Primary Diagnosis
The main reason for Demetri’s visit entails experiences and behavior out of touch with reality. In this case, assessing the patient’s cognitive state and determining the vital effect on emotional and physical well-being is crucial. It is the duty of a practitioner to enhance optimal Medicare for a patient (Gray & Zide, 2012). The criteria used for the primary prognosis enshrines identifying Demetri’s delusions and grossly diminished emotional expression. During the visit, Demetri wore teenager’s clothes despite his age at 39 years old. The disparity between his actions and age was another critical criteria approach justifying the discernment.
Patient’s Prevailing Pattern
Schizophrenia disorder poses a prevalent pattern to Demetri due to the reluctance to take medicine. The individual experiences frequent episodes, causing his disappearance from his mother’s house and presence for months. Demetri’s psychotic disorder features one month after stopping the medication. Therefore, the person is significantly prone to the condition, thus requiring immediate attention from practitioners. Apart from the negligence to consumer medication, distinctive socio-economic factors contribute to the intensification of Demetri’s poor health (Gray & Zide, 2012). Despite seeking employment, Demetri faces a profound number of firings from employers due to the frequent state of the illness. A different element that further complicates Demetri’s treatment is the lack of a proactive social support system. An individual suffering from mental illness demands optimal attention from family members and doctors. However, only Demetri’s mother looks after him despite her old age. As a result, there is minimal supervision and follow-up of his condition, thus rendering the importance of community involvement. The various risks significantly affect Demetri’s quality of life as a schizophrenic patient.
In a different spectrum, Demetri faces a significant risk concerning dieting. According to the mother, Demetri disappears from his mother’s home for days, thus posing a profound overview of poor feeding habits. Despite being an adult, Demetri’s mental condition requires optimal supervision, mainly under the gradient of healthy living. Proper feeding boosts a patient’s immunity from getting life-threatening infections (Gray & Zide, 2012). Establishing a program that intensifies monitoring of Demetri’s consumptive habits relative to the immune system graph framework is crucial.
Differential Assessment
There is a significant difference between schizophrenic disorder and other psychotic illnesses due to profound behavioral traits. According to research, there are distinctive symptoms of schizophrenia that intensify an individual’s health condition (Gray & Zide, 2012). The key factor posing differential assessment enshrines disparate coordination of cognition and physical behavior among patients. Demetri has schizophrenia due to the prevailing state that worsens after taking psychotic medicine. The lack of organization of his thoughts and speech further approves his condition and critical status level. In a different spectrum, researchers establish a higher chance of men being diagnosed with schizophrenia than women (Gray & Zide, 2012). Demetri portrays the behavior of a teenager at thirty-nine years old that affirms the negative implication of the illness on his psychological and moody character. However, there is a minor differential margin between schizophrenia and psychotic disease. The main reason entails a confession by Demetri’s mother that psychotic medication improved his condition. It is crucial that the patient is treated for psychotic and schizophrenic disorders to enhance recovery.
Assessment Summary
The client meets the criteria of schizophrenic disorder diagnosis due to the evident human behavioral traits. According to research, a schizophrenic patient portrays dynamic and incoherent character across various environmental exposure (Gray & Zide, 2012). Demetri is 39 years old but lacks a mature consciousness leading to unaccountability. In this case, the individual shows a lack of concern for medication hence neglecting the assigned treatment despite its positive impact. The personality demonstrates the disparity in optimal cognition to decipher specific responsibilities in this case. Further, Demetri’s poor dressing is one of the indicators of detachment from himself and self-awareness regardless of his maturity and age. Demetri shows incoherence in his speech by giving irrelevant answers to questions. There is a possibility that the client has a psychotic disorder despite the significantly common traits of a schizophrenic condition.
Demetri shows a divergent mood based on environmental exposure and the lack of medication. During medication, Demetri is responsible and is organized in terms of thoughts and behavioral responses. However, after one month without the pills, the patient portrays erratic approaches regarding his moods. There is optimal detachment from self, loss of pleasure, apathy, and anxiety. The unpredictability of Demetri’s feelings prompts his mother to take him to the hospital for a check-up. The patient fails to take prescribed medicine due to the essence of superiority and dominance. Psychological and compulsive behavior to run away from home for days fosters the necessity to intensify his health monitoring.
DSM-5 Specifiers
Demetri’s DSM-5 specifiers include delusions and diminished emotional expressions, justifying schizophrenic disorder. It is important that practitioners optimally consider mentally-based treatment for the patient due to the differential assessment of the condition. Demetri faces a significantly low immune system based on the imminent socio-economic factors attributed to poor feeding habits. As a result, the healthcare professional’s responsibility is to establish an effective support system to contribute to the improvement of Demetri’s recovery process.
Reference
Gray, S. W., & Zide, M. R. (2012). Brooks/Cole Empowerment Series: Psychopathology: A Competency-Based Assessment Model for Social Workers. Cengage Learning.