Pakistani Female With Delusional Thought Processes
BACKGROUND
The client is a 34-year-old Pakistani female who moved to the United States in her late MenWearly 29s. She is currently in an “arranged) marriage (her husband was selected for her when she was 9 years old). She presents following a 21-day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month.
Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their iil children with her. One evening, she was out of control,” which resulted in his calling the police and her subsequent admission to an inpatient psych unit.
During Mdays assessment, she appears quite calm and insis. that the entire incident was “blown out of proportion.” She denies that she believed her., be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She says she knows this because the television is telling her so.
She currently weighs.) lbs., and she is OS.
SUBJECTIVE
Client reports that her mood is “good, She denies auditory/visual hallucinations but believes that the television Mks to her. She believes that Allah sends her messages through the TV. At times throughout the clinical interview, she becomes hostile towards you but then calms down.
A review of her hospital records shows that she received a medical workup from physician, who reported her to be in overall good health. Lab studies were all within normal limits.
Client ado,. Mat she stopped taking her Risperdal about a week after she got out of Me hospital because she thinks her husband is going to poison her so that he can marry an American woman.
MENTAL STATUS EXAM
The client is alert and oriented to person, place, dime, and event She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or dirt. Her speech is slow and, at times, interrupted by periods of silence. Self-reported mood is euthyrnic. Affect is constricted. Although the client denies visual or auditory hallucinations, she appears to be listening, to something. Delusional and paranoid thought processes as described above. Insight and judgment are impaired. She is currently denying suicidal or homicidal ideation.
You administer the PANSS which reveals the following scores: -40 for the positive symptoms scale -20 for the negative symptom scale -60 for general psychopathology scale Diagnosis: Schizophrenia, paranoid type
RESOURCES
PANSS Scale. Available at haprtregrecpsychol.cam.acuk/medicinerscales/PANSS
S Kay, S. R., Fiszbein, A, P,Opler, L A.(1.)). The Positive and Negative Syndrome Scale (PANSS) for schizophrenia. Schizophrenia Bullet! 2) 261-276. doi)10.1093/schbul/13.2.261
httpsirtsrtm.clozapinerems.com/CpmgClozapineDirtems/pdfrresources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf
Clozapine REVS Program. (OS.). Clozapine REMS: A guide for healthcare providers. Retrieved September 7, 2016, from hrtps://www.dozapinerems.comrCpmgClozapineDirtemsrpdfrresources/Clozapine_REMS_A_Guide_for_Healthcare_Providers.pdf
hrtp://www.mrtorg.il/FilesUploadriMAYrt00221.06)Pdf
Paz, 2., Nails, M., and Ziy, E. (2011.) The genetics of benign neutropenia. IsraelMedical Association Journal, 15(10), 62S-620. Retrieved from hrtp://www.ima.org.il/FilesUploadBMAJ/0/00/20169.mlf
Assignment:
Assessing and Treating Patients With Psychosis and Schizophrenia Psychosis and schizophrenia greatly impact the brain’s normal processes, which interfere with the ability to think clearly. When symptoms of these disorders are uncontrolled, patients may struggle to function in daily life.
However, patients often thrive when properly diagnosed and treated under the close supervision of a psychiatric mental health practitioner. For this Assignment, as you examine the patient case study in this week’s Learning Resources, consider how you might assess and treat patients presenting with psychosis and schizophrenia.
To prepare for this Assignment:
• Review this week’s Learning Resources, including the Medication Resources indicated for this week.
• Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients with schizophrenia-related psychoses.
The Assignment:5 pages
Examine Case Study Pakistani Wyman With Delusional Thought Processes. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select.
Be sure to research each option using the primary literature.
Apa 7th ed format, references peer reviewed within 5 years only
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