RUNNING HEAD: CASE PRESENTATION PAPER
Case Presentation Paper
Jeremy Roberts
Department of Professional Counseling, Liberty University
CEFS 546: Psychopathology
April 30th, 2022
Self-Reflection Paper
Identifying Information
Name: Jennifer Anderson
Age: 54
Gender: Female
Race/ Ethnicity: Caucasian
Marital Status: Widowed
Reason for referral: Jennifer has been quoted below by saying this: “Normally I have been
doing a good job with overlooking the voices inside my head, however recently, they won't let
me be. It's like they get stronger every day and some of the time they advise me to get things
done that I shouldn’t be taking part in. It is turning out to be more difficult for me to associate
with others since I am bothering them when I am obeying the voices."
Presenting the Problem
Jennifer Anderson is a 54-year-old widowed mother of two. She has been managing a
variance of psychiatric side effects for more than 30 years. She reports that she started to hear
voices inside of her head after her mother passed on when she was 12-years old, yet gong
through these chain of different event affected her in a type of way that she was not even able
to think about being determined to have schizophrenia. Jennifer also states that she can
typically control these onset of voices, however they deteriorate when she is focused on or
when she encounters an occasion that is life changing overall. Jennifer has started to
encounter a lot of side effects following the demise of her spouse a year prior.
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Before her husband’s died, Jeanette had the option to deal with these issues with her
own prescription medicine then she would sporadically take an interest in a therapy group for
people that had been previously diagnosed with schizophrenia. She had stood out in her group
and inside the local community as she did indeed appreciate helping out at the neighborhood
homeless safe houses and food banks. At the point when Jeanette's side effects are medicated
and balanced out, she is exceptionally friendly and helpful with other people. Be that as it
may, a year prior, she became resistant with her medicinal intake system which brought about
a reality of being watched by her neighbors and mental stresses of her dearly departed spouse
insulting her from the grave. Jennifer will for the majority of her free time, go to her
significant other's grave and stay for a long time during the day.
Jennifer also indicates that she was as of late asked to deliberately leave her
occupation since she was answering internal questions toward herself and experienced
specific issues concerning her work obligations. Jennifer would also frequently grumble that
"the voices inside her head are destroying her life". She has been spotten walking around
through her neighborhood contending with herself and punching at nothing around her. The
police have approached her three times because of her going to her neighbor's home, beating
on the entryways, and hollering vulgarities around midnight. Jennifer’s kids are also worried
for her security and dread she might hurt herself or others. Jennifer has removed herself
around from everyone because of the shame from her ways of behaving toward everyone.
During her interview, Jennifer had her own daughter portray a new circumstance when
Jennifer was conceded in the ER as of late for ingesting too much of a anti psychotic type of
drug. Jennifer was expressing that the voices were ultimately advising her to take the
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Self-Reflection Paper
prescriptions so she could get some good rest. This recent episode has made Jennifer destroy
every last bit of her prescriptions and decline to take them altogether. Jennifer proclaims that
she doesn’t want to harm herself however some of the time she feels like she "can't live life
this way anymore." Jennifer also frequently talks exhaustively about her former spouse and
communicates that she is miserable more often than not and doesn't really want to associate
with others. She reports that her kids are the main individuals she can trust. In any case,
Jennifer likewise declares that her children are attempting to take money from her and
proceed to put her away for good.
Jennifer states that her spouse was the main individual who knew her inside and out,
and he was generally persistent when she would battle with her problem consistently. She
further made sense of how since the time her significant other passed on, she has lost interest
in going to week after week group meetings with her friends at her church and she does want
to invest energy with her companions. Jennifer’s loved ones are developing an ever increasing
number of worries about Jennifer’s ways of behaving and have been empowering her to look
for help. Her kid’s report that generally their mother will sit in her former spouse’s place
where he used to sit at the most and "gaze into space." Every once in a while they've heard her
conversing with her former better half and different times even having argument with him.
