Case Study Hallucinations of a Spiritual Nature (1)

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School

University of Wisconsin, Milwaukee *

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753

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Psychology

Date

Feb 20, 2024

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pdf

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Uploaded by olson459

Case Study: Hallucinations of a Spiritual Nature Hakim Coleman: Schizophreniform Disorder 295.40 (F20.81) Schizophreniform Disorder Case notes: 1. Schizophreniform Disorder [295.40; (F20.81)] 2. Hakim Coleman is a U.S Army veteran with a history of substance use and mood dysregulation. He appears to meet criterion A for Schizophreniform Disorder as he presents hallucinations and negative symptoms. His hallucinations were reported to be hearing voices that attempt to make him feel guilty. Additionally, his negative symptoms include the presence of a blunt affect, avolition, and isolation. It was suggested that Mr. Coleman’s symptoms lasted about three months, though the diagnosis was made before his recovery, fitting criterion A and B. It is unclear whether Mr. Coleman meets criterion C. It appears that Mr. Coleman has potentially experienced depressive and manic symptoms, possibly triggering psychosis. He denies the presence of mood symptoms, though indicates that his symptoms correlate with his alcohol use. I believe further evaluation would assist in determining an accurate diagnosis. It appears he meets criterion D. Further testing of neurological abnormalities, blood alcohol levels, urine toxicology, a CT scan, and other laboratory tests indicate that no other medical conditions have been identified. He denies a history of withdrawal symptoms, suggesting his hallucinations began a significant time after limiting his alcohol intake. He also indicated significant cannabis consumption prior to experiencing hallucinations. Though he has no known medical implications of substance use, it may be contributing to his symptoms. 3. I ruled out schizophrenia because his symptoms have been present for under 6 months. Aside from this differentiation, the disorders appear to me massively similar. 4. Additional questions: Do you think PTSD is a potential diagnosis? How do your stressors affect your substance use? When you experienced high stress situations in the past, did you feel physical sensations? Did this begin at the time of these events? Do you believe your relationship with the church has positively impacted your symptoms? Do you believe your relationship with the church has influenced your hallucinations?

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