Case Study Increasingly Odd (1)

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University of Wisconsin, Milwaukee *

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753

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Psychology

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Feb 20, 2024

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Case Study: Increasingly Odd Gregory Baker: Schizophrenia 295.90 (F20.9) Schizophrenia Case notes: 1. Schizophrenia[295.90; (F20.9)] 2. Gregory Baker appears to have been functioning at a high level prior to this series of events, resulting in a significant decline. He appears to meet Criterion A for Schizophrenia due to the presentation of delusions, hallucinations, and negative symptoms that have persisted over the last year. The presenting delusions were indicated to be of paranoia, grandiose, and romance. He presented auditory hallucinations including music leading him to “conduct a symphony” on the roof. Mr. Baker presents negative symptoms such as avolition, evidenced by him lying in bed all day. He appears to meet Criterion B for Schizophrenia, the level of functioning in one or more major areas is significantly below the previously achieved levels prior to onset of symptoms. This is indicated by his academic decline, suspension from school due to lack of attendance. Additionally, there has been a decline in his interpersonal relationships, evidenced by no longer seeing his friends. He appears to meet Criterion C, the continuous signs of the disturbance for greater than six months, as his symptoms persisted and intensified throughout the one-year duration. He appears to meet Criterion D of Schizophrenia as schizoaffective disorder and depressive or bipolar disorder with psychotic features has been ruled out. This is due to the nonexistence of depressive or manic episodes throughout the duration of his symptoms. His actions in the classroom may suggest mania, but he did not experience sleep or appetite disturbances, negating this possibility. Additionally, Mr. Baker reported feeling “bad,” but denied depression. It appears to be unclear if he meets Criterion E for Schizophrenia as Mr. Baker refused cognitive assessment and to provide further information on potential substance use. His toxicology screen was negative, suggesting current abstinence of substance use. It appears Mr. Baker has not had a history of autism spectrum disorder reported; thus, Criterion F is not a relevant diagnostic criterion for in this case. 3. I ruled out schizoaffective disorder because major depressive or manic episodes did not occur with the active-phase symptoms. Many of the diagnostic criteria are met by Mr. Baker, but his refusal to complete a cognitive assessment defers an accurate diagnosis. 4. Additional questions: Do you often have trouble concentrating?

Did you enjoy going to school prior to these events? Why haven’t you mailed any of your letters to Anne? Do you feel like you are avoiding this? Do you feel supported by your family? Do you feel like you put a lot of effort into avoiding your family and friends? Can you come back in a month to follow up with how you’re doing? Are there any questions that I can answer to provide you with any clarity?

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