Diagnosis with Supporting Evidence The two disorders I have diagnosed Sara Goldfarb with and will be discussing are “severe amphetamine-induced psychotic disorder with onset during intoxication” and “minor amphetamine use disorder in a controlled environment”. The diagnosis of amphetamine use disorder is “in a controlled environment” due to the fact that Sara has been involuntarily institutionalized, and therefore has no further access to the amphetamines her ethically-challenged doctor provided (American Psychiatric Association, 2013). Sara can also be diagnosed with “amphetamine intoxication” at multiple instances throughout the film; many side-effects and diagnostic criteria stimulant intoxication, such as excessive sweating, euphoria, …show more content…
However, due to Sara’s persisting and treatment-resistant psychosis, and for the purpose of this paper, the conditions that will be discussed are the two, separate and comorbid diagnoses. The diagnostic criteria for Sara’s substance use disorder will be covered first, then the psychosis caused by her stimulant …show more content…
The involvement of a psychoactive substance along with symptoms related to other psychotic disorders narrows the diagnosis to “amphetamine-induced psychotic disorder” (APA, 2013). According to the fifth edition of the Diagnostic and Statistics Manual of Mental Disorders, to be diagnosed with a substance/medication-induced psychotic disorder the patient needs to meet several criteria, the first of which is having hallucinations and/or delusions, both of which Sara is experiencing. Secondly, the patient’s history needs to show that symptoms manifested during or following intoxication or withdrawal with a substance that is capable of producing such symptoms; Amphetamines, and stimulants in general, are capable of causing psychosis or symptoms of it due to their ability to increase synaptic levels of dopamine (Calipari, E. S., & Ferris, M. J. 2013). Furthermore, Sara displayed no signs of psychotic symptoms until after her amphetamine use started. Sara’s symptoms did not occur exclusively during a course of delirium, and her symptoms are causing severe impairments in her overall ability to function. The final criteria states that Sara’s symptoms cannot be better explained by a similar, but not substance-induced, psychotic disorder; since she only
On August 23, 1980 in Conroe, Texas, is 40 miles north of Houston, a 16-year-old girl, Cheryl Fergeson, disappeared while searching for a women’s restroom at Conroe High School (Gores, 1991). Cheryl was the manager of the Bellville High girls’ volleyball team visiting Conroe High School for a preseason scrimmage. Later that day while searching for the girl two janitors, Clarence Brandley who is black, and Henry Peace who is white, found the girl’s body hidden under some scenery flats in the loft above the auditorium stage. Cheryl has been raped and strangled to death. Clarence and Henry were interrogated and made to sign statements. The two janitors were then taken to the hospital and made to give sperm, blood, and hair samples from their head
Stahl, S. M., & Mignon, L. (2010). Antipsychotics: Treating psychosis, mania and depression (2nd ed.).
Mary has suffered with her illness for over 10 years. She has previously been diagnosis with a Cluster B type Personality Disorder. Mary comes across as narcissistic, self-engrossed and can be very demanding at times. Mary suffers from anxiety and is prone to panic attacks in relation to her PD diagnosis. At times Mary has been known to make ...
The mother cannot comprehend the diagnosis and believes the etiology of the psychosis is from drug use only. Charles is in denial as well but accepts the medication and when feeling better he stops and resumes his substance abuse. Charles cycles between the adult cr...
She uses many logical appeals to charm the readers’ sense of reasoning by relating some of the key points in her story to the average college student. She includes valid appeals like “Since in essence, this life was impossible, Alex began taking Adderall to make it possible” (para. 1), or “Alex recalled one week during his junior year when he had four term papers due” (para. 3). Margaret provides a lot of examples from Alex as to why students should be taking these drugs. They are becoming more and more widespread because school has only continued to get more difficult for incoming generations. The stress and despair is wrecking the hope of our society, making them feel as if they are only drowning in work every day of the week. More so, these just lead to damage amongst the minds of the college student, which is very negative to our society. They feel the need to take Adderall to better themselves academically and to help their state of mind. The image that society is illustrating by taking these drugs is that one cannot do anything on their own, that they need some kind of substance to help them. Talbot successfully displays the negative impact on students by providing these quotes and stories that degrade the character of any scholar. Margaret accurately describes the harmful effects of the use of Adderall by providing so many logical appeals that any student could relate to. Any of these appeals provided have the ability to convince her audience that neuroenhancing drugs only cause negative effects as opposed to being beneficial. Talbot seems to have a good background of knowledge on the subject. After all, people wouldn’t be reading her article if she didn’t seem
In this paper the reader will be able to find a variety of different areas covered. A detailed summary of the movie 28 days directed by Betty Thomas in 2000 will start the paper. The diagnostic criteria of a psychiatric disease will be included along with rationales why the main character fits the diagnosis of disease. Included is the effectiveness or non-effectiveness of coping mechanisms. Pharmacological with classification and non-pharmacological treatments will be included in addition to discussion of ethical and legal issues. This paper will include whether it would be an acceptable fit for patients or families with the same diagnosis. Lastly, will be an overall conclusion of the information provided in the paper.
