Social Science - Sociology ASSIGNMENT

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Week4.docx

Week 4: The case of Eliazer

CASE of ELIAZER 

INTAKE DATE: August xxxx  

IDENTIFYING/DEMOGRAPHIC DATA: Eliazer is a 24-year-old Brazilian male.  Eliazer’s religion is Catholic. He is single and attending the University of Maine for his master’s degree in finance. Eliazer was born and raised in São Paulo, Brazil, and came to the United States 2 years ago. 

CHIEF COMPLAINT/PRESENTING PROBLEM: Over the past three months,  Eliazer reported he heard an angel voice during the day and more so at night. Eliazer had thoughts about killing his roommate by suffocation, claiming that he heard fireflies tell him the roommate was influenced by Satan. 

HISTORY OF PRESENT ILLNESS: In the last several months,  Eliazer began to become socially withdrawn (keeping himself in his room), losing his concentration and feeling depressed. He showed signs of difficulty organizing his thinking by shifting from one topic to another in discussions with no logical connection. Eliazer began spending his time browsing and chatting on Facebook about God and UFO’s.  He would spend a lot of time online until he passed out. His sleep patterns became inconsistent, which led him to feel fatigued all day.

PAST PSYCHIATRIC HISTORY: Eliazer denies any past psychiatric history.  

SUBSTANCE USE HISTORY:  Eliazer denies any use of illicit drugs. He does report occasional use of alcohol. He was drunk as a teenager but prefers not to indulge that much. 

PAST MEDICAL HISTORY: Eliazer had been admitted to a hospital six weeks ago for treatment after his wrist was injured due to a suicide attempt.   

FAMILY MEDICAL AND PSYCHIATRIC HISTORY: Eliazer is the second of five siblings. One of his family members has schizophrenia, but he would not identify the family member. 

CURRENT FAMILY ISSUES AND DYNAMICS (OPTIONAL): Eliazer attends school for finance. His family continues to reside in Brazil. His parents are very supportive of his attendance at an American school. Eliazer socialized with other students and professors more than last year but has moved away from a lot of socialization. He did engage in leisure activities such as surfing the Internet, keeping his room tidy, doing household activities such as washing clothes, and kitchen preparation. That has reduced a lot over the past couple of months.  

MENTAL STATUS EXAM: Eliazer appeared disheveled with poor hygiene.  He was dressed in hospital attire during the interview and had adequate eye contact.  Eliazer was cooperative during the interview. There were some signs of not enjoying school and activities any longer. He raised his voice one time during the interview. His mood was irritable with disconnected speech. Eliezer’s thoughts were preoccupied with the professor, and his peers were after – as the angel said. He was oriented, being able to state person, place, and time correctly. His short-term memory was intact, and he was able to retrieve game rules. His long-term memory was good at recalling previous history.   

 

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