Wednesday, December 11, 2019

Diagnosing and Treating Mental Diorders †Free Samples to Students

Question: Discuss about the Diagnosing and Treating Mental Diorders. Answer: Introduction: Interpersonal skills are the life skills we utilize each day when we impart and associate with other individuals, both separately and in gatherings. In connection to Andrew the most vital aptitudes that are required would be communication and listening abilities (May, 2013). As a matter of importance for communication to happen there must be no less than two individuals. Correspondence expertise can additionally be separated into verbal and nonverbal communication. Verbal communication regularly requires simply slowing down when addressing someone, this is because people might have the urge to quickly react to questions, while the smart thing to do is staying silent and digesting what the other person has to say, thus helping one answer back better. No one anticipates, or desires, a harsh attitude in important conversations this is because being mindful of others is better and is considered more respectful. A person who is considerate is normally taken more sincerely, This is because he has skills that a person well conversant with mannerism of verbal communication ought to have such as, staying calm, being attentive, courteous, attentive and being able to know what emotions a person is going through thus adjusting his or her voice to significantly match his body language. Non-verbal communication are actions or things people do subconsciously with or without their knowledge and most of the times this is the communication that others read and make sense out of such as, Facial expression, tone of voice, gestures and even the way you position yourself physically in a room or among partners is continually uncovering your actual demeanor, for better or in negative ways. In many instances people are not aware that they tend to say more with nonverbal gestures like eye contact, gestures and facial expressions. Overall, adopting effective communication skills is essential when dealing with patients in order to make them understand what causes the symptoms, how to ease the symptoms, and why they are taking certain medication (Clearly, Hunt Horsfall, 2015) The other skill that would come in handy would be the listening skill which likewise is vital on the grounds that it helps in enhancing the analysis of the patient issues and help in understanding what and how the patient is influenced by his condition. It is critical to note that hearing and listening are two different things in this case listening well enables one to ask good questions, make better choices and impart all the more obviously on the grounds that you understand other people perspective. Symptoms and Management of Psychosis Psychosis is a mental disorder usually characterized by an impaired relationship between a persons thoughts or perceptions and the reality (McEvoy, Freter, Merritt Apperson, 2013). Some of the major signs and symptoms of psychosis include hallucinations, delusions, suspiciousness and disorganized speech. With both hallucinations and delusions, they appear to be real to a person experiencing them yet they are not (Phelan McCormack, 2016). Delusions are false impressions, thoughts or beliefs strongly held by a person despite the fact that they are contrary to reality or actual evidence (Garety, Kuipers, Fowler, Freeman Bebbington, 2014). In this case, the patient was experiencing a delusion of paranoia. A paranoid delusion is one whereby a person shows persecutory delusions by claiming that people are plotting or conspiring against them yet they are not (May, 2013). In this case, the patient says that transmitter chips have been implanted in his brain so that people can monitor his thoughts. He also claims that there are electrical supplies that are being moved in his house and that the lights outside his apartment are being operated so that they can interfere with his thinking. Additionally, he is suspicious as he says that students are talking about his activities with the lecturer so that he can get him into trouble. He also claims that there are different individuals in the university who are ASIO spies. Clearly, all these false impressions exhibit a case of paranoid delusion and suspiciousness whereby he believes that people are conspiring against him. Further, the patient is experiencing hallucinations. A hallucination is a false sensory experience that happens in the absence of an actual outside stimuli. In other words, a person sees, hears, feels or smells things that are not really present. When someone is hallucinating, they see things that do not exist or hear other people talking yet; this is not the case in actual reality (Fischer, 2016). In this case, the patient said that he could hear other people talking about him, yet there was nobody else in the room. Therefore, he was experiencing auditory hallucination by hearing non-existent people talk ing. Besides this, the patient showed impaired verbal communication whereby he relates some loosely connected and questionable narrations of certain people in the university being ASIO spies. He also showed lack of emotion as he maintained a flat and consistent monotone voice as he calmly sat in his seat throughout the entire interview (Clearly, Hunt Horsfall, 2015). How to respond to the issue of prescription Due to the nature of Andrews illness, good communication skills geared toward helping him cope with the challenge of mental health is crucial and necessary for any health care giver, hence it is my duty to explain to Andrew the nature of his illness in which in this case he has symptoms of psychosis and how this symptoms are affecting his mental state and thus not allowing him to perform well in his studies. In reference to