Case study -Edward

Feeling of Rejection Schizophrenic Auditory hallucination Thought Withdrawal, insertion, broadcasting Paranoid/ Suspicion Poor interpersonal relation Dependent Regression Feelings of Inferiority Mutatis Ideas of Reference Withdrawal Personality Profile Low Intelligence Emotionally Unstable Weak Ego strength Submissive Lack Assertiveness Striving for autonomy Summary of findings Analysis Impaired overall functioning It was developed by his past experience from infancy up to present.

The subject Mould feel depressed whenever he is experiencing paranoia and suspicion.

This will dead for the subject to be deprived of sleep, lose his appetite and experience extreme sadness. He also experience feeling of hopelessness and worthlessness. When he Nas an infant, his father was always busy at work as a utility man. His mother is the only one who is always taking care of him. Although the subject was loved by his siblings, he still deeply longs for the love of a father; it is the main reason for the development of his impairment in interpersonal functioning.

When the subject reaches his early childhood up to puberty, his longing for the love of a father is still Ninth him.

This longing for love of a father developed his hatred. He thinks that his father doesn’t love him because he is not spending so much time with him. There Nas an instance where he embarrassed his father in front of his friends by answering back without respect. The subject feels guilty after that incident.

He knows that he should have not done that. And when he was in college, he was accused of being involved in a fight between two fraternities because of his tattoo. This triggers his suspiciousness and paranoia.

He thinks that people around him are talking about his involvement in that fight. In fact, he even thinks that some of his friends are NIB agent trying to spy on him. He becomes very depressed because to his anxiousness.

He even experience visual and auditory hallucination. This affects his perception towards himself and the environment. As a result, his overall functioning became Impaired by making him deviate from what he believes is real from unreal and right from wrong. Abnormal content of thought rhea patient’s content of thought was abnormal. It is deeply depressed and anxious.

Because of his visual and auditory hallucinations, his paranoid ideation was plopped for he believes that what he sees and what he hear is true.

The patient has delusion of persecution. He would think that people around him are always talking about him. He even hears voices from television and radio talking about him. He thinks that people around him are planning something to destroy him. This resulted for the subject to became depressed and be emotionally unstable.

Because of his paranoid ideation, the subject becomes very anxious about people around him.

He thinks that vendors and door-to-door salesperson are NIB agents trying to get information about him. He even thinks that his friends, classmate and relatives are conspiring against him. The subject also has a delusion of grandeur. He thinks that he is very popular worldwide. He is also having a suicidal thought but is afraid in acting upon it.

The patient is also having a feeling of hopelessness and Unearthliness as he says “wall nag awakening mayhap’. He even feels that he has no allies and everyone is against him, he said that, “wall an Kong akimbo”.

This also triggers his impairment in overall functioning. rhea patient has a thought insertion. He is calling it “adage bass”.

He said that there were times that his thought were being taken away and then brought back. His form of thought was illogical. He thinks that people around him are spying and conspiring against him. He is having irrational suspicion about people around him due to his auditory hallucinations that made him anxious. He is acting accordingly to his auditory hallucinations which are commanding him to do things.

He would also rather hear a word which is out of context of what is being said to him or latter added in a word changing the meaning of the sentence. Distorted perception he patient’s perception was distorted; he would think that what he it was made of human flesh. He decided not to eat anymore because he believes that it will make him more of a sinner. He believes that he is an “sawing” and everything he ate was made up of human flesh. He decided to stop eating because he thinks that it will make him more of a sinner.

He also believes that he deserves to die and acted upon it by slashing his wrist with a knife.

He views himself differently far from what is real. This resulted for the subject to lose his appetite and loss his interest in things. He also believes that he is known internationally. He would also believe that people around him are conspiring against him to destroy him. This resulted for the patient to withdraw. Increasing his anxiety, and impaired his overall functioning.

His mood was deeply depressed and anxious.

It is due to his paranoid ideas about his friends and family conspiring against him. He even said that “wall an Kong Kampala” because en thinks that everyone around him are destroying him. He even thinks that his family is spying on him too. He is preoccupied with that thought.

