citations (7/7)
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http://www.health.am/psy/schizophreniform-disorder/
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Another student's paper
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Week 5
SCHIZOPHRENIA
IFEOMA ABOLARIN
Walden University
DR. ESSEX
Subjective:
1
CC (chief complaint):
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CC (chief complaint)
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CC (chief complaint)
“There are people watching me from my window.
2
I can see their shadows and I can hear them” HPI:
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I can see their shadows and I can hear them” HPI
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I can hear them, and I see their shadows
S.
3
M, a 53-year-old male, visits to the mental clinic alleging that he is being watched from the outside.
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M, a 53-year-old male, visits to the mental clinic alleging that he is being watched from the outside
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Sherman Tremaine is a 53-year-old A.A male, comes to the mental clinic alleging that he is being watched from the outside and hear voices
Patient claims that he can listen and observe these individuals, even though they are unaware of his presence.
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Patient claims that he can listen and observe these individuals, even though they are unaware of his presence
Source - Another student's paper
He claims that he can listen and observe these individuals, despite the fact that they are unaware of his presence
4
Patient argues that the government has sent these individuals to keep an eye on him, resulting in his heavy taxation.
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Patient argues that the government has sent these individuals to keep an eye on him, resulting in his heavy taxation
Source - Another student's paper
that the government has sent these individuals to keep an eye on him, resulting in his high taxes
3
Patient claims that he has spotted and heard these individuals for many weeks.
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Patient claims that he has spotted and heard these individuals for many weeks
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Client reports that he has spotted and heard these individuals for many weeks
Substance Current Use:
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Substance Current Use
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Substance Current Use
2
He admits smoking about three packs of cigarettes daily, and consuming alcohol.
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He admits smoking about three packs of cigarettes daily, and consuming alcohol
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Sherman also admits to smoking three packs of cigarettes every day and consuming alcohol
Medical History:
· Current Medications:
1
taking metformin for diabetes · Allergies:
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taking metformin for diabetes · Allergies
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Metformin for diabetes mellitus · Allergies
he denies having any allergies · Reproductive Hx: none collected during this visit
ROS:
GENERAL:
3
patient is healthy, no excess weight gains no fever
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patient is healthy, no excess weight gains no fever
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Patient is healthy, no excess weight gains no fever
HEENT: Eyes:
3
no discharge, or blurred vision.
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no discharge, or blurred vision
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no discharge, or blurred vision
Ears:
3
no ringing, discharge, or pain.
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no ringing, discharge, or pain
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no ringing, discharge or pain
Nose:
3
no congestion or runny nose.
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no congestion or runny nose
Source - Another student's paper
no congestion or runny nose
Throat:
3
no sore throat, no heart burn.
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no sore throat, no heart burn
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no sore throat, no heart burn
SKIN:
3
warm and moist.
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warm and moist
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warm and moist
No bruises or rashes
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No bruises or rashes
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No bruises or rashes
CARDIOVASCULAR: he denies having abnormal heartbeat or chest pain
RESPIRATORY: he denies cough, and breathlessness
GASTROINTESTINAL:
3
bloating stomach, minimal bowel movements and sounds on the four
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bloating stomach, minimal bowel movements and sounds on the four
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bloating stomach, minimal bowel movements and sounds on the four
quadrants.
3
No vomiting or diarrhea.
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No vomiting or diarrhea
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No vomiting or diarrhea
Appetite is reduced
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Appetite is reduced
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Appetite is reduced
GENITOURINARY:
3
no frequency or urgency of urination, no burning sensation when urinating
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no frequency or urgency of urination, no burning sensation when urinating
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no frequency or urgency of urination, no burning sensation when urinating
NEUROLOGICAL:
3
no seizures, or headache.
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no seizures, or headache
Source - Another student's paper
no seizures, or headache
No loss of sensation or tingling of the feet
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No loss of sensation or tingling of the feet
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No loss of sensation or tingling of the feet
MUSCULOSKELETAL:
3
free from muscle pain or joint pain.
