Schizophrenia Spectrum and Other Psychotic Disorders Essay

In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” once again as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a schizophrenia spectrum/other psychotic disorder.Schizophrenia Spectrum and Other Psychotic Disorders Essay

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To prepare for this Assignment:

Select an adult or older adult client with a schizophrenia spectrum and other psychotic disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:

Describe the HPI and clinical impression for the client.
Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
Identify medical management needs, including primary care needs, specific to this client.
Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to assist the client.
Recommend a plan for follow-up intensity and frequency and collaboration with other providers.
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The person I chose came from a famous novel and has schizophrenia. According to Mayo Clinic “Schizophrenia is a severe brain disorder in which people interpret reality abnormally. Schizophrenia may result in some combination of hallucinations, delusions, and extremely disordered thinking and behavior. Contrary to popular belief, schizophrenia is not a split personality or multiple personality.Schizophrenia Spectrum and Other Psychotic Disorders Essay The word “schizophrenia” does mean “split mind,” but it refers to a disruption of the usual balance of emotions and thinking. Schizophrenia is a chronic condition, requiring lifelong treatment.”(Schizophrenia, August 2014). The individual would start showing signs of reduced pleasure in life, difficulty participating in activities, barely speaking,…show more content…
Larry Stein has said that a cause could be hyprdopamine increase causing nerves fibers destroyed in the brain. With the psychodynamic approach of schizophrenia is the breakdown of the person’s ego. Ego controls the id’s impulses and the compromise of the id and superego. It can cause the person the loose touch with reality and no longer associate with others. The start of hallucinations and not knowing what is imagination from reality. According to post-Freudians “The therapist attempted to bring about a regression to early childhood and then would take on the role of parent/nurturer, thereby coaxing the patient to develop for a second time, the return to adulthood bringing with it a corresponding redevelopment of the ego and reconnecting them with reality.” (Schizophrenia). Next with behavioral theorist according to psychiatric times, “The therapeutic techniques used for patients with schizophrenia are based on the general principles of CBT (Cognitive Behavioral Therapy). Links are established between thoughts, feelings, and actions in a collaborative and accepting atmosphere. Agendas are set and used but are generally more flexibly developed than in traditional CBT.

Schizophrenia
Schizophrenia is a life-long disorder that affects about one percent of the population (Mueser & McGurk, 2004). The cause of this mental illness is still unclear. Studies have suggested that Schizophrenia does not arise from one factor but from a combination of genetic, environmental, and social factors (Liddle, 1987). People diagnosed with Schizophrenia struggle to deal with a multitude of symptoms that make it difficult to function (Mueser & McGurk, 2004).Schizophrenia Spectrum and Other Psychotic Disorders Essay Antipsychotic medications are a popular treatment of the symptoms of Schizophrenia (Mueser & McGurk, 2004). Research is constantly being done to develop these medications to enhance the quality of life of those diagnosed with Schizophrenia. Over the years, experiments have produced evidence to suggest that dopamine plays a role in the development of Schizophrenia (Howes, McCutcheon, & Stone, 2015). Dopamine is a neurotransmitter that is produced in the substantia nigra and ventral tegmental regions of the brain. The belief that dopamine was involved in Schizophrenia arose after multiple studies performed with compounds produced an increase in extracellular concentrations of dopamine (Lieberman, Kane, & Alvir, 1987). Schizophrenia Spectrum and Other Psychotic Disorders Essay