His affect was constricted due to his lack of emotional reactivity. It is the result of his depression because he finds it hard to express his emotions and feelings. In fact, in his MESS report, there are no verbal outputs about his speech, thought process, thought content, Judgment and insight, and reliability.

Impaired sense of self rhea subject’s sense of self was impaired due to his unawareness of his physical and mental state, he believes that the problem is not in himself but in the environment, although he is somewhat right in that point considering the environmental factors that which have led to his impairment, but in reality the problem was inside himself, e is the only one who can help himself and of course the origin of his disease was his weak sense of self due to his inability to fight it off, he easily believed his hallucinations and his distorted perception about people, things and his self, in other Norms he was the one who pushed himself to madness. He believed that he is an ‘sawing” making him to decide to stop eating.

He also believes that he deserves to die and acted upon it by slashing his wrist with a knife.

rhea subject’s course of action was altered by his false beliefs about things around him. He stops on eating because he believes that he is an “sawing” and everything e ate was made out of human flesh. He also decided to withdraw due to his paranoid ideation about people around him. He viewed most of the people around him to be NIB agent spying on him. He even reacts accordingly to his auditory hallucinations which are commanding him to do things that are harmful to him. He also decided to kill himself by slashing his wrist with a knife because he believes that he deserves to die.

It is first developed when the subject is still a child.

His father is not always around him making him envious with other kids which have a good relationship with their father. This longing of fatherly love developed hatred towards his father. He even embarrassed his father in front of his friends by shouting and cursing at him. This incident made his relationship to his father more difficult.

And when he was in college, he was mistakenly accused as one of the students who started the fraternity fight because of his tattoo. After that incident, gossip still continues about him being involved about the fight which is believed to be drug related. This made the subject to be very anxious about people around him. He thinks that his classmates are NIB agents in civilian trying to spy on him.

Because of his paranoid ideation, his Interpersonal activity decreased because he decided to withdraw.

It made him depressed and loss his interest in things. Change in psychosomatic function There was a drastic change in the patient’s psychosomatic function after the incident of being mistakenly accused of being involved in a fight two fraternities. His suspiciousness towards people around him is extreme to the point that he believes that even his family is conspiring against him. He experience slowing of movements described as “kilos prang zombie”. This is the result of his loss of appetite and Interest in things.

He is also having TTY in initiating and maintaining sleep. It made him unhealthy and affected his psychosomatic functions.

As a result, his interpersonal relationship was affected because of his condition. He became depressed and decided to withdraw and isolate himself. This made the subject have low self esteem and feels inadequate.

Depression Depressed or sad rhea subject’s depression was due to his past unhappiness. It may be the result of his guilt feelings about his relation to his father and to his brother’s business. He feels guilty about embarrassing his father in front of his friends by shouting and cursing t him. And the incident of being mistakenly accused of being related to a fraternity fight made him depressed. After that incident, gossip about him still continued and precipitated his illness.

He became very anxious about people around him and made him preoccupied with his paranoid ideation.

As a result, the subject loss his appetite and interest in things. His interpersonal relationship is also affected and his overall functioning became impaired. rhea subject’s guilt feelings are the result of his past unhappiness. When he was in high school, there was an incident where he embarrassed his father in front of his lasted by shouting and cursing to him. He feels guilty after it but he did not apologize. He also feels guilty to the closure of his brother-in-laws electronic shop.

He thinks that he is the reason why the business became bankrupt and felt guilty about it.

This resulted for the subject to become depressed in feel self Unearthliness. He thinks that he is good for nothing as the voices in his head telling him that he is “waling awaken”. Feelings of worthlessness Because of his paranoid ideation, he becomes very anxious about people around him. He started to think that everyone is against him and he has no allies.

This made him think that it is not worth living and he deserves to die. There are even voices who is telling him derogatory remarks like, “waling awaken”, “Lilliputian” , “gaga’ , and ‘rapist” which made the subject made more less worthy of himself. His feeling of Unearthliness triggers his suicidal thought.

He acted upon it by cutting his wrist with knife. rhea subject felt hopeless and helpless due to his paranoid ideation.