Jennifer has also reported that all in all when she is around others, the voices get stronger
which makes it difficult for her to focus on simple tasks. She additionally states that the
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Self-Reflection Paper
voices won't let her rest. She expresses that they keep her up most evenings thus she will try
to lay down over the course of the day. Jennifer truly wants to feel back to normal once more
and has consented to be treated.
History
Family
Jennifer was initially married to the man she fell in love with her whole life through
school. Presently, she lives alone, yet her only daughter is expecting to move back in Jeanette
additional help. Jennifer has three children; two children ages 31 and 32, and a girl who is 28.
Jennifer has reported that she has generally kept a peaceful relationship with all her kids and
depicts them as "her reality". Jennifer was the younger sibling of her brothers and sisters. Her
distant family lives in various states, however Jennifer keeps in touch with them week by
week. Jennifer's mom lives in a nursing home. She visits her once a week.
Client's Physical Health:
Jennifer does not immedialty display any physical concerns that come to an alert of
any sort. She was diagnosed in having Schizophrenia when she was 18 years of age after
numerous long periods of testing during theories and diagnoses. Jennifer is prescribed to
Clozapine to deal with her mental side effects and she takes a multivitamin eacb day. She has
no set of historical significance or some other diagnostic and has never had any sort of a
medical procedure or significant operation that needs to be recognized.
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Occupational History:
Jennifer has been a teacher for a long time before having to leave a couple of months
prior. She has found it hard to concentrate on teaching the students an accurate curriculum.
When beginning to grieve her death of her spouse, which brought about her getting some off
time at work. Upon returning to work, she started to hear the voices again more continuously
over the course of the day. Her students and collaborators started to see that something was
"off", and Jennifer at last was asked by other staff members to leave. Jeanette reports that she
cherished educating her students and had a desire to continue, yet the voices wouldn't permit.
She wants to get back to functioning as a substitute teacher and guidance counselor from here
on out.
Substance Use History
Jennifer has no set of experiences of medication or alcohol misuse. She shared that she
understood and knew that her situation could affect her medicinal situation.
Spiritual Information:
Jennifer reports that she has had solid confidence in God and used to go to services
each Sunday. Jennifer has a positive relationship with her minister and other church members.
Jennifer also states that her congregational family have been extremely solid toward her and
her family over time. She communicates the will to integrate her strict convictions into her
treatment meetings.
Cultural/Social Justice Factors:
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Jennifer had memories of her mom indicating that she had similar side effects as her
mom. She expressed that her mom would allude to the voices as messages from God and she
never took medicine or went to treatment. Jennifer’s mom saw her daughter’s voices as a gift
and didn't look for help for her. At this point, Jennifer started looking for help for herself
when she become a legal adult.
Barriers toward Treatment/Success:
Jennifer has been without any type of prescription for quite a long time and will not take
them. She will likewise reject that anything is wrong with her and will frequently give off the
idea that somebody is out to get her and that her kids are being deceptive by thinking they are
going to move her away or get her locked up. Jennifer always believes that her children are
out to get her money.
Mental Status Exam
Presenting Appearance: Jennifer is a 54-year-old Caucasian female. Her weight and height
are of normal average.
Basic Grooming/Hygiene: Jennifer presents herself to be well dressed for the climate and
season. Her hair was well brushed, and she wore trending clothing.
Gait and Motor Coordination: Jennifer had an awkward disposition and sat slumped in the
seat during the meeting. She would frequently say she had the right and aftet some time she
would slip down on her left side as though she was paying attention to something on the
ground and in a dream like state of mind.
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Interpersonal Characteristics and Approach to Evaluation: Candid and agreeable
Behavioral Approach: Lethargic
Speech: Slow and soft-spoken
Eye to eye contact: Poor eye-to-eye communication
Expressive Language: Difficulty observing the right words causes aggravation.
