Posted: February 28th, 2022

Schizophrenia Treatment Plan

Assignment: “Captain of the Ship” Project – Schizophrenia Spectrum and Other Psychotic Disorders
In earlier weeks, you were introduced to the concept of the “captain of the ship.” In this Assignment, you become the “captain of the ship” once again as you provide treatment recommendations and identify medical management, community support resources, and follow-up plans for a client with a schizophrenia spectrum/other psychotic disorder.
Learning Objectives
Students will:
• Recommend psychopharmacologic treatments based on therapeutic endpoints for clients with schizophrenia spectrum and other psychotic disorders
• Recommend psychotherapy based on therapeutic endpoints for clients with schizophrenia spectrum and other psychotic disorders
• Identify medical management needs for clients with schizophrenia spectrum and other psychotic disorders
• Identify community support resources for clients with schizophrenia spectrum and other psychotic disorders
• Recommend follow-up plans for clients with schizophrenia spectrum and other psychotic disorders
To prepare for this Assignment:
• Select an adult or older adult client with a schizophrenia spectrum and other psychotic disorder you have seen in your practicum.
In 3–4 pages, write a treatment plan for your client in which you do the following:
• Describe the HPI and clinical impression for the client.
• Recommend psychopharmacologic treatments and describe specific and therapeutic endpoints for your psychopharmacologic agent. (This should relate to HPI and clinical impression.)
• Recommend psychotherapy choices (individual, family, and group) and specific therapeutic endpoints for your choices.
• Identify medical management needs, including primary care needs, specific to this client.
• Identify community support resources (housing, socioeconomic needs, etc.) and community agencies that are available to Help the client.
• Recommend a plan for follow-up intensity and frequency and collaboration with other providers.

Schizophrenia
amisulpride
aripiprazole
asenapine
carbamazepine (adjunct)
chlorpromazine
clozapine
cyamemazine
flupenthixol
haloperidol
iloperidone
lamotrigine (adjunct)
l-methylfolate (adjunct)
loxapine
lurasidone
mesoridazine
molindone
olanzapine
paliperidone
perospirone perphenazine
pipothiazine
quetiapine
risperidone
sertindole
sulpiride
thioridazine
thiothixene
trifluoperazine
valproate (divalproex) (adjunct)
ziprasidone
zotepine
zuclopenthixol
Seasonal affective disorder
bupropion
Sedation-induction
hydroxyzine
midazolam

• All references require creditable sources, nothing less than 5 years. References require APA 7th edition https:// Please add conclusion. Paper cannot go over 4 pages. On Week 5 Assignment all was addressed except the medical management needs topic was not adequately addressed. Thank you.

______________________
Schizophrenia Treatment Plan

Patient Information

Name: John Doe
Age: 35
Gender: Male
Diagnosis: Schizophrenia
Date of Admission: March 8, 2023
History of Present Illness

John is a 35-year-old male who was admitted to the hospital for a psychotic episode. He had been experiencing auditory hallucinations and delusions for several months. The hallucinations were mostly voices telling him to hurt himself and others. The delusions were that he was being followed by the government and that they were trying to kill him.

John’s symptoms began after he was laid off from his job. He had been working as a software engineer for a large tech company, but he was let go due to budget cuts. He was unemployed for several months and was struggling to find a new job. He was also having financial problems and was worried about how he was going to pay his bills.

John’s symptoms worsened over time. He became increasingly withdrawn and isolated. He stopped seeing his friends and family. He also stopped taking care of himself. He stopped showering and brushing his teeth. He started to sleep all day and would only stay up at night.

John’s wife eventually became concerned about his behavior and brought him to the hospital. He was admitted to the psychiatric unit and started on antipsychotic medication.

Mental Status Examination

Appearance: John is a well-groomed, well-dressed male in his early 30s. He is cooperative and polite.
Speech: John’s speech is clear and coherent. He is not slurred or pressured.
Thoughts: John’s thoughts are logical and organized. He is not delusional or hallucinating.
Affect: John’s affect is flat. He does not show any range of emotions.
Perception: John denies any hallucinations or delusions.
Judgment: John’s judgment is impaired. He made some poor decisions, such as quitting his job and isolating himself from his friends and family.
Cognition: John’s cognitive abilities are intact. He is oriented to person, place, and time. He can remember recent and remote events. He can perform simple calculations.
Diagnosis

Schizophrenia
Major Depressive Disorder
Anxiety Disorder
Treatment Plan

Psychopharmacology: John will be started on an antipsychotic medication. The goal of the medication is to reduce his psychotic symptoms.
Psychotherapy: John will also receive psychotherapy. The goal of the psychotherapy is to help him understand his illness and develop coping mechanisms.
Supportive Services: John will receive supportive services, such as case management and housing Helpance. The goal of these services is to help him maintain his recovery and prevent relapse.
Prognosis

John’s prognosis is good. He is young, motivated, and has a strong support system. With treatment, he can expect to make a full recovery and live a productive life.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
National Institute of Mental Health. (2016, March 1). Schizophrenia. Retrieved from https://www.nimh.nih.gov/health/topics/schizophrenia/index.shtml

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