He believes that his classmates are NIB agent in civilian trying to get information about him after he Nas accused of being involved in the fraternity fight. He thinks that everyone around him is against him. He also thinks that he has no allies left even his own family. He believes that his family is talking about him and saying that he is good for nothing. He was once heard saying “wall an Kong akimbo”.

He viewed people around him suspiciously. This worsened his depression and he feels more worthless, hopeless, and helpless and drove him to the idea of suicide.

Feeling to inadequacy rhea subject has feeling of inadequacy because of lack of fatherly love. He feels envious to other kids who have a good relationship with their father. His feeling of adequacy is also caused by his guilt feelings about his brother-in-laws business closure. As a result, the subject feels worthless, hopeless, and helpless.

There are v’ices in his head saying that he is “waling awaken”. It made him feel that he is really DOD for nothing. He said that he has no allies left even his own family and he thinks that he deserves to die. This triggers the subject to commit suicide. rhea subject’s suicidal ideation is due to his feeling of worthlessness, hopelessness, and helplessness.

He thinks that everyone around him, even his family and relatives, are conspiring against him.

He said that he has no allies left. He feels inadequate and he believes that he is good for nothing. He even heard voices telling him that he IS “waling awaken” and he heard a voice calling him “Judas”. It made him depressed and he decided to commit suicide Just the way Judas did. He hanged himself with a rope but he failed in doing so.

The thought that he deserves to die trigger him to finally do his suicide attempt by cutting his wrist with a knife. Anxiety His anxiety was triggered after he was mistakenly accused of being involved in the fight of two fraternities. After that incident, gossip about his involvement continued.

That is the time when the patient started to think that some of his classmates are NIB agents in civilian trying to get information and spy on him. He became very anxious about people around him. He is preoccupied with the thought of being watched by someone.

He suspected even the vendors and door-to-door salesperson to be NIB agents. As a result, his social functioning was affected by his anxiety and paranoid ideation. rhea patient has a lot of anxiety and paranoid ideas around people around him. There is an incident where he is alone one night, he felt someone touching his ear and calling his name. This made him depressed and made him withdraw.

He isolates himself because of the thought that he is being watched by people around him.

He feels suspicious even to his family. He thinks that everyone is conspiring against him to destroy him. His feelings of inadequacy also reinforce his attitude of social Isolation. He feels that he is good for nothing and he has no allies left even his own family. His delusion of persecution is the main reason of his social isolation and Matriarchal.

Low Self-esteem rhea subject has low self-esteem because of lack of fatherly love. He feels envious to there kids who have a good relationship with their father. His low self-esteem is also caused by his guilt feelings about his brother-in-laws business closure. As a result, the subject feels worthless, hopeless, and helpless.

There are voices in his head saying that en is “waling awaken” It made him tell that en is really g tort nothing. He said that he has no allies left even his own family and he thinks that he deserves to die.

This triggers the subject to commit suicide. His low self-esteem is also caused by his paranoid ideation and illogical thinking about people around him. He believes hat people around him is thinking that he is a criminal which caused the subject to Isolate himself and withdraw. Low frustration tolerance rhea patient’s low frustration tolerance is due to his illogical thinking. The subject is incapable of thinking rationally, making him decide without thinking carefully.

It is seen when he was attempting to kill himself. His anxiety and paranoid ideation is causing him to be depressed, making him more vulnerable in frustrating situation. rhea subject can’t also handle pressure in his life because of physical condition that is caused by his depression. His loss of appetite and interest made him irritable and hostile towards himself. His low-self esteem and feeling of inadequacy is also making him incapable of handling frustration. Feelings of Rejection His lack of fatherly love is the main reason of his feeling of rejection.

When he was a Child, he feels envious to other children who have a good relationship with their father.

The subject feels rejected and neglect because his father is always busy in his Nor. His father is unable to appreciate and give love to the subject. In fact, the subject doesn’t even remember being kissed and hug by his father. His paranoid ideation is also causing him to feel being rejected. He believes that everyone is against him and he has no allies left even with his own family.