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free from muscle pain or joint pain
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no muscle pain or joint pain
No stiffness of the joints
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No stiffness of the joints
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No stiffness of the joints
HEMATOLOGIC: negative for paleness or bruising
LYMPHATICS:
3
lymph nodes with normal size
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lymph nodes with normal size
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lymph nodes with normal size
ENDOCRINOLOGIC:
3
no night sweats, temperature intolerance, increases thirst or urination
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no night sweats, temperature intolerance, increases thirst or urination
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no night sweats, temperature intolerance, increases thirst or urination
Objective:
Diagnostic results:
3
no tests were ordered
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no tests were ordered
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no tests were ordered
Assessment:
3
Mental Status Examination:
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Mental Status Examination
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Mental Status Examination
The patient is a 53-year-old man whose stated age seems to correspond with his appearance.
2
Patient is attentive and responds to all the examiner's inquiries.
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Patient is attentive and responds to all the examiner's inquiries
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He is cooperative and responds to all of the examiner's inquiries
Patient appears to have low cleanliness and is untidy.
3
Patient has a constrained affect, speaks with a fluctuating tone, and thinks in a circumstantial manner.
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Patient has a constrained affect, speaks with a fluctuating tone, and thinks in a circumstantial manner
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He has a constrained affect, speaks with a fluctuating tone, and thinks in a circumstantial manner
The patient agrees that he is experiencing audio and visual hallucinations on a regular basis.
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The patient agrees that he is experiencing audio and visual hallucinations on a regular basis
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Patient reports that he is experiencing audio and visual hallucinations on a regular basis
Patient also appears to lack discernment.
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Patient also appears to lack discernment
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He also appears to lack discernment
Patient also reported that the music prevented him from sleeping or feeding well.
Diagnostic Impression:
Paranoid schizophrenia:
3
Based on the patient's mental examination and symptoms, patient is suffering from paranoid schizophrenia.
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Based on the patient's mental examination and symptoms, patient is suffering from paranoid schizophrenia
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Based on the patient's mental examination and symptoms, he is suffering from paranoid schizophrenia, schizophreniform disorder, schizoaffective disorder, or short psychotic condition is a possibility
The differential diagnoses are schizophreniform disorder, schizoaffective disorder, and short psychotic condition.
3
Hallucinations, disordered speech and behavior, muted Expression, and anhedonia are among the patient's symptoms.
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Hallucinations, disordered speech and behavior, muted Expression, and anhedonia are among the patient's symptoms
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Hallucinations, disordered speech and behavior, muted Expression, and anhedonia are among the patient's symptoms
The symptoms of paranoid schizophrenia must be present for at least six months, as stated in the DSM-5 criteria.
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The symptoms of paranoid schizophrenia must be present for at least six months, as stated in the DSM-5 criteria
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The symptoms of paranoid schizophrenia must be present for at least six months, according to the DSM-5 criteria
Among the negative symptoms, catatonic behavior, incoherent speech, delusions, and hallucination should all be present in the patient (de Pablo et al., 2020).
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Among the negative symptoms, catatonic behavior, incoherent speech, delusions, and hallucination should all be present in the patient (de Pablo et al., 2020)
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Negative symptoms, incoherent speech, catatonic behavior, hallucination, and delusions should all be present in the patient (de Pablo et al., 2020)
The symptoms of the patient matched the criteria for schizophrenia in the DSM-5, validating the diagnosis.
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The symptoms of the patient matched the criteria for schizophrenia in the DSM-5, validating the diagnosis
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The symptoms of the patient matched the criteria for schizophrenia in the DSM-5, validating the diagnosis
Patient 's father had paranoid schizophrenia, which might explain the patient's present condition, according to the patient's family history.
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Patient 's father had paranoid schizophrenia, which might explain the patient's present condition, according to the patient's family history
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Sherman's father had paranoid schizophrenia, which might explain the patient's present condition, according to the patient's family history
5
Differential Diagnosis · Schizophreniform disorder:
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Differential Diagnosis · Schizophreniform disorder
Source -
http://www.health.am/psy/schizophreniform-disorder/
Refining the diagnosis of schizophreniform disorder
3
The features of schizophreniform disorder must have been present for a period of more than one month, but less than six months, as stated in the DSM-5 criteria.