Credibility material: Its intake results in adverse medical conditions that are further exalted by its addiction properties that ensure a continued intake of the substance. The drug can be abused through multiple means and is medically recorded to produce short-term joy, energy , and other effects such as increased heart rate and blood pressure. This ultimately results in numerous psychiatric and social problems; factors that played a major role in its illegalization after multiple and widespread cases of its effects were reported in the country during the 1900s. In addition to this, the drug results in immediate euphoric effect, a property which the National Institute of Drug Abuse (2010) attributes to be the root cause for its increased po...
According to (Barlow, 2001), Schizophrenia is a psychological or mental disorder that makes the patient recognize real things and to have abnormal social behavior. Schizophrenia is characterized by symptoms such as confused thinking, hallucinations, false beliefs, demotivation, reduced social interaction and emotional expressions (Linkov, 2008). Diagnosis of this disorder is done through observation of patient’s behavior, and previously reported experiences (Mothersill, 2007). In this paper, therefore, my primary goal is to discuss Schizophrenia and how this condition is diagnosed and treated.
According to Gamble and Brennan (2000), the effectiveness of medication for schizophrenia to relieve patients from psychotic symptoms is limited. Although patients have adequate medication, some received little or no benefit from it and almost half of them still experience psychotic symptoms. They are also more likely to suffer relapse (Gamble and Brennan, 2000). Furthermore, Valmaggia, et al. (2005) found that 50% of patients who fully adhere to anti-psychotic medication regimes still have ongoing positi...
...t the person may also become addicted to these drugs. Ron would benefit not only from receiving inpatient treatment but also outpatient treatment. Ron would benefit from one on one and group therapy. Involving Ron and his family in AA counseling would help each to better deal with the chances of relapse. There are many psychological disorders that come with their own symptoms, causes and treatments. Schizophrenia, anorexia and drug abuse are three that were discussed in this paper. The benefit in understanding the role nature-nurture play in each disorder may be the key to what causes the disorders. Knowing the neural basis and brain structures involved in the processing of information may help psychologist understand effective treatments. Having an understanding of the bio psychological factors of each disorder may be the key to curing or preventing the disorder.
The initial diagnosis of Schizoaffective Disorder can be somewhat confusing. Many patients and loved ones wonder, “What does that mean?” “How is it different than Schizophrenia?” We’re here to break it down for you. According to the Diagnostic and Statistical Manual of Mental Disorders (DSM) Schizoaffective Disorder is classified as: An uninterrupted period of illness during which there is a Major Mood Episode (Major Depressive or Manic) concurrent with the Criterion A of Schizophrenia. The Major Depressive Episode must include Criterion A1. Depressed mood. Delusions or hallucinations for 2 or more weeks in the absence of a Major Mood Episode (Depressive or Manic) during the lifetime duration of the illness. Symptoms that meet criteria for a Major Mood Episode are present for the majority of the total duration of the active and residual portions of the illness. The disturbance is not attributable to the effects of a substance or another medical condition.
Mental Illness Fellowship Victoria. (2008) Understanding dual diagnosis: mental illness and substance use. Retrieved from http://www.mifellowship.org/sites/default/files/styles/Fact%20Sheets/Understanding%20Dual%20Diagnosis.pdf
According the fourth edition diagnostic manual of mental disorders (American Psychiatric Association, 2000), the category psychotic disorders (Psychosis) include Schizophrenia, paranoid (Delusional), disorganized, catatonic, undifferentiated, residual type. Other clinical types include Schizoaffective Disorder, Bipolar Affective Disorder/Manic depression, mania, Psychotic depression, delusional (paranoid) disorders. These are mental disorders in which the thoughts, affective response or ability to recognize reality, and ability to communicate and relate to others are sufficiently impaired to interfere grossly with the capacity to deal with reality; the classical and general characteristics of psychosis are impaired reality testing, hallucinations, delusions, and illusions. Mostly, these are used as defining features of psychosis even if there are other psychotic symptoms that characterise these disorders (L. Bortolotti, 2009).
...ected over another because it has less chance of damaging a diseased liver, worsening a heart condition, or affecting a patient’s high blood pressure. For all the benefits that anti-psychotic drugs provide, clearly they are far from ideal. Some patients will show marked improvement with drugs, while others might be helped only a little, if at all. Ideally, drugs soon will be developed to treat successfully the whole range os schizophrenia symptoms. Roughly one third of schizophrenic patients make a complete recovery and have no further recurrence, one third have recurrent episodes of the illness, and one third deteriorate into chronic schizophrenia with severe disability (Kass, 206).
A girl named Sarah who was interviewed by channel 6 “true life on ecstasy “ had done ecstasy for 3 years. However, the mistake in her part was that she had done it almost EVERY day. When she had gotten her brain scanned, she had a brain of a 75-year-old woman who had multiple strokes. Sarah at the time was only 25, but take into consideration that she more than “abused ” the drug.