Form 1,2,&3- go with the Case Studies.

– Form 1- When it comes to the case study assignments, not all client information is going to be available in the case study. Some of them, however, are more detailed than others. If the information is provided, fill it in          on form 1. If it is not provided, please put “N/A” in that section on Form 1…. just as you would if the information was not provided by a client in the field.

– Form 3- Please use all academic sources and the Troy library…. in addition to the previous ones mentioned

 Case Study 1

Patient History

The patient’s case study indicates that she has a history of eccentricity. Medical notations indicate that the patient’s mother was an avid smoker, consuming approximately two packs of cigarettes daily before and during pregnancy. Further notations include that the patient’s mother suffered from a very severe case of the flu during her fifth month of pregnancy. As a child, the patient showed signs of slower developmental skills and was diagnosed as suffering from hyperactivity in early childhood. Records indicate that the patient experienced a turbulent home life because of ongoing conflicts between her parents that resulted in separation, and reconciliation. Because of her apparent developmental disabilities, her parents devoted time to the patient, however, the patient did receive criticism from her father for her behavioral dysfunctions.

As the patient matured, she displayed signs of being socially awkward and isolated from her peers, and in early adulthood started to display worsening symptoms like talking to herself, and displaying unusual behavior like stating at the floor for long periods. Her first documented episode requiring hospitalization occurred shortly after the additional symptoms started to be displayed. During her examination, the patient displayed signs of unresponsiveness and waxy flexibility that allowed her limbs to be easily positioned. After the initial hospitalization, the patient was returned home to facilitate a quicker recovery. that was short lived because the patient failed to follow the prescribed treatment regimen which, resulted in a secondary episode shortly after her return to college. Further home-based treatments proved unsuccessful as the patient slowly declined, resulting in unresponsiveness, and displaying hebephrenic symptoms like unprovoked giggling, and rocking movements. The patient’s second hospitalization and treatments started to show positive results, and she was taken back to her home environment. She was able to obtain a part-time position at work, and maintain daily household chores. However, the patient failed to follow the prescribed treatment regimen. Following the death of her father, and additional stressors resulting from her mother’s added dependency, the patient suffered from a third regression of the illness. Her third hospitalization resulted from local law officials discovering her walking in a local pond while incoherently mumbling to herself.

The primary component of the patient’s episodes appears to be related to stress as the primary factor. However, biological factors resulting from her mother’s illness and smoking during pregnancy, and a genetic predisposition related to her grandfather’s eccentricity are viable underlying factors resulting in the patient’s illness. In addition to the primary stressor, and the underlying genetic and biological factors, it is possible that the emotions of the patient also contributed to her condition. Further documentation indicates that inter-familial expressed emotion and communication deviance are probably contributors that appear to be operative in the patient’s case. The first of these factors expressed emotion would be explained by the turbulent relationship, combined with her mother’s overprotective nature conflicting with her father’s over critical reactions to the patient’s behavioral issues. The second of these factors, communication deviance resulted from the patient’s inability to focus and maintain normal conversations.