The advantage of case study is the tremendous amount of detail it provides. It may also be the only way to get detailed information about a patient. The following is a case study of patient affected by schizophrenia. This will help Psychology and psychiatry students to prepare cases. This is just for reference only so look at the format.
Undifferentiated Schizophrenia Case Study
A person with undifferentiated schizophrenia meets the usual criteria for schizophrenia including delusions, hallucinations and disordered thoughts and bizarre behaviours but does not clearly fit into one of the other types of schizophrenia because of a mixed-symptom picture. People in the acute, early schizophrenic episodes breakdowns frequently exhibits undifferentiated schizophrenia symptoms as do those whose clinical picture may change enough over time to warrant a change in diagnosis from a specific sub type to the undifferentiated sub type. The criteria’s for undifferentiated schizophrenia was named, described and classified in the American psychiatric association’s diagnostic manual –IV-TR. Symptoms of schizophrenia that do not meet criteria for the paranoid, disorganised and catatonic types.
SOCIO DEMOGHRAPHIC DATA
Name : D.K Age : 36 years Sex : Female Occupation : Housewife Socio-economic-status : Middle class Marital status : Married Education : Degree passed
The informant was the patient himself as well as the social workers and nurses. The information is reliable and adequate.
COMPLAINTS AND THEIR DURATION
Reduced self-esteem and self-confidence : 8 years Suicidal thought : 5 years Disturbed sleep : 4 years Hearing noises : 2 years
HISTORY OF PRESENT ILLNESS
Mode of onset : Sub acute (few days to few weeks) Course of illness: Fluctuating Precipitating factor: Psychological in nature such as love failure and related quarrels in the family Associated disturbances: Lack of sleep, loss of appetite and weight.
There was no significant past physical illness.
(Family genogram will come here)
–DEAD MALE, FEMALE –AFFECTED MALE, FEMALE
–UNAFFECTED MALE, FEMALE
Birth and early development Mother’s health during pregnancy time was normal with full term normal delivery. Birth cry was present, birth weight and skin colour was normal. She was born from non-consanguineous union.
Behaviour during childhood Frequent fights with siblings
Physical illness during childhood There is no clear evidence of physical illness during childhood. Educational history The relationship between teachers and peers was good. She was interested in extracurricular activities and has average scholastic performance.
Occupation 1997- Receptionist in dental clinic 2005- Sales woman in a saree shop
Menstrual history No significant information.
Marital history The client is married and the husband used to beat her after drinking alcohol.
Sexual History High levels of anxiety related to sexual fantasies/ practises. Use and abuse of alcohol, drugs None
Attitude to others in social, family and sexual relationships. Inability to trust others, anxious, dominant and suspiciousness. But she is very attached to her children.
Thought Stream: There was flight of ideas. Form: Intact Possession: Nil Content: Auditory hallucination. Mood Subjective explanation of emotion, anxious and tensed.
Perception The patient feels restless.
Cognitive functions Attention and concentration: Intact Memory: Good Immediate memory, recent memory and long term memory General information: Average general awareness. Intelligence:She has average level of intelligence. Judgement: Intact
Personal: The patient has the awareness of his illness and also need for treatment. Social : Poor Test : Her test judgement is intact. Insight: Presence of insight
Ms. D.K is 42 years old married female, graduate, from middle class socio economic rural background with no significant past or family history of alcoholism of husband with nil personal history of illness. Pre morbidly well adjusted. Presented with sub-acute onset, fluctuating course illness of 8 years duration precipitated by love failure and related psychological causes characterised by decreased sleep, suicidal thoughts, and diminished appetite. Mental status examination revealed auditory hallucinations, irritable mood with intact judgement with presence of insight.