Schizophrenia discovered during the patient interview in a man

PLEASE PROVIDE 2-3 SENTENCE COMMENT
A. The case Report I chose was- “Schizophrenia discovered during the patient interview in a man with shoulder pain referred for physical therapy”. It focused on a 19-year-old male patient with chronic shoulder, elbow, and wrist pain. He was referred for physical therapy but during his interview, the patient expressed that he was receiving signals from an electronic device implanted in his body. The patient was then referred for further medical investigation as he was demonstrating signs suggestive of a psychiatric disorder. Schizophrenia symptoms are classified as positive or negative. Positive symptoms are an excess of normal function including delusions, hallucinations, and disorganized speech. Negative symptoms include a deficiency or normal function and included limited goal-directed behavior, limited fluency, the productivity of speech and thought, and a flat affect. The positive symptoms, in this case, included delusions (electrical implants trying to control his and others’ actions), persecutory delusions, and hallucinations (hearing voices, seeing signs.) Since he was in university at the time of his diagnosis, his cognitive function was assumed to be well preserved. For this case report, no details were provided regarding a treatment plan. Usually, schizophrenia is treated through the use of antipsychotic medications or for those that don’t respond to medication, Cognitive Behavioral Therapy.
B. 1) According to the article, Schizophrenia Discovered during the Patient Interview in a Man with Shoulder Pain Referred to Physical Therapy, the 19-year-old male university student was referred to physical therapy in January 2006. However, he was later diagnosed with schizophrenia disorder during his interview. During his many visits to the physical therapist, the patient was displaying early signs of schizophrenia, such as believing that the government planted a device inside him or hearing a voice that told him to harm others. The patient’s dissociated thoughts and hallucinations continued to cause chronic pain in his wrist, shoulder, and other parts of his body, so he continued seeking physical therapy. Due to early signs and symptoms, the patient was able to be diagnosed with schizophrenia through physical therapy, allowing a further investigation to proceed.
2) Positive symptoms in the article include hallucinations, delusions, and unorganized speech. In this case, the patient mentioned government devices implanted in his body in an attempt to control his actions. It is possible for positive symptoms to appear during childhood and last for at least six months. It is also important to note that positive symptoms usually occur after the disorder develops rather than before.
3) An article reports that negative symptoms include ”a flat affect, limited fluency and productivity of speech and thought, and limited goal-directed behavior”. In other words, negative symptoms can limit a person’s motivation and energy, making them feel isolated from relationships and communities. These symptoms can also last about 6 months as well.
4) This article states that the patient began taking risperidone daily; however, no treatment or outcomes were mentioned regarding the disorder or case.

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