Schizophrenic Hw
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Mr Simpson exhibits paranoid delusions and auditory hallucinations. His condition has plagued him for about two decades, since he was attending law school and began to grow suspicious of his classmates in that they were making fun of him. His delusions progressed to the point that he was asked to leave school and shortly thereafter, suspicions of coworkers caused him to get fired from his job and cause him to make extreme sacrifice and behavior alterations to avoid persecution from others (the case of driving 30 miles for shoes). His appearance and ability to function is not seriously impaired, but his social functioning is severely limited by his delusions to the point that he has totally isolated himself from everyone but his uncle and contacts with mental health workers. These auditory hallucinations seemingly involve many different voices, leading clearly to a diagnosis of schizophrenia. There does not appear to be any mood disturbances that would signify a manic episode or a depressive episode, both of which could involve brief psychotic episodes. The duration and lack of long term mood disturbances lead me away from a diagnosis of schizoaffective or schizopreniform disorder. His affect in the clinical interview was reported as only mildly blunted at most. This leads me away from a diagnosis of catatonic or disorganized schizophrenia. I feel that given the frequency of and the preoccupation with the hallucinations and the number of delusions he suffers from, a diagnosis of Shizophrenia - Paranoid Type, continuous is warranted. To further classify his disorder, I would like more information about his feelings toward his delusions. Specifically if he understands they are irrational and baseless. There is no mention of any general medical condition and although many of the symptoms of paranoid personality disorder are met, the symptoms occur exclusively during the course of schizophrenia. The GAF score reflects the current
condition at the time of interview. Mr. Simpson is functional and coherent, but his delusions are seriously limiting socially and in his ability to keep a job. Axis I: Schizophrenia - Paranoid Type, continuous Axis II:
None
Axis III:
None Reported
Axis IV:
occupational problems, social problems, academic problems (past)
Axis V:
50
Ms. Fielding shows signs of paranoid delusions and hallucinations in regards to her upstairs neighbors accessing her thoughts and repeating them to her. She feels unable to control or deny these intrusions and attributes it to unsupported claims of telepathy inherent to all people. Her overt behaviors appear normal as reported by the crisis team that admitted her to the hospital. I would like more information on whether or not the voices are constant or whether they coincide with a particular event that triggers their occurrence.
condition at the time of interview. Mr. Simpson is functional and coherent, but his delusions are seriously limiting socially and in his ability to keep a job. Axis I: Schizophrenia - Paranoid Type, continuous Axis II:
None
Axis III:
None Reported
Axis IV:
occupational problems, social problems, academic problems (past)
Axis V:
50
Ms. Fielding shows signs of paranoid delusions and hallucinations in regards to her upstairs neighbors accessing her thoughts and repeating them to her. She feels unable to control or deny these intrusions and attributes it to unsupported claims of telepathy inherent to all people. Her overt behaviors appear normal as reported by the crisis team that admitted her to the hospital. I would like more information on whether or not the voices are constant or whether they coincide with a particular event that triggers their occurrence.
