SonnyCase Analysis Report
Fromthe case study, I can conclude that John Ford, a Caucasian male issuffering from Schizophrenia disorder.
Diagnosis and Criteria
Thereare criteria provided that a patient must meet to be deduced that heor she is suffering from Schizophrenia disorder.
Sonnyhad been experiencing delusions. He believed that the FBI and the CIAand some of his friends had conspired to investigate his sexualbehaviors. He believed that some of his friends had been hired totake video and audio recordings during his sexual encounters so thathe can be prosecuted. These were things that were going through hismind but were never happening. Moreover, Sonny always thought thatthe television shows were directed towards him yet these were justnormal programs targeting a broad audience across the nation or theglobe. Delusion is one of the symptoms of Schizophrenia disorder.
Inhis address with the doctor, during the evaluation for his inpatientadmission, the doctor realized that most of the answers provided wereempty and terse. For example, when asked about the difficulties he isexperiencing that he would wish to be helped on, the answer heprovides is marijuana. Marijuana is not a difficulty its effectscould be the difficulties (Armour 62). The answer indicatesinconsistency in his listening and interpretation of words during aconversation. His speech is, therefore, disorganized, one of thesymptoms of Schizophrenia disorder.
Sonnywas never interested in social interaction. He had difficulties inmaintaining part-time jobs because he preferred to work alone. Thatis why he was a little comfortable working as a janitor because hewas able to work alone most of the time.
Sonnyhad experienced problems at his workplace making him quit most of thejobs. He had social interaction issues
Sonnyhas had problems for more than two years
From the case study, there was no evidence of the bipolar, depressive or schizoaffective disorder.
Althoughhe was taking marijuana, the condition was not related to the effectsof marijuana
History of Autism Spectrum Disorder
Therewas no autism spectrum disorder history hence, a further diagnosiswas required.
Fromthe Diagnostic and Statistical Manual of Mental Disorders, there mustbe at least two symptoms to conclude to make a conclusion onSchizophrenia disorder (Armour 64). Sonny had three of the symptomsindicating that he is suffering from Schizophrenia disorder.
Somefactors might have led the development of Schizophrenia disorder. Oneof the factors might be the loneliness experienced by Sonny duringhis early life. During the evaluation by the doctor, Sonny describedhis life as one that is full of loneliness. He had never had friendsthroughout his life. He was always frustrated by social interactions.The isolation experienced might be a risk factor because of thestressful situation that he encounters when comparing himself and therest of his peers (Armour 65). He might identify himself as an oddone among his peers thus stress might set in leading to trauma thismight result in Schizophrenia disorder in the long run.
Beingan adopted child, Sonny might have believed that he is not part ofthe family. The guilt that he has a biological mother and father, buthe cannot know their whereabouts, see them or sometimes share momentswith them might have affected him psychologically. Lack of having thebiological parents at an early age could have been one of the factorsthat led to the development of Schizophrenia disorder.
Onethe protective factors would be academic achievement. If Sonny hadworked his way through college, he would understand how to counterhis experiences. Another protective factor would be the enhancementof the family relationship. It is important to note that Sonny waslonely most of the time. At one point it is indicated that his mothernever supported him immediately, she realized his sexuality (Armour67). He could be less stressed if both parents would have acceptedhim despite his sexual desire. Lastly, while at school, there were nomentors to support him. Mentors could have helped him cope with thesituation.
ForSonny, the assessment should be performed to understand him, topredict his behavior, planning for his treatment, and evaluation oftherapy outcome.
Patientand Family History
Theinterview conducted was intended to obtain the personal history aswell as the family history. The information gathered would help inthe determination of whether the disorder was inherited or was causedduring the life of Sonny.
Theinterview was also performed to determine the mental status of theSonny. The appearance and behavior of Sonny such avoiding eye contactindicated he had some psychological problem (Armour 68). During theinterview, he also mentioned some form of restlessness by occasionalrocking back and forth.
Duringthe mental status examination, it was shown that his speech was notcoherent. On one occasion, he reportedly told the doctor someinformation that was not true according to the parents thisindicates that he had some unwanted thoughts.
Itis a form of assessment in which the doctor inquires for thebehaviors of the client. The doctor could have asked Sonny about hisbehaviors in school, at home or at work to try and link them with thedisorders.
Sincethe conditions of Sonny seem to be advanced, Sonny should be admittedas an inpatient at the hospital facility. He should first be put onantipsychotic medications that would help treat the symptoms andreduce the length of hospitalization as well.
Apartof hospitalization and drug administration, the patient should beenrolled to counseling. Because Sonny does not admit his conditionand blames marijuana for his experiences, advice would help himunderstand that it, not marijuana that is responsible for thechallenges he encounters (Armour 70). Lastly, he should attend socialskills training to help interact with people at home, school orworkplace. Through enhancement of social skills, he will not spendmuch of his time alone and hence reduce the chances of experiencingdelusions.
Armour,Cherie, Jana Műllerová, and Jon D. Elhai. "A systematicliterature review of PTSD`s latent structure in the Diagnostic andStatistical Manual of Mental Disorders: DSM-IV to DSM-5." Clinicalpsychology review 44(2016): 60-74.