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The features of schizophreniform disorder must have been present for a period of more than one month, but less than six months, as stated in the DSM-5 criteria
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· Schizophreniform disorder must have been present for at minimum one month but no more than six months, according to the DSM-5 criteria
Negative symptoms, disordered speech, catatonic conduct, hallucination, and illusions should all be highlighted (de Pablo et al., 2020).
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Negative symptoms, disordered speech, catatonic conduct, hallucination, and illusions should all be highlighted (de Pablo et al., 2020)
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Negative symptoms, disordered speech, catatonic conduct, hallucination, and illusions should all be highlighted (de Pablo et al., 2020)
The diagnosis is excluded from consideration because the client has been having the symptoms for more than six months now.
· Schizoaffective disorder:
3
Symptoms must be encountered within one month, according to the DSM-5 criteria for schizoaffective disorder (Webb, 2017).
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Symptoms must be encountered within one month, according to the DSM-5 criteria for schizoaffective disorder (Webb, 2017)
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· Schizoaffective disorder- Symptoms must be encountered within one month, according to the DSM-5 criteria for schizoaffective disorder (Webb, 2017)
Catatonic behavior, unpleasant symptoms, disordered speech, auditory and visionary hallucination, and delusions are some of the symptoms (Webb, 2017).
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Catatonic behavior, unpleasant symptoms, disordered speech, auditory and visionary hallucination, and delusions are some of the symptoms (Webb, 2017)
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Catatonic behavior, unpleasant symptoms, disordered speech, auditory and visionary hallucination, and delusions are some of the symptoms (Webb, 2017)
Mood disorder symptoms such as mania or sadness may accompany the symptoms.
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Mood disorder symptoms such as mania or sadness may accompany the symptoms
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Mood disorder symptoms such as mania or sadness may accompany the symptoms
The patient hasn't revealed any signs or symptoms of a mood condition;
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The patient hasn't revealed any signs or symptoms of a mood condition
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The patient hasn't revealed any signs or symptoms of a mood condition, thus the diagnosis is ruled out
6
thus, the diagnosis is ruled out.
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thus, the diagnosis is ruled out
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therefore, the diagnosis is ruled out
· Brief psychotic disorder:
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· Brief psychotic disorder
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Brief psychotic disorder
1
It is defined by the DSM-5 criteria as a illness characterized by a quick onset of signs lasting less than one month, succeeded by full remissions with the possibility of subsequent flare ups (Castagnini & Fusar-Poli, 2017).
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It is defined by the DSM-5 criteria as a illness characterized by a quick onset of signs lasting less than one month, succeeded by full remissions with the possibility of subsequent flare ups (Castagnini & Fusar-Poli, 2017)
Source - Another student's paper
The brief psychotic disorder is defined by the DSM-5 criteria as an illness characterized by a quick onset of symptoms lasting less than one month, followed by complete remissions with the possibility of future relapses (Castagnini & Fusar-Poli, 2017)
Some or all these signs ought to be present:
6
disordered speech, catatonic behavior, negative symptoms, hallucination, and delusions (Castagnini & Fusar-Poli, 2017).
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disordered speech, catatonic behavior, negative symptoms, hallucination, and delusions (Castagnini & Fusar-Poli, 2017)
Source - Another student's paper
disordered speech, catatonic behavior, negative symptoms, hallucination, and delusions (Castagnini & Fusar-Poli, 2017)
1
Because the client's symptoms lasted more than a month, the diagnosis of short psychotic condition was ruled out.
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Because the client's symptoms lasted more than a month, the diagnosis of short psychotic condition was ruled out
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Because the patient's symptoms lasted more than a month, the diagnosis of a short psychotic condition was ruled out
Reflections:
3
The patient presented to the facility with hallucinatory symptoms.
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The patient presented to the facility with hallucinatory symptoms
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The patient presented to the facility with hallucinatory symptoms
The patient is diagnosed with paranoid schizophrenia, according to the DSM-5 criteria.
