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SCHIZOPHR

ENIA
Case study
Submitted by
Abdallah alnajjar

Chemical imbalance that interferes with a


persons ability to think clearly, distinguis
h reality from fantasy, manage emotions
and relate to others
First signs appear in teenage years or twe
nties.
Illness affects 1% of the population

Schizophrenia victims are known to be inc


redibly intelligent, musically talented, and
can even lead independent lives if treated
properly. They are typically loners by their
own choice.

Schizophrenic Disorder
One or more psychotic features during ac
tive phase ( delusions)
Somatic grandiose, religious or nihilistic d
elusions
Delusion or jealousy with hallucination
Incoherence with marked loosening of as
sociation
Hyperactive, disorganized

Types of Schizophrenia
Simpl
e

Paranoid Schizophrenia
Delusional
Common form
Delusions of Persecution- conspired again
st, cheated, spied upon
Delusions of jealousy sexual partner is u
nfaithful
Delusions of grandiosity- special relations
hip with famous persons, God

PSY
C
H
Y
O
E
N
O
Y
O
Z
L
MAD
A
R
C
SCHIZO
N
U
PSYCHO T
SO

PATIENTS HISTORY


75 yrs male
Studied uni
single

Complaints
Depression
Irritability
Suspiciousness from 1981
Associated Disturbances
Insomnia form drugs
Disturbances in sexual life
History of Confusion
Memory disturbances

Female
Male

Patient
Aged
Death

Pre-morbid Personality
Social relations no family attachment, not with out
side
Intellectual activities can reading vary well
Mood: Calm, pessimistic, self-depreciative, unstable
Character: Easily bored, irritable
Energy and Initiative: sluggish, fatigability, energy flu
ctuations
Fantasy Life: Dreams in which he need to benig well
And own passport and social support,
Habits: reading and writing, sleeps during daytime

Mental Status Examination


General Behavior- conscious, cooperative,
coherent, not well-dressed, adequate eye
contact, adequate rapport present
Psycho Motor Activity- Very less physical
movements
Speech- Low toned, slow, longer reaction
time

Mood Social withdrawal, low self-esteem


Cognitive functions- Insight is absent
Oriented to time, place, person
Attention and Concentration not bad
Memory Good immediate memory
Recent memory absent
Good remote memory
Good Intelligence
Poor judgment capability

Good arithmetic skill


Good abstractive skills
Social Withdrawal present

Signs and Symptoms


According to book picture

According to patient picture

Mutism (absence of speech)


Rigidity
Delusions of Persecution

Thinks that her husband is


cheating on her

Delusions of Jealousy

Thinks that her husband is


unfaithful

Delusions of Grandiosity

Thinks that she has a connection


with God

Hallucinatory Voices

Especially when she is alone

Disturbance of affection

Very low affection with husband

Disturbance of speech and motor


behavior

Very low toned speech, minimal


motor activity

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