Psychotic Schizophrenia Case Study

Client Demographics
The patient is a 38-year-old Caucasian female who presented to the emergency room involuntarily by ambulance after police were summoned to a service station, where the patient was reportedly threatening to kill the service attendant with a banana she believed to be a knife. In the emergency room the patient reported the attendant had assaulted and attempted to rape her on orders to do so from the government. The patient reported she was “holding” the attendant until police could arrive and that the “stupid police” arrested her of a conspiracy to keep her as a “sex toy” and for “experiments”. During the crisis evaluation and throughout the current hospitalization the patient reported being the victim of ongoing sexual abuse and assaults at the hand of fellow patients as well as staff members of previous institutions and of the current facility.
The patient has a history of many previous incarcerations for assaultive behaviors as well as seven institutionalizations for psychosis and two suicide
Original requirements for this medication restricted it’s use to only those over the age of 16, diagnosed with schizophrenia, who displayed a resistance to typical antipsychotic medications or experienced adverse reactions, but has since been utilized as a treatment for a variety of disorders in addition to schizophrenia including mood disorders such as Bipolar Mania, Depression, and Schizoaffective Disorder; neurologic conditions such as Tardive Dyskinesia, Parkinson’s Disease, Essential Tremor Disorder, and Huntington’s Disease; Comorbid Substance Abuse, and “aggressive behavior” (Young, Longhurst, Bowers, & Mazure,