Receptive Language: Needed questions rehashed a few times for complete acknowledgment
Recall/Memory: Within typical cutoff points, can remember specific past events
Orientation: Able to distinguish name, current date, place, and recent developments
Coherence: Difficult to follow now and again as she would talk delicately to herself
Concentration/Attention: Poor ability to focus and seems occupied
Thought Processes: Unclear and unreasonable thoughts
Hallucinations and Delusions: Admitted to hearing voices
Judgment/Insight: Poor knowledge.
Scholarly Ability: Intellectually sound
Mind-set: Melancholic
Influence: Flat
Self-destructive and Homicidal Ideation: No arrangement or plan in mind.
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Risk of Violence: Low
Treatment proposals
The main issue to address for Jennifer’s situation is the voices that she is continually
hearing. Jennifer faults the voices for a significant number of circumstances in her day to day
existence, for example, retiring early and not having the option to maintain stable social
collaborations with others. The voices have additionally made her not be able to cope with his
prescriptions and have been provoking her day to day. It is of my understanding that Jennifer
continuously accepts her medicine as quickly as time permits to balance out her dreams and
visualizations. Jennifer has referenced that the voices made her anxious and presently she
fears taking the drugs. Per Hadad et al (2014), patients with schizophrenia who quit taking
their drug are at expanded hazard of backslide, which can prompt hospitalization. For people,
for example, Jennifer, who is nonadherent to taking oral meds, long-acting injectable
antipsychotic drugs are a practical choice for the side effecs the collaborate this together. LAI
medicines assist with lessening any type of withdrawls. (Kingdon et al 2004). There are a few
benefits of getting these infusions as well as with taking a medicine each day, there is in an
expanded need in other individuals to help to guarantee the prescribed medicine is used as
directed depending on the situation, and the consistence with prescription intake is effortlessly
checked.
As well as using LAI medicines, I suggest that Jennifer take part in psychosocial
mediations, for example, individual treatment, and family treatment. Individual treatment
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might assist her with normalizing her thinking designs and figure out how to adapt to the
stressors in her day to day existence. Perceiving the early indications of a potential mistake
can likewise assist Jennifer with dealing with her ailment. Her preparing the attentive action
and on further developing correspondence and interactive abilities and associations with
others. It likewise supports expanding Jennifer’s capacity to partake in everyday activities. At
long last, family treatment offers the required help and training to families managing people’s
life with schizophrenia. The APA (2022) as of late delivers another rule that suggests that
people with schizophrenia have an archived, extensive, and individualized focused treatment
plan that incorporates proof based nonpharmacological and pharmacological medicines like
the previously mentioned techniques.
Answer Key
Diagnosis: Jennifer was determined to have Schizophrenia 295.80 (F20.0) when she was 19
years of age.
Major questions: Schizophrenia is portrayed by the presence of somewhere around two of
the accompanying Criterion A side effects: fantasies, disrupted discourse, horribly muddled or
mental way of behaving, and pessimistic side effects (reduced close to home articulation or
avolition) also, people with schizophrenia might battle with working at a typical level in areas
of work, relational problems, or taking care of oneself. These symptoms continue for no less
than a half year with the consideration of side effects that meet Criterion A.
Side effects presented in the case: Jennifer gives recollections of dreams, visualizations,
and diminished degrees of working and in relational connections. These side effects have been
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more apparent inside the previous year after the death of her spouse. She battles with hearing
voices day to day and with thought of somebody being out to get her and that her neighbor is
keeping an eye on her.
Side effects not dealing with diagnosis: Jennifer exhibits indications of depression as she is
grieving the death of her significant other. She talks frequently about him and furthermore has
certain dream of him insulting her from the grave. Her sadness drove her to hearing voices
and this all prevents her from taking her medicine. Jennifer is currently keeping to herself
except for being around her kids.
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References
Haddad, P., Lambert, T., & Lauriello, J. (2016). Antipsychotic long-acting injections. Oxford
University Press.
Kingdon, D. G., & Turkington, D. (2004). Cognitive therapy of schizophrenia. Guilford
Press.
Roberts, L. W. (2022). The American psychiatric association publishing textbook of
psychiatry(7th ed.). American Psychiatric Pub.
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