PSYCH 209 - Schizophrenia Jeremy Brown is a 30-year-old Caucasian male. UNFOLDING Clinical Reasoning Case Study.
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Course
PSYCH 209
Institution
PSYCH 209
UNFOLDING Clinical Reasoning Case Study
History of Present Problem:
Jeremy Brown is a 30-year-old Caucasian male who was brought to the emergency department (ED) by the police after being involved in an altercation at work. Jeremy was at work today, and he threw a large piece of metal at ...
, Problem:
o Patient threw a large metal object o High emotion which means patient should be monitored to
at coworker make certain that further escalation is avoided.
o yelled “stop following me, I know o Paranoia is a positive symptom of schizophrenia
what you’ve been up to.” (Halter, 2014, pg. 197)
o Signs of rapid pressured speech and o Pressured speech as well as echolalia are both symptoms of
repeating phrases someone presenting with a severe and mental illness such as
schizophrenia (Professor Reynolds, 2020).
o Stopped taking medication because
he believes coworkers are trying to o Patient is experiencing paranoia and persecutory delusions
poison him which are symptoms of an exacerbated schizophrenic episode
related to lack of taking medication.
RELEVANT Data from Social History: Clinical Significance:
o Recently ended relationship with o Changes in relationship can trigger an increase in symptoms
girlfriend or relapse in patients with schizophrenia.
o diagnosed with schizophrenia 5 o Patient is experiencing acute phase of schizophrenia and
years ago Diagnosis of schizophrenia explains patient’s behavior
and symptoms.
o Feels he has disappointed his family o Feelings of disappointment may lead to depression and
because he wasn’t able to complete anxiety, which have the ability to increase
college schizophrenic symptoms
o All persons require socialization, someone with
o Has no close friends and only a few schizophrenia or other mental illnesses are at risk for
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