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Schizophrenia is a difficult brain disorders that tends to make it difficult to manage emotions, differentiate imagination and reality as effectively as altered social interactions. Men and women suffering from schizophrenia have a major loss of make contact with with realism and they also encounter delusions and hallucinations that could final for much more than a half an year. These obstacles can hinder your standard functioning potential generating it complex even to treat your self meticulously. The victims of this disorder act in a bizarre techniques as they could hear or see nonexistent items. Sufferers of Schizophrenia may act out in phobia or bewilderment as they often might really feel that other people are constantly watching and that they intend to harm them. This subject will delve on 5-axis diagnosis of schizophrenia through examining the case of Rodney.
Schizophrenia can affect all individuals at different ages, but, from the documented statistics the most prevalence age of males is 25 whilst for girls is around the age of 30 (Miller& Mason, 2002). Seldom, Schizophrenia may influence adolescents and kids with slightly differing symptoms. The earlier schizophrenia symptoms and signs are identified leading to seeking aid with no delay the much better. This will ease the therapy procedure making recovery fast for the patient and be capable to lead content and fulfilling life. The early sign of schizophrenia are deterioration of individual hygiene, depression, social withdrawal, inappropriate laughter or crying, weird way of speaking and hostility. For most individuals, schizophrenia comes steadily with slight warning signs of slow down in overall day-to-day routines (Turner, 2004).
The symptoms of Schizophrenia are dynamic more than time nonetheless, the most frequent ones are disorganized speech, hallucinations, delusions, disorganized behavior and negative symptoms.
Disorganized speech is characterized by cluttered thinking and speaking where the patient experiences loose associations, clang, perseverations and neologism. These symptoms enable the psychiatrist to differentiate the varieties of schizophrenia paranoid schizophrenia, disorganized schizophrenia and catatonic schizophrenia. At present, there is no completely distinguished trigger of schizophrenia, although it is extremely believed that schizophrenia originate from complex interaction between environmental and genetic aspects (Turner, 2004). To commence the therapy of Rodney case we must first undergo five-axis diagnosis elaborated below.
Axis I- 295.1 Schizophrenia, Disorganized Type
-92.84 hallucinogen-Induced Mood Disorder
Axis III-300.7 Hypochondriasis
Axis IV- V62.2 Occupational issue
Axis V-30: Behavior is significantly influenced by delusions or hallucinations OR significant impairment in communication or judgment OR inability to function in nearly all regions.
Rodney’s case calls for Axis I diagnosis which entails clinical disorders that incorporate all psychiatric diagnoses except for the mental retardation and character disorders. As evidenced from apparent symptoms and weird behavior Rodney is experiencing, we are going to diagnose schizophrenia and other psychotic disorders. The unrealistic imagination, delusions and social withdrawal that Rodney is undergoing types a robust basis to isolate schizophrenia from psychotic disorders. Albeit some signs of antisocial character disorder, Axis II diagnose is going to be deferred in our case as we can’t conduct axis I and axis II diagnosis simultaneously. As by performing this even though Rodney is still suffering from axis I diagnosis will lead us into bogus assessment of his character. Axis II diagnoses are first diagnosed in childhood or infancy and are tough to make, as a result are made following several contacts with a physician (Versola-Russo, 2006). The second diagnosis will be Axis III diagnosis that requires common physical condition that can be of significant help in managing Rodney’s mental disorder. Because, Rodney appears to suffer from headaches and hypothyroidism that is identified to be the supply of depression and causing deterioration of mental symptoms it will be diagnosed on axis I and hypothyroidism will be recorded on both Axis I and Axis III.
Based on Axis IV diagnoses that deal with Psychosocial and environmental stress variables, in our case we are going to diagnose occupational problems. Rodney is encountering unconstructive life events in his occupation and environmental difficulties that are detrimental to his activities. Rodney is affected a lot by his previous history exactly where he is unable to come to terms with reality. To rescue Rodney we are going to diagnose these pessimistic psychological stress elements affecting him. Finally, to completely help Rodney lead a fulfilling live we are going to apply Axis V diagnosis of international assessment of functioning. We are going to diagnose Rodney’s case according to our judgment of the overt level of functioning based on his behavior that is noticeably influenced by hallucinations, delusions, significant impairment in communication and his inability to function in general routines (Versola-Russo, 2006). The deviations in wellness beliefs amongst the major culture contributors and the marginal client may possibly outcome to rambling information. Communication designs are of paramount value in the course of treatment. A patient whose cultural values and beliefs differ from that of a physician can recommend a various which means to symptoms that leads to misunderstanding. Family members enlightenment on the ongoing support is favorable in order to maximize assistance the relatives’ association can offer to the client.