Topic_5_Benchmark_Treating_Schizophrenia

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Feb 20, 2024

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Benchmark-Treating Schizophrenia Monica D Piper Grand Canyon university- CNL 605 Professor Therese Chavaux November 18, 2023
Benchmark-Treating Schizophrenia It is difficult to diagnose schizophrenia. The DSM-5 criteria must be met in order for someone to be diagnosed with schizophrenia. The symptoms of schizophrenia, a psychotic illness, include delusions, hallucinations, disordered speech, severely disordered or catatonic conduct, and negative actions. Ted, on the other hand, has experienced persistent schizophrenia for more than 20 years. This essay will describe Ted's symptoms of schizophrenia according to the subtypes criteria, as well as any possible secondary diagnoses, theories, and treatment choices for the illness. It will also include three therapy goals and three objectives for Ted. Schizophrenia Symptoms Ted has exhibited and/or displayed paranoid delusions of transformed physical conditions as well as being under the influence and/or controlled by other forces, along with thoughts of committing suicide and death intentions. He has also demonstrated paranoid tendencies. Although they are no longer included in the DSM-5, schizophrenia subtypes can still be utilized to comprehend the range of ways that the condition can manifest. Hebephrenic schizophrenia, residual schizophrenia, catatonic schizophrenia, undifferentiated schizophrenia, and paranoid schizophrenia are the subtypes. Positive symptoms such as hallucinations and delusions are associated with paranoid schizophrenia; disorganization is associated with hebephrenic schizophrenia; delusions, hallucinations, and disorganized speech or behavior are associated with residual schizophrenia; catatonia is associated with schizophrenia; and undifferentiated schizophrenia is associated with "a person with symptoms that fit with a diagnosis of schizophrenia but do not give an overall picture of a paranoid type, catatonic type, or disorganized type" (Jones, 2021). According to the subtypes of schizophrenia criteria, Ted's symptoms align with the description and/or the criteria of paranoid schizophrenia. Throughout the last 20 years, Ted has exhibited and/or displayed
paranoid behavior. He was challenging and/or problematic to treat while in the hospital, accusing staff, acting haughty, and acting out while receiving therapy. Ted was preoccupied with his delusions of someone causing harm to him as he expressed fears of being murdered. His paranoid fears were so severe that he tried to admit himself to a mental hospital and was soon transferred to outpatient care where he committed suicide. Potential Secondary Diagnosis Bipolar II disorder might be a probable secondary diagnosis for Ted. According to Severus and Bauer (2013), the diagnosis of bipolar II disease "is exclusively based on psychiatric history taken, not on a current psychopathological assessment by the psychiatrist." Major depressive episodes, recurrent suicidal ideation, and hypomania or threatening conduct are the hallmarks and/or common symptoms of bipolar II disorder. As his schizophrenia first manifested and/or emerged, Ted had expressed and/or voiced death wishes and thoughts of suicide. He also showed indicators of hypomania, such as acting arrogant, boastful, feeling grandiose and/or extravagant behavior. Ted's suicide may also be potentially explained by a bipolar diagnosis. The risk of suicide is considerably greater likelihood of people with bipolar illness, which is a "common psychiatric disorder associated with increased mortality due to both natural and unnatural causes" (Dome, Rihmer, & Gonda, 2019). Ted experienced symptoms indicative of bipolar II disease, particularly erratic emotions and/or mood swings that persisted until his final day and persistent or prolonged depressed episodes, such as after he lost his long-term caregiver. Treatment Options There are two potential approaches for managing and/or treatment of Schizophrenia; these are pharmaceuticals and therapy. “The goals in treating schizophrenia include targeting symptoms, preventing relapse, and increasing adaptive functioning so that the patient can be integrated back into the
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community” (Patel, Cherian, Gohil, Atkinson, 2014). Given the fact that Ted has suffered and/or struggled with schizophrenia for the better part of twenty years as a consequence of either an incorrect diagnosis or a lack of priority given to his concerns, treatment for the illness should begin as soon as symptoms appear. Owing to a lack of knowledge about the underlying causes of schizophrenia, the National Alliance on Mental Illness (2021) recommends that cognitive therapy be used to improve coping mechanisms, and supportive psychotherapy be used to help an individual process their experience and receive support while living with schizophrenia. Ted felt despondent and unable to deal with life outside of the hospital, and his suicide thoughts worsened when staff members told him he was reliant on being hospitalized. Ted battled his disease every time he was released from the hospital. Treatment Goals Initially, Ted's treatment could be concentrated and/or focused on improving and enhancing his quality of life as well as decreasing the anxiety and other symptoms associated with his psychosis. Ted must discover and/or identify personal methods of coping, complete reality-based tests, and take prescription medicine as directed. With twelve years of experience in mental health facilities, Ted seems to have found a secure haven; he displays no signs of psychosis. Ted is never his true self and lacks the coping mechanisms necessary to deal with his schizophrenia. Ted was described differently by everyone who came into contact with him during his psychotic episodes, and he did not seem "normal." Ted need assistance as well in determining his worth. Given that Ted suffered from mental illness, setting SMART goals would have had a different effect.
References Dome, P., Rihmer, Z., & Gonda, X. (2019). Suicide Risk in Bipolar Disorder: A Brief Review. Medicina (Kaunas, Lithuania), 55(8), 403. https://doi.org/10.3390/medicina55080 Jones, H. (2021). What Are the Different Types of Schizophrenia? Retrieved from https://www.verywellhealth.com/types-of-schizophrenia-5094170 National Alliance on Mental Illness. (2021). Schizophrenia. Retrieved from https://www.nami.org/About-Mental-Illness/Mental-Health-Conditions/Schizophrenia/Treatment Patel, K. R., Cherian, J., Gohil, K., & Atkinson, D. (2014). Schizophrenia: overview and treatment options. P & T: A peer-reviewed journal for formulary management, 39(9), 638–645. Severus, E., & Bauer, M. (2013). Diagnosing bipolar disorders in DSM-5. International journal of bipolar disorders, 1, 14. https://doi.org/10.1186/2194-7511-1-14 Ventriglio, A., Gentile, A., Bonfitto, I., Stella, E., Mari, M., Steardo, L., & Bellomo, A. (2016). Suicide in the early stage of schizophrenia. Frontiers in psychiatry, 7, 116