SCHIZOPHRENIA CASE STUDY CRITIQUE_RHONDA JOHNSON

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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 depar... tment (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.” [Show More]

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