Chapter 8 Case 2: Fiona Is A 29-Year-Old Woman Who Works

Question

Chapter 8 Case 2fiona Is A 29 Year Old Woman Who Works In A Medical F Summarize the clinical case of Fiona, a 29-year-old woman presenting with recent behavioral changes, including social withdrawal, strange verbalizations, sleep disturbance due to fear, refusal to perform daily activities, decreased eating, and intermittent trance-like states. Her family reports increased concern and unsuccessful efforts to seek medical help, leading to police intervention. Medical evaluation indicates she is medically stable, with no personal psychiatric history but a family history of maternal grandmother in a state hospital. The case suggests an acute mental health crisis requiring psychiatric assessment. Answer the following questions based on clinical guidelines and textbook knowledge: What is the DSM-5 diagnosis? Include the rationale using DSM-5 diagnostic criteria. Based on clinical guidelines, which pharmacological treatment is most appropriate? Provide medication name, dose, frequency, and rationale. Which non-pharmacological treatment would you prescribe (excluding psychotherapy)? Discuss the risks and benefits. Include assessment of medication appropriateness, cost, effectiveness, safety, and adherence, referencing a local pharmacy for medication cost.

Dr. Jack HW Helper · Accepted Answer

Introduction The clinical presentation of Fiona indicates the emergence of a first-time psychotic episode manifesting through acute behavioral, cognitive, and emotional disturbance. Her recent social withdrawal, hallucinations or strange verbalizations, sleep disturbances, refusal to engage in routine activities, and trance-like states suggest a severe psychiatric disorder requiring immediate and comprehensive assessment. The case underscores the importance of accurate diagnosis, effective pharmacological management, and supportive non-pharmacological interventions to promote recovery and functioning. Clinical Summary and Diagnostic Considerations Fiona's presentation includes several features consistent with an acute psychotic disorder. She exhibits social withdrawal, disorganized speech, and altered consciousness states evidenced by trance-like episodes. Her refusal to participate in activities and minimal food intake further underscore her deteriorating mental state. Her recent fear and paranoia, especially around topics like having children, may be symptomatic of underlying delusional processes or hallucinations. The family history of her maternal grandmother in a state hospital raises concerns about potential genetic vulnerability to psychotic disorders. Importantly, her physical health status is stable after medical evaluation, ruling out organic causes such as infections or neurological abnormalities. DSM-5 Diagnosis with Rationale The most appropriate DSM-5 diagnosis for Fiona is Schizophrenia, first episode, severe, with catatonic features (296.23). This diagnosis is supported by several criteria: Presence of hallucinations and delusions: Fiona exhibits strange verbalizations and paranoid fears, suggestive of psychotic hallucinations and/or delusions. Disorganized speech and behavior: Her intermittent trance-like states and refusing ADLs indicate disorganized thinking and behavior. Duration of symptoms: Symptoms have emerged acutely over the past week. Impa

Chapter 8 Case 2: Fiona Is A 29-Year-Old Woman Who Works

Chapter 8 Case 2fiona Is A 29 Year Old Woman Who Works In A Medical F

Paper For Above instruction

Introduction

Clinical Summary and Diagnostic Considerations

DSM-5 Diagnosis with Rationale

Pharmacological Treatment: Choice, Rationale, and Implementation

Non-Pharmacological Treatment: Rationale, Risks, and Benefits

Conclusion

References