Respond to this case study and answer the questions appropriately.
Case study: 32 yr old Arabic male with limited English language who presented to the clinic for control of depressive episodes and in a bad mood. Pt was discharged hospital. He has had two hospitalizations in recent time. Pt lives I a group home. He had 3 siblings but has not made any contact with them. The father left him at the age of 4. Pt reports history of physical abuse and attempted suicides from over dose medications. He also has a history of alcohol abuse from age 13, He had his last drink like a year ago. Pt has no support system except the group home where he lives. No report of suicidal or homicidal thoughts recently.
Pt’s speech is disorganized. there is no previous manic episode. Vital signs are within normal limits. Pt looks unkept and distractable. During the assessment but easily redirected. He was asking irrelevant questions not associated with his visit. Pt has no previous health issue.
Current medications include: Invega, Sertraline, Depakote, Cogentin. Pt has no known drug allergy.
Diagnoses are Schizophrenia and Major Depressive Disorder.
3 differential diagnoses:
- Schizophrenia
- Major Depressive Disorder
- Bipolar Disorder.
Plan: Continue with medication management. Educate pt on hygiene, physical exercise and staying outdoors when possible, listening to music, community resources for job placement for disability people. Medication education and need for follow up appointment.
3 questions to answer:
- Do you think that we can accurately diagnosis pt without having all pts information like hospital visits:
- Do we except the pt to be symptom free from his diagnosis or manage his symptoms?
- Is it ethical to treat pt based on what symptoms he reports or use information collected from others around the pt.
Sample Solution