Mental Health Case Study Essay

Madam M was a confident and charming lady who was very concerned about her physical appearance. She was also dedicated to her work and often came back late. Being outgoing and sporting, Madam M liked to spend her leisure time playing badminton and hanging around in nearby shopping malls. She was active in her church activities and indeed, she was a Sunday school teacher. Reading was one of her favorite past time activities as well. Nonetheless, Madam M was self-centered and controlling, whereby she wanted everyone to follow her ways of doing things. She felt that others were challenging her authority if they failed to comply with her wishes. All of her family members, including her siblings, had to give in. Needless to say, quarrels with her

She is a pensioner who was forced into early retirement as a result from her psychiatric illness. She is a known case of mental illness who frequently defaulted her medications. Since November 2015, Madam M had a relapse and was referred to the community mental health team. She presented with auditory and tactile hallucinations, delusion of persecution, delusion of control, delusion of reference and disorganized behaviors ever since she defaulted her treatment. The auditory hallucination was in the form of second person and commanding in nature. There was no thought insertion, thought broadcasting, and thought withdrawal. There was a family history of mental illness, whereby her paternal uncle was reported to have predominant negative symptoms with a deterioration of his social and occupational function in his young age. There was no evidence indicating any organicity, affective disorder, and substance abuse. The mental state examination showed a poor hygiene lady who appeared irritable in the presence of community team. She was guarded with her symptomatology and had a poor insight into her mental illness. The physical examination was

It contributed to all the relapses. The main reasons that lead to her treatment non-adherence were a poor insight into her illness, a negative perception towards the mental illness, incapable to tolerate the side effects of the medications, and a lack of the family supervision of her medications.

b) The frequent absence of her husband Due to his busy work, her husband was often not at home. Thus, he seldom took part in the treatment plan of Madam M.

Protective factor Madam M has a supportive husband. Despite multiple relapses and a deterioration of her function, he never gives up on her. Indeed, he feels guilty for his frequent absence at home. Whenever she has a relapse, he would head to the hospital to get the psychiatric advice. His willingness to cooperate with the psychiatric team enabled the treatment regime to be a success. Furthemore, she does not abuse illicit drugs. This is crucial as drugs might complicate the long term management of the