verbal and nonverbal communication the use of friendly tone should come in handy in showing empathy towards Andrew, who must understand that his medication which in this case is risperidone 1mg nocte is important and is the one suitable in improving his well-being, which include improved grades and his ability to socialize well without thinking that other students and teachers are out against him. In this case I must assert the importance of taking medication and also explain to him the consequences of not taking his medication; Andrew needs to understand that instructions I give are a guidance and reassurance in order to teach him on how to cope with his mental state. Moreover he needs to know that not taking his medication has severe consequences, since research has made it clear that reduced observance with antipsychotic medications escalates the danger of setback. Patients that dont take their medication as required have an average risk of relapse that is greater than that of patients that take their medication. Andrew therefore must be in agreement with me should he not take his medication, he might relapse and this may be more critical and life threatening to him and those around him, since one of the major consequences of not taking his medication is an increased potential for assault and dangerous behavior, especially during periods of psychosis. In this case, Andrews needs to understand that relapse in psychotic case is common and many young men deal with the issue, thus follow up meetings are encouraged by the health care giver and incase he has any question he should not hesitate to ask any health care personnel. In this case, I will advise him to use the drugs as prescribed in order to ease symptoms of psychosis (Clearly, Hunt Horsfall, 2015) Care Plan As the general practitioner directed that the patient should be informed and monitored, I would establish a care plan. First, I would address the patient directly and clearly with a professional but simple approach as I explain the GPs diagnosis, treatments and medications. I would explain this in a manner that helps the patient be fully aware of any intervention method I will be carrying out so that they cannot feel that they are being tricked. Additionally, teaching the patient how to engage in distraction techniques and reality-based activities that will help bring them to reality would help reduce the hallucinations and delusions (Randle, 2016). I will monitor the patient for various signs and symptoms that would suggest that they are experiencing a hallucination. This could be seen by them talking to themselves or looking around (Hutchinson Jackson, 2013). I will encourage them to speak about their delusions and hallucinations and engage them during the episodes while refrainin g from counseling them until they are over. It is imperative that I help the patient to identify and deal with various feelings and triggers that cause illusions and hallucinations. Also, it is important to avoid arguing with the patient about the reality of their delusions or hallucinations. Instead, one should explain to them that others do not share in their sensory perceptions or beliefs (Clearly, Hunt Horsfall, 2015). To deal with the impaired verbal communication, I would set aside some time for consistent face-to-face interaction with them. During the interaction, it would be important that the patient is informed where one does not comprehend whatever they are attempting to convey (Olson, 2015). Where the patient shows lack of emotions to sensitive matters, I will try to verbalize feelings and model various expressions of feelings. Talking about the patients favorite activities, hobbies and personal interests would also help (Norman, Gibb, Dyer, Prentice, Yelland, Cheng, Edwards, 2016). Moreover, it would be important to identify areas of open communication on matters of importance to the patient (Tait, Birshwood Tower, 2015). Lastly, I will encourage the patient to engage in healthy habits that will optimize functioning and keep them in remission. This includes maintaining medication regimen, regular sleep patterns and self-care (Vickers Linde, 2014). References Clearly, M., Hunt, G. E., Horsfall, J., (2015). Diagnosing psychosis. Issues in mental health and nursing, 31(5), 331-335. Fischer, S. A. (2016). Diagnosing and treating mental diorders: a concept analysis. Journal of advanced nursing, 72(11), 2644-2653. Garety, P. A., Kuipers, E., Fowler, D., Freeman, D., Bebbington, P. E. (2014). A cognitive model of the symptoms of psychosis. Psychological medicine, 31(2), 189-195. Hutchinson, M, M., Jackson, D. (2013). Signs and symptoms of psychosis: towards a more critical interpretation. Nursing inquiry, 20(1), 11-22. May, S. (2013). Mental disorders. In Handbook of mental care (pp. 231-245). Springer New York. McEvoy, J. P., Freter, S., Merritt, M., Apperson, L. J. (2013). Insight about psychosis among outpatients. Hospital and community psychiatry. Norman, R. E., Gibb, M., Dyer, A., Prentice, J., Yelland, S., Cheng, Q., Edwards, H. (2016). Improved psychiatry care for patients with psychosis in Australia. International psychiatry journal, 13(3), 303-316. Olson, M. H. (2015). An introduction to mental disorders. Psychology Press. Phelan, A., McCormack, B. (2016). Exploring nursing expertise in caring for mental patients: a mixed method study. Journal of advanced nursing, 72(10), 2524-2535. Randle, J., (2016). Nursing care plan for psychosis. Journal of advanced nursing, 43(4), 395-401. Tait, L., Birshwood, M., Tower, P. (2015). Predicting engagement with services for psychosis: insight, symptoms and recovery style. The Journal of Psychiatry, 182(2), 123-128. Vickers, A. J., Linde, K. (2014). Intervention for acute psychosis. Jama, 311(9), 955-956.

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