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The patient is diagnosed with paranoid schizophrenia, according to the DSM-5 criteria
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Patient is diagnosed with paranoid schizophrenia, according to the DSM-5 criteria
I agree with the diagnosis because the DSM-5 diagnostic standards are critical in determining a correct diagnosis depending on the client's complaints.
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I agree with the diagnosis because the DSM-5 diagnostic standards are critical in determining a correct diagnosis depending on the client's complaints
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I agree with the diagnosis because the DSM-5 diagnostic standards are critical in determining a correct diagnosis depending on the client's complaints
To make an appropriate diagnosis, I realized how important it is to comprehend various ailments and create a differential diagnosis.
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To make an appropriate diagnosis, I realized how important it is to comprehend various ailments and create a differential diagnosis
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To make an appropriate diagnosis, I realized how important it is to comprehend various ailments and create a differential diagnosis
To diagnose the client's illnesses, no laboratory tests were conducted;
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To diagnose the client's illnesses, no laboratory tests were conducted
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To diagnose the client's illnesses, no laboratory tests were conducted
nevertheless, I would have employed diagnostic testing such as Computed tomography or Magnetic resonance imaging (MRI) or blood work to exclude out other physiological disorders that may have caused the patient 's symptoms.
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nevertheless, I would have employed diagnostic testing such as Computed tomography or Magnetic resonance imaging (MRI) or blood work to exclude out other physiological disorders that may have caused the patient 's symptoms
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nevertheless, I would have employed diagnostic testing such as Computed tomography or Magnetic resonance imaging ( MRI) or lab work to exclude out other physiological disorders that may have caused the patient 's symptoms and to rule out other diagnosis such as bipolar
The patient's assessment and diagnosis were done in conformity with psychiatric practice's legal and ethical norms.
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The patient's assessment and diagnosis were done in conformity with psychiatric practice's legal and ethical norms
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The patient's assessment and diagnosis were done in conformity with psychiatric practice's legal and ethical norms
The patient gave his or her permission for therapy, and the patient's privacy is protected.
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The patient gave his or her permission for therapy, and the patient's privacy is protected
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The patient gave his permission for therapy, and the patient's privacy is protected
The client is treated with dignity and sensitivity.
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The client is treated with dignity and sensitivity
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The client is treated with dignity and sensitivity
Case Formulation and Treatment Plan:
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Case Formulation and Treatment Plan
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Case Formulation and Treatment Plan
The client has paranoid schizophrenia and will be treated with counseling and medication.
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The client has paranoid schizophrenia and will be treated with counseling and medication
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The client has paranoid schizophrenia and will be treated with counseling and medication
He is given Amisulpride 200 mg to treat hallucinatory symptoms (Demjaha et al., 2017) and Clozapine 25mg acts in the brain to alleviate symptoms by harmonizing serotonin and dopamine (Demjaha et al., 2017).
2
The client shall also be given eszopiclone for sleeplessness.
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The client shall also be given eszopiclone for sleeplessness
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The client will also be given eszopiclone to help with his or her sleeplessness
3
The patient has shown a dislike for medicine, but he will undergo compliance training to educate him on the value of medication in managing his health condition.
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The patient has shown a dislike for medicine, but he will undergo compliance training to educate him on the value of medication in managing his health condition
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The patient has shown a dislike for medicine, but he will undergo compliance training to educate him on the value of medication in managing his health condition
7
The patient will get personalized Cognitive behavioral therapy.
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The patient will get personalized Cognitive behavioral therapy
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The patient will be placed under individual cognitive-behavioral therapy
3
This treatment will assist the patient operate independently, cope with illness, and lessen everyday suffering (Jauhar et al., 2019).
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This treatment will assist the patient operate independently, cope with illness, and lessen everyday suffering (Jauhar et al., 2019)
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This treatment will assist the patient operate independently, cope with illness, and lessen everyday suffering (Jauhar et al., 2019)
There will be self-monitoring, adaptive skills coaching and cognitive reorganization (Jauhar et al., 2019).