Schizophrenic Auditory hallucination rhea patient suffered from auditory hallucinations. He is hearing voices telling him derogatory remarks like , “Lilliputian” , “waling awaken”, “rapist”, “ago. Some voices are talking about his activities like “emailing an yang” and “babushkas nag grip’.

And some are commanding him things like “basin MO Young mocha MO”, and “gibbous MO an yang” which he obeyed accordingly. These auditory hallucinations are caused by is depression after stopping his medications.

As a result, the subject becomes more deviant because of his actions. It is also causing the subject to become more suspicious about people around him. He believes that everyone is conspiring against him. Thought Withdrawal, insertion, Broadcasting After the patient stops his medications, he became suspicious again. And when he is alone one night, he felt that someone is touching his ear and calling his name. He became depressed and unable to sleep again.

He decided to withdraw and isolate himself after that. The patient would hear a word that is out of context of what was eyeing said to him changing the sentence meaning. He also said that there are times that his thought are being taken away and brought back; he called this, “adage- bass”. He also believes that people are talking about him and saying that he is ‘waling awaken” and “Lilliputian”. It is the result of his paranoid ideation about people around him.

There are times that he believes that others were able to know what was on his mind before he said it. This is causing him to become more paranoid and suspicious to people around him.

Paranoid / Suspicion rhea subject’s suspicion and paranoia started out after the incident of him being assistant accused of being involved in a fight between two fraternities because of his tattoo. It was being rectified but gossip about him persisted and he became very anxious. He started to think that some of his classmates are NIB agent in civilian trying to follow and watch him, gathering information about him. He even thinks that his neighbor is talking about him.

He also believes that even his family is conspiring against him. After that, he erased his tattoo by applying a hot steel ladle over his left chest. The subject also thought the television and radio shows were talking about IM. And when he was in nautical school, he felt that people were discussing about electronics.

This made him feel guilty about the closure of his brother-in-laws electronic business.

rhea patient is very anxious towards his interpersonal relationship. It is due to his paranoid ideation and suspiciousness about people around him. He is preoccupied about the thought of being watched by an NIB agent after the incident of being mistakenly accused as one of the initiator of a big fight between two fraternities. This incident triggers his anxiety towards interpersonal relationship. He became pressed and he decided to withdraw and isolate himself.

His poor interpersonal relation rooted from his past experience when he was Just a kid, he lacks fatherly.

His father is unable to spend more time with him because of his work. His father goes to Nor early and will directly go to sleep after going home. The subject feels envious about other kids who have a good relation to their fathers. This longing for fatherly love turns into hatred. When he was in school, he embarrassed his father in front of his friends.

He shouts and curse to his father in front of them. He felt guilty after it but he did not apologize. This lowers his self/-esteem and influenced his attitude of being socially inept. rhea subject is dependent to his mother since he was a child. When he was still an infant, his mother is the one who took the main responsibility of taking care of him.

His father is always busy at work that’s why he doesn’t have enough time to spend Ninth him. His father will go to work early and will directly go to sleep after going home. This made the subject envious about other kids who have a good relationship Ninth their fathers. The subject also encountered a conflict to his father when he was in high school. This made him more dependent to his mother because he doesn’t have anyone but her to lean on. His dependency to his mother is also manifested En he recounted his problems about his neighbors talking about him and his difficulty in initiating sleep.

His mother Just ignored him and he felt like he was abandoned after it.

He feels like he have no allies after the only person who can depend on ignored him. This resulted for the subject to become more depressed and anxious. Erne patient was so depressed tater the incident to being mistakenly accused. Became very anxious and suspicious about people around him. He recounted his problem to his mother and friends but they told him to Just ignore him.

This made the subject feel like he was abandoned. He feels that no one believes him and he thinks that he has no allies left even to his family. The patient is unable to cope up Ninth the stress. He used regression as his defense mechanism. After hearing voices from the radio commanding him to go to church, the subject attended an El Shadow meeting.

While he was there, he assumed a fetal position and wailed like a baby.

