This article covers Discussion – Data Set Analysis on Schizophrenia (F20.9) and Delusional Disorder
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Unit 13 Discussion – Data Set Analysis: Schizophrenia (F20.9) and Delusional Disorder
Assessment
Schizophrenia (F20.9)
Picardi et al. (2018) note that delusions are themes that span across both affective and non-affective psychoses, with schizophrenia being one of them. However, while delusions are symptoms of schizophrenia, the ICD 10 lists four other psychotic disorders: hallucinations, disorganized speech, disorganized or catatonic behaviour, and negative signs. After a complete medical history and physical exam, a diagnosis for schizophrenia was confirmed. Additionally, these symptoms have lasted more than six months, although the patient has never been diagnosed with schizophrenia (Munoz- Negro et al., 2018). A patient can have bizarre (completely unrealistic delusions or non-bizarre delusions, meaning these delusions could happen in the real-life world. For the 37-year-old patient, her schizophrenia manifests with delusions of unspecified type because the woman reports that aliens are poisoning the city water supply and continue to see aliens identical to her living under the same bridge where she lives.
That alien men have been raping her. She even points out that there are alien doctors in the state hospital who are helping with the foreign takeover and therefore need to be stopped. She manifests with unspecified or mixed delusions where grandiosity presents through her belief that all people around her are morons. She contends that she is perfectly normal and should be let go home. Persecutory delusions present in alien men raping her, while somatic delusions appear as a headache after the aliens perform surgery. The alien people theme has led her to steal food to stockpile in readiness for the alien invasion. Most importantly, the patient exhibited two of the first three psychotic disorders, namely delusions and hallucinations, thus confirming schizophrenia. The running commentary on the patient’s hallucinations is alien people-oriented.
Delusional Disorder
(F22)- Refuted
Medically speaking, a delusional disorder is a severe mental disorder belonging to the category of psychotic disorders where an individual cannot tell what is real from what is imagined. A characteristic manifestation of DD is delusions herein, defined as an unshakeable belief(s) that is not true and is not premised on reality (Griswold et al., 2015). DD was ruled out because the patient exhibited more than one of the five psychotic disorders of delusions.
As you continue, premiumacademicaffiates.com has the top and most qualified writers to help with any of your assignments. All you need to do is place an order with us. (Schizophrenia (F20.9))
Bipolar Disorder (F31.9)Unspecified Refuted
The patient exhibits symptoms of schizophrenia that overlap with those of bipolar disorder. Bobo
(2017) notes that BPD manifests with mania, hypomania and depression. The absence of depressive symptoms helped rule out the bipolar disorder of the unspecified
type in this patient.
References
Bobo, W. V. (2017, October). The diagnosis and management of bipolar I and II disorders: clinical practice update. In Mayo Clinic Proceedings (Vol. 92, No. 10, pp. 1532-1551). Elsevier.
Griswold, K. S., Del Regno, P. A., & Berger, R. C. (2015). Recognition and differential diagnosis of psychosis in primary care. American family physician, 91(12), 856-863.
Muñoz-Negro, J. E., Ibáñez-Casas, I., de Portugal, E., Lozano-Gutiérrez, V., Martínez-Leal, R., & Cervilla, J. A. (2018). A psychopathological comparison between delusional disorder and schizophrenia. The Canadian Journal of Psychiatry, 63(1), 12-19.
Picardi, A., Fonzi, L., Pallagrosi, M., Gigantesco, A., & Biondi, M. (2018). Delusional themes across affective and non-affective psychoses. Frontiers in psychiatry, 9, 132.
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