Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:
- Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.
- References and citations should conform to APA standards.
- Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.
1) Amber
Diagnosis: F20.9 Schizophrenia, unspecified
Subjective & Objective Data that supports diagnosis:
oPositive Symptoms
oDelusions:
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- “Do you see that there are alien doctors at the hospital, and they are helping to take over if we don’t do something to stop them?”
- “about the thief did not appear to be making any sense talking about needing food to store for when aliens invade the planet. The police report that when they went to investigate the reported theft, the patient talked of the city water supply being poisoned by aliens..”
- “surgery performed on her by aliens”
- “sleep interrupted by aliens entering her space under the bridge”
-
ostatement of needing to stop the alien invasion
oHallucinations:
o“seeing aliens under the bridge that look just like her”
oNegative symptoms:
o“lethargic” appearance
oSocial/occupation dysfunction
oDifficulty keeping job
References:
Hany, M., Rehman, B., Azhar, Y., & Chapman, J. (2021). Schizophrenia. In StatPearls. StatPearls Publishing.
ICD10Data. (n.d.). Retrieved August 11, 2021, from https://www.icd10data.com/ICD10CM/Codes/F01-F99/F2…
2) Ron
My initial assessment for this patient based on the subjective and objective data gathered would be F23- Brief Psychotic Disorder. Brief Psychotic disorder according to DSM-5 is the sudden onset of psychotic behavior that last less than a month followed by complete remission with possible future relapses. It is a transient disorder with the onset of one or more of the following psychotic symptoms: Delusions; Hallucinations; Disorganized speech; Gross disorganized or catatonic behavior. At least one symptom must be delusions, hallucinations or disorganized speech. (Stephen et al., 2021) This patient has one of more of the psychotic symptoms which are the following:
- Seeing alien doctors at the hospital and helping to take over
- Talking about the city water supply being poisoned by aliens
- Seeing aliens under the bridge that look just like her
- Reports that alien men have been raping her
- Reports sleep interrupted by aliens
The 3 essential elements of the History and physical in this patient with suspected brief psychotic disorder is present. She has shown at least one positive psychotic symptom such as delusion. The onset and duration of symptoms have yet to be establish, if it has not been present for less than one day or more than one month. Urine toxicology, Pregnancy test, TSH, electrolytes, LFT, UA are unremarkable. Further investigation is needed if the disturbance in behavior is otherwise explainable by another mood disorder, or medical conditions CT and MRI of the brain may be performed to evaluate for any underlying structural causes for the symptoms. If symptoms persist more than a month, Psychotic affective disorder, Schizophrenia-spectrum disorders, schizoaffective disorder needs to be ruled out (Stephen et., 2021).
Reference:
Stephen, A. (2021, July 6). Brief psychotic disorder. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK539912/.
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