Case Vignette (3) According to DSM-V, Patrick is diagnosed with Schizopherniaform Disorder (code :.. 1 answer below »

Case Vignette (3) According to DSM-V, Patrick is diagnosed with Schizopherniaform Disorder (code : 295.40). No specifires can be provided because there is not enough information, I would ask some questions to determined with or without good prognostic features and there is no catonic feature. I has been R/O Delusional Disorder (code : 297.1) because he may or may meet criteria (C) and I would ask more questions. He meets the following criteria: A. Two – Delusion p.g 87 in DSM-V (persecutory) his ex-boyfriend has found a way to read his thoughts through his iPhone. p.g 87 in DSM-V (Grandios delusion ) he is going to be personally responsible for making them all millionaires, p.g 87 in DSM-V (Bizzare ) – Disorgnized thinking p.g 88 in DSM-V ( loose associations) one topic to another p.g 88 in DSM-V ( tangentiality) B. 2 months C. There is no evedince supporting depressive or manic disorder D. There is no evedince he is taking any subtances or another medical conditions. (3) Differential I rouled out Briefe Psychotic Disorder because he does not fit criteria (B) I rouled out Schizophernia because he does not fit criteria (B) and (C) … I rouled out schizoaffective Disorder beause he does not fit criteria (A) … I rouled out Substance/ Medication – Induced Pschotice Disorder Because … I rouled out Pschotic Disorder Due to another Medical condition because …

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Vignette #3
Notre Dame de Namur University
CPY 4216 01 – Psychopathology
Masters of Science in Clinical Psychology Program
Fall, 2014

Patrick is a 42 year old, homosexual, HIV+ male. He reports to your office complaining that he has been
feeling increasingly anxious and upset. He states that he has not been sleeping lately and is feeling
increasingly uncomfortable in his home. He states that he has lived alone for the last 6 years after a
relationship ended because his boyfriend was “completely crazy” and didn’t understand him. Patrick
tells you that two months ago, while at work, he began to feel that all of his co-workers were talking
about him behind his back. He stated that he thinks that they have started talking about him because
he’s been doing very well at work lately, and knows that he is his manager’s favorite employee. Patrick
tells you that he thinks that his co-workers are simply jealous because he has figured out the answer to
fixing all of his company’s problems and that he is going to be personally responsible for making them all
millionaires, so he doesn’t understand why they are so mad at him. Patrick tells you that it was bad
enough when they were talking about him at work, but now, when he’s at home, he’s discovered that
his ex-boyfriend has found a way to read his thoughts through his iPhone. He says that he feels very
stuck and worried, because he needs his phone to talk to his secret business advisors that are helping
him at work. It’s somewhat difficult for you to speak with Patrick, because he jumps from one topic to
the next, and rarely finishes a thought. For example, when you ask him if he drinks or uses drugs, he says
that he never does because “Jesus wouldn’t like that,” and immediately starts talking about how his dog
is having stomach problems. Despite his anxiety, he tells you that he feels hopeful that he will be
successful at work and that people will stop talking about him.

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