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There will be self-monitoring, adaptive skills coaching and cognitive reorganization (Jauhar et al., 2019)
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There will be self-monitoring, adaptive skills coaching and cognitive reorganization (Jauhar et al., 2019)
The patient will be taught the value of quitting smoking, socializing, and exercising.
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The patient will be taught the value of quitting smoking, socializing, and exercising
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The patient will be educate the value of quitting smoking, substance use, alcohol consumption, socializing, and exercising
a month for patient follow-up He will be urged to come to the clinic for an assessment to see whether the therapy is working or if alternative options exist.
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a month for patient follow-up He will be urged to come to the clinic for an assessment to see whether the therapy is working or if alternative options exist
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He will be urged to come to the clinic for an assessment to see whether the therapy is working or if alternative options exist
References Castagnini, A.
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References Castagnini, A
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References Castagnini, A
C., & Fusar-Poli, P.
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C., & Fusar-Poli, P
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C., & Fusar-Poli, P
(2017).
3
Diagnostic validity of ICD-10 acute and transient psychotic disorders and DSM-5 brief psychotic disorder.
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Diagnostic validity of ICD-10 acute and transient psychotic disorders and DSM-5 brief psychotic disorder
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Diagnostic validity of ICD-10 acute and transient psychotic disorders and DSM-5 brief psychotic disorder
European Psychiatry, 45, 104-113.
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European Psychiatry, 45, 104-113
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European Psychiatry, 45, 104-113
Demjaha, A., Lappin, J.
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Demjaha, A., Lappin, J
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Demjaha, A., Lappin, J
M., Stahl, D., Patel, M.
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M., Stahl, D., Patel, M
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M., Stahl, D., Patel, M
X., MacCabe, J.
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X., MacCabe, J
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X., MacCabe, J
H., Howes, O.
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H., Howes, O
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H., Howes, O
D.,. & Murray, R. M. (2017).
3
Antipsychotic treatment resistance in first-episode psychosis:
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Antipsychotic treatment resistance in first-episode psychosis
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Antipsychotic treatment resistance in first-episode psychosis
prevalence, subtypes and predictors.
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prevalence, subtypes and predictors
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prevalence, subtypes and predictors
Psychological medicine, 47(11), 1981-1989.
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Psychological medicine, 47(11), 1981-1989
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Psychological medicine, 47(11), 1981-1989
de Pablo, G.
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de Pablo, G
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de Pablo, G
S., Catalan, A., & Fusar-Poli, P.
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S., Catalan, A., & Fusar-Poli, P
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S., Catalan, A., & Fusar-Poli, P
(2020).
3
Clinical validity of DSM-5 attenuated psychosis syndrome:
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Clinical validity of DSM-5 attenuated psychosis syndrome
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Clinical validity of DSM-5 attenuated psychosis syndrome
advances in diagnosis, prognosis, and treatment.
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advances in diagnosis, prognosis, and treatment
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advances in diagnosis, prognosis, and treatment
Jama Psychiatry, 77(3), 311-320.
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Jama Psychiatry, 77(3), 311-320
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Jama Psychiatry, 77(3), 311-320
Jauhar, S., Laws, K.
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Jauhar, S., Laws, K
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Jauhar, S., Laws, K
R., & McKenna, P.
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R., & McKenna, P
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R., & McKenna, P
J. (2019).
3
CBT for schizophrenia:
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CBT for schizophrenia
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CBT for schizophrenia
a critical viewpoint.
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a critical viewpoint
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a critical viewpoint
Psychological medicine, 49(8), 1233-1236.
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Psychological medicine, 49(8), 1233-1236
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Psychological medicine, 49(8), 1233-1236
Webb, C. A. (2017). Schizoaffective Disorder:
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Do Clinicians'
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Do Clinicians&apos
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Do Clinicians&apos
Conceptualizations Match DSM-5 Criteria?
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Conceptualizations Match DSM-5 Criteria
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Conceptualizations Match DSM-5 Criteria
(Doctoral dissertation, Mississippi State University).
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(Doctoral dissertation, Mississippi State University)
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(Doctoral dissertation, Mississippi State University)