The client Ralph is a fifty-four year old male who reported being divorced after a seven year marriage. Ralph described his sexual orientation as bisexual and sometimes homosexual. The client reported that he has four children from the relationship to which he is estranged. Ralph reported good relationships with his parents, sister and aunt and his partner who are all supports for him. Ralph reported being a practicing Catholic of Irish and Italian descent and initially reported that he was not working at the time of the interview. Ralph shared his educational level as a Ph.D. in Experimental Psychology from Harvard. According to the demographic information provided by the client, he had no income or resources which placed him below the federal poverty guideline. During the interview, Ralph reported being homeless at times often living in various places, staying at Crossroads, night to night with friends or sleeping outside. The client was oriented x 3 and reports no active substance use.
The informants for this case were Ralph the client, the DSM-5 and the agency referral form, course notes and the text by Dziegielewski. The presenting problem was the need for court ordered substance use treatment. During the interview process, presenting problems became delusions and paranoia. The …show more content…
There is not enough information at this time to identify a subtype of schizophrenia. The assignment of schizophrenia is supported by meeting five of the criteria in part A, meeting part B and C and not having the presence of D and E or F. Also present were a chronic history of delusions and associated features of dysphoric mood, anger, anxiety, disturbed sleep patterns, executive function and memory, disorganized thinking and clear sensorium. These symptoms have lasted for at least six