SCHIZOPHRENIA CASE STUDY CRITIQUE_RHONDA JOHNSON
Schizophrenia Case Study
“I don’t belong here. I didn’t bother anyone.”
HPI:
JC is a 33-year-old man who was brought to the emergency department (ED) overnight by
pol
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SCHIZOPHRENIA CASE STUDY CRITIQUE_RHONDA JOHNSON
Schizophrenia Case Study
“I don’t belong here. I didn’t bother anyone.”
HPI:
JC is a 33-year-old man who was brought to the emergency department (ED) overnight by
police. He lives in a group home, but hasn’t gone back there for 6 days because “my roommate
is a demon and he put a curse on my pillow to take my thoughts.” JC was arrested for
trespassing when he wouldn’t leave a shed where he’d been squatting for about a week. Prior to
his visit to the shed, he had been on his way to a doctor’s appointment when a voice spoke to
him at the bus stop, telling him to “go, go, get away now.” He wandered across the city and
found an unlocked shed. JC is afraid that his roommate wants to harm him, and became so
agitated when the police tried to drop him off at the group home that he was brought to the
hospital. He spent all the money he had in his pockets on food the first couple of days while
staying in the shed, and presents to the hospital as unkempt, malodorous, and hungry. He is
upset about being hospitalized. When contacted, the group home supervisor stated that JC’s
roommate is a mild-mannered older gentleman and there have been no behavioral or
interpersonal complaints about him from any staff or other residents.
PMH:
JC was diagnosed with schizophrenia at the age of 24 while attempting to join the U.S. Army. His
symptoms resulted in his first psychiatric hospitalization before he could start basic training. He
has been hospitalized 6 times since this first hospitalization for recurrent symptoms of
schizophrenia. The last hospitalization was for a period of 7 months, after which he was accepted
into the group home approximately 5 months ago. Per the hospital report, JC had responded well
to asenapine and his symptoms were greatly diminished, however, he has not been doing well
since a few weeks after the discharge. He continues to have a prescription for asenapine, but has
also had taken quetiapine and haloperidol in the past. Prior to leaving the group home, staff
members state that Jerry had been adherent to the asenapine, stating “He always pops it right in
his mouth and swallows it right away with a big gulp of orange juice. I wish all our clients took
their meds that easy!”
FH:
JC reports no known family history of mental illness; however, he is estranged from his parentsso
they are unavailable for collection of family history. JC is allegedly an only child.
SH:
JC is a single, never-married man who lives in a group home. He reports being a good student
up through middle school before “going a different way” in high school. He started having
difficulty with schoolwork, and had trouble getting along with his parents. He eventually saw a
school psychologist due to parental concerns. He reports a past history of having a girlfriend in
his early 20’s, but they broke up during his first episode of psychotic symptoms and he reportsSCHIZOPHRENIA CASE STUDY CRITIQUE 3
no subsequent romantic relationships. This does not seem to bother him. JC has not been
employed in a paid position since he was first hospitalized at age 24, but volunteers at a local
library through a program related to his group home. JC denies any current alcohol use; smokes
cigarettes and/or marijuana “when I can afford it.”
Allergies/Intolerances/Adverse Drug Events:
He reports an “allergy” to haloperidol, but states, “I don’t want to talk about it.”
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