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Psychotic break

An individual is referred to your office by his parole officer. This 19-year-old male, named Sam, was recently arrested for a “psychotic break” that caused him to throw a chair through the neighborhood drug store window. Sam’s parents arrive and Sam agrees to have his parents present during the interview.

His parents state Sam recently withdrew from college after experiencing a “resounding moment” in which he changed his major from engineering to philosophy and increasingly had reduced his sleep, spending long hours engaging individuals in the commons in conversations about the nature of reality and how he is gaining an appreciation “for all life”. He had been convinced about the importance of his ideas, stating frequently that he was more learned and advanced than all his professors. He told many that “I should be the one teaching these courses, after all, I understand it much better than my professors”. Sam has also increased the number of high-risk behaviors – drinking and engaging in sexual relations in a way that was unlike his previous history. He also has spent a considerable sum of money on “projects to help the world” – unfortunately, he has never completed a project.

Sam’s parents also state that Sam was diagnosed previously by his PCP with MDD and GAD. “These new behaviors are just that – new – since he went to college”.

Further discussions with Sam and his parents reveal that he has never experienced hallucinations and you believe that he currently is not experiencing any delusions. Sam states “I am what I am”.

What diagnosis do you believe may apply to this individual?
What classifications of medications can be used to treat this disorder? Which medication do you recommend and why?

Sample Solution

Having these 8 stages makes a base for Buddhists to follow to guarantee an existence without misery. The Dhammapada I ncludes a few lessons and sacred writings including the eightfold way. By remembering similitudes for the Dhammapada , it urges one to look for freedom and to keep away from common delights. For instance, in stanza 236 of The Dhammapada , it states, 1"Make an island for yourself! Endeavor hard and become insightful! Free of contaminations and purified of stain, you will enter the heavenly home of the Noble Ones." This illustration is empowering the peruser to search internally and analyze oneself to arrive at the 'divine habitation'. The Dhammapada is recommending that assuming you focus at the forefront of your thoughts and self rather than materialistic/outside things you will arrive at freedom and be in similar domain as the honorable ones. Furthermore, The Dhammapada states that one ought to dismiss actual delight that could occupy from achieving genuine edification. In refrain 91 of The Dhammapada, it says "2The careful endeavor persistently; they take no savor the experience of the home; like swans that neglect the sloppy pool, they leave all home life", in this 'home life' is comparable to their desires. Underscoring how the Buddhists are shrewd and following the sacred texts don't entertain themselves with home sexy delights and desires and on second thought they are trying not to endure that could be a side-effect of reveling. Utilizing representations like these, The Dhammapada u rges individuals to overlook the complacense of home life that could dull the emphasis on a more significant level of edification, as though actual solaces lessens limit with regards to completion. Much the same as the "delights of the tissue" from The Bible, the topic that the transitory snapshots of bliss cheapens a getting through harmony and intelligence. Moreover, The Dhammapada incorporates a few sorts of metaphors to assist with making sense of its accounts. One of the tales in the book, "The Story of the Bhikkhu who Contemplates the Body as a Mirage", the significance behind it is to show the temporariness throughout everyday life. It states "3One who realizes that this body is fleeting like foam, and understands that it is deficient as a delusion, will cut the blossoms of Mara."Its contrasting one's body with being brief like an air pocket of foam over water that can disperse instantly a transient piece of being. The brain and soul perseveres, and subsequently, the work must be applied to making a superior individual from the inside. At the point when an edified individual "cuts the blossoms of Mara" the person is breaking the association with improper or degenerate way of behaving. Likewise, the Dhammapada guides us to not cease from evil, making sense of "4a little won't influence me," on the grounds that "the dolt is, for sure, topped off with evil by collecting it gradually similarly as a water-far is topped off by falling drops of downpour." This proposes that an individual would be silly to feel that performing little demonstrations of diversion won't develop into a bigger fiendishness. That each act makes a debilitated, ineffectively directed soul that incorporates into detestable, each drop in turn. The Dhammapada I s a complicated book that requires an open heart and mind to comprehend. There is a general subject of denying extravagance in any structure the body, food and drink, any solace genuinely what many feel is a way to bliss, and makes sense of how that guilty pleasure is unfilled, brief and accomplishes not profundity of understanding. It states, "5Fore-run by mind are mental states, rules by mind, made of psyche. Assuming you talk or act with clear brain, joy follows you, similar to a shadow that doesn't leave." This statement is like a hint to the whole text-that the "reasonable psyche" portrayed later is the best way to arrive at satisfaction. That joys of the tissue, interruptions from the material world, will contaminate the experience of achieving genuine joy and lucidity of brain. The Dhammapada c onvinces individuals to look for freedom by utilizing similitudes, analogies and admonitions. Doing this permits the perusers to envision ways of acquiring accomplishment. It makes sense of the dos/donts of how to try not to experience in Buddhism and how to arrive at the reason behind 'liberating at last.'
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