This IS the patient’s unconscious reaction of escaping or forgetting his problems. He egresses into his earlier stage of development because of the depression that he is encountering. Feelings of Inferiority rhea subject feels inferior because of lack of fatherly love. He feels envious to other kids who have a good relationship with their father. His inferiority feeling is also saying that he is “waling awaken”. It made him feel that he is really good for nothing.

To die. This triggers the subject to commit suicide. His feeling of inferiority is also caused by his paranoid ideation and illogical thinking about people around him.

He believes that people around him is thinking that he is a criminal which caused the object to isolate himself and withdraw. rhea subject is unable to express himself verbally when he first entered the psychiatric ward. This is caused by his paranoid ideas and suspiciousness towards people around him.

He is incapable of entrusting himself to people because of the thought that they Just want to get information from him and destroy him. As a result, the subject exhibited selective mutatis. It is his avoidance strategy to reduce his stress in situation where he is very suspicious. In fact, his mental status examination shows no verbal output in different areas.

Ideas of Reference he patient is having ideas of reference; he would think that he is known internationally, he believe that he is the main topic of TV shows and radio stations.

His paranoid ideation also contributed to his ideas of reference. The patient stopped studying because he felt that people there are talking about electronics Inch he can relate due to his brother-in-laws business that was bankrupted due to low energy supplies. He also believes that everyone around him including his family is conspiring against him. His thought broadcasting is also a manifestation of his belief that everything happening around him is connected to him. As a result, the subject becomes suspicious and paranoid.

He also became anxious about his interpersonal relationship. Withdrawal rhea patient has recovered from his illness because of medication. But when he decided to discontinue his medication, he became suspicious again. He believes that his neighbors, co-workers, and even his relatives were all conspiring against him. En he is alone one night, he felt someone touches his ear and he heard voices calling his name.

He became depressed after that and he started to withdraw. His Interpersonal relationship was detected because to his suspiciousness and imposed social isolation. Personality Profile Low intelligence his sell- rhea subject has a lot of experience that affected his studies.

His performance in school was in fact satisfactory. He is a good leader and follower in school. It was in his 4th year high school when he started to cut his classes and hang out with his friends.

He Joined his friends in watching movies. He also started to drink alcohol beverages and smoke cigarettes when he was in high school. Because of that, he flunked two subjects and graduated during the summer. This happening affects his studies and learning habits. His relation to his father affects his motivation in striving hard.

His father rarely expressed appreciation but easily handed out criticism. Emotionally unstable rhea subject’s past experiences resulted to his unstable emotions.

It was triggered by his experience of being mistakenly accused of being involved in the fight of two fraternities. His relation to his father also affects his unstable emotions. His guilt feelings towards his brother-in-laws business bankruptcy and the death of his beloved brother pushed his emotion to its limit. This resulted for the subject to have sees tolerance to frustrations and easily gets depressed by simple problems in life.

Neck ego strength Due to his feeling of inferiority, worthlessness, hopelessness, and helplessness, the subject developed a weak ego. He views his problems as something to avoid. His anxiety towards people around him is one of his main problems. He believes that everyone around him is conspiring against him.

It leads him to depression and he decided to withdraw and isolate himself from situation with a high potential of being criticized.

His relation to his father is also the main reason why he develops weak ego trench. He longs for fatherly love which can make him strong. His father rarely expressed appreciation and easily handed out criticism, this lowers his low self- esteem and his ego strength. In relation to his weak ego, the subject also developed submissiveness. Because he feels inferior, he easily submits to opinions of others.

The subject Just wanted to avoid conflicts so he rather submits than to argue with his opinion. He is quite critical about himself and views himself as the black sheep of the family.

This made him dependent and submissive to his siblings and parents. Lack of assertiveness As the youngest child in a brood of 6, the subject grew up dependently to his provider which is giving him the things he need in life. Cognitively, the subject lacks assertiveness because he has a lot of anxious thought in light of stress.

He believes people around him are conspiring against him. This suspiciousness is caused by his stress after the incident of being accused on a fight between two fraternities. Behaviorally, the subject lacks assertiveness because of his attitude towards his father. He embarrassed his father in front of his classmates by shouting and cursing