Patient: JD.
Age: 28
Background:
JD is a 28-year-old man who was brought to the psychiatric clinic by his family due to concerns about his increasingly bizarre behavior. He is unemployed and lives with his parents. His family reports that JD has been exhibiting unusual behaviors for the past six months, including social withdrawal, talking to himself, and expressing paranoid beliefs about being monitored by the government.
Symptoms:
1. Delusions: JD believes he is being followed by government agents trying to control his thoughts. He often talks about secret messages hidden in everyday objects.
2. Hallucinations: JD reports hearing voices comment on his actions and thoughts. These voices are often derogatory and commanding.
3. Disorganized thinking and speech: JD’s speech could be more logical and connected. He jumps from one topic to another without any clear connection.
4. Social withdrawal: JD has stopped interacting with friends and spends most of his time alone in his room.
5. Lack of self-care: JD’s hygiene has deteriorated, and he rarely showers or changes his clothes.
Diagnosis:
After a thorough evaluation, JD is diagnosed with paranoid schizophrenia. This diagnosis is based on the presence of delusions, hallucinations, disorganized thinking, and social withdrawal, which are all characteristic symptoms of schizophrenia.
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