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Discussion week 7
Case study
Mr. T is a 21-year-old man who is brought to the ER by his mother after he began talking
about “aliens” who were trying to steal his soul. Mr. T reports that aliens left messages
for him by arranging sticks outside his home and sometimes send thoughts into his mind.
On exam, he is guarded and often stops talking while in the middle of expressing a
thought. Mr. T appears anxious and frequently scans the room for aliens, which he thinks
may have followed him to the hospital. He denies any plan to harm himself but admits
that the aliens sometimes want him to throw himself in front of a car, “as this
will change the systems that belong under us.”
The patient’s mother reports that he began expressing these ideas a few months ago, but
that they have become more severe in the last few weeks. She reports that during the
past year, he has become isolated from his peers, frequently talks to himself, and has
stopped going to community college. He has also spent most of his time reading science
fiction books and creating devices that will prevent aliens from hurting him. She reports
that she is concerned because the patient’s father, who left while the patient was a child,
exhibited similar symptoms many years ago and has spent most of his life in a psychiatric
hospital.
Question
Remember to answer these questions from your textbooks and clinical guidelines to
create your evidence-based treatment plan. At all times, explain your answers.
1. Summarize the clinical case including the significant subjective and objective
data.
2. Generate a primary and two differential diagnoses. Use the DSM5 to support
the assessment. Include the DSM5 and ICD 10 codes.
3. Discuss a pharmacological treatment would you prescribe? Use the clinical
guidelines to support the rationale for this treatment.
4. Discuss non-pharmacological treatment would you prescribe? Use the clinical
guidelines to support the rationale for this treatment.
5. Describe a health promotion intervention that would be appropriate for this
patient
Instructions
•
Your initial post should be at least 500 words, formatted, and cited in current
APA style with support from at least 2 academic sources.
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