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Diagnosed with schizophrenia and cannabis

  1. John Yang, 42, dually diagnosed with schizophrenia and cannabis (marijuana) use disorder, is brought to the clinic by his mother, Mrs. Yang. Because they are new in town, she does not know what is available in the community. John takes haloperidol (Haldol), but Mrs. Yang says he often refuses it because of muscle rigidity and sexual side effects. They have tried several first-generation antipsychotic drugs without success.
    a) As a patient advocate, how might you respond to John’s medication nonadherence with first-generation antipsychotics?

b) What obstacles to adherence exist for a dually diagnosed patient? What approach or change in treatment would offer John the best chance of success?

c) Which resources mentioned in this chapter might be appropriate for John?

Sample Solution

Behaviourism is one of the learning theories I use in my teaching today, working at A Mind Apart, (A Mind Apart, 2019) I work with challenging young people. The A Mind Apart organisation, a performing arts foundation especially targeted at vulnerable and challenging young people, to help better their lives; hence, on the off chance that I use the behaviourism theory it will admirably inspire the students to do better. Using behaviourism with respect to the standard of improvement and reaction, behaviourism is driven by the teacher and is responsible for how the student will carry on and how it is finished. This theory came around in the early twentieth century and concentrated how individuals behave; with respect to the work I do at A Mind Apart, as a trainee performing arts teacher, I can identify with behaviourism limitlessly, every Thursday, when my 2 hour class is finished, I at that point take 5 minutes out of my lesson to award a ‘Star of the week’ It is an incredible method to urge students to carry on the way they have been, if behaving and influence them to endeavour towards something ion the future. Furthermore, I have discovered that this theory can function admirably in any expert subject and not just performing arts. The behaviourism theory is straightforward as it depends just on detectable conduct and portrays a few widespread laws of conduct. It’s positive and negative support strategies can be extremely effective. The students who we teach in general at A Mind Apart, are destined to come to us with emotional well-being issues, which is the reason most of the time these students find that it is hard to focus, or even learn in a school environment; we are there to give a comprehensive learning environment and utilize the time we have with them, so they can move forward at their own pace and take a leap at their scholarly aptitudes and socialising in the future when they leave us, to move on to college or even jobs, our work with them will also help them meet new individuals, and gain new useful knowledge by using behaviourism teaching theory. Despite the fact some of them may struggle with obstacles during their lives; although it is not always easy to manipulate someone in to thinking or behaving the way you do or want them to, with time, and persistence I have found that this theory can work. It is known that… ‘Positive reinforcement or rewards can include verbal feedback such as ‘That’s great, you’ve produced that document without any errors’ or ‘You’re certainly getting on well with that task’ through to more tangible rewards such as a certificate at the end’… (Infor
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