The biggest problem John presents to his family is the psychological stress, especially for his parents, and the financial strain when doctors prescribe serious medications for him. Although John is covered by his parents' insurance, his siblings worry that John takes his attitude due to his condition. He was known as a stern boy who didn't come across nonsense from his peers. However, immediately they realized the change in John's lifestyle and social life and became a threat to young children and the elderly who did not have much energy. This is the case with recommendations from John's family and friends who love John and felt his health condition could worsen later on. They did not know what had happened to John since he left school and the negative attitude he had towards other family members. Therefore, this essay aims to identify the health problem that plagues John and propose a solution strategy for the problem. We will address the medical history, symptoms, and other social events that may be related to John's change in attitude towards his family and colleagues.
history of problem presentation
When John was 9 years old, he suffered from a serious mental illness, which doctors diagnosed as an unusual migraine headache in the center of his brain. Upon taking his medication and recovering from the condition, he began isolating himself from other students at school. Some of his closest friends at home and at school reported this after having his homeroom teacher monitor him. His homeroom teacher couldn't see John's strange behavior because he always acted normal and normal in front of the teacher. However, this could happen because John was a disciplined boy who obeyed his parents and made wise choices in school.
The teacher encouraged the therapist to interpret John's sudden change in behavior. The therapist was unable to give a specific interpretation of his condition, but it was related to the migraine's effect on his mental health. John continued his studies, but at a slow pace. He didn't do his homework or overslept sometimes so he felt he didn't want to go to school anymore. His parents took him to the hospital for a medical examination, after which they urged him to continue his studies as usual. Things got worse one day when his deskmate noticed him talking to himself. As a friend, the girl reported the problem to the class teacher, who informed John's parents of the latest progress on John's condition. John denied being sick several times when the teacher asked him. He kept saying he was fine and everyone told him not to bother him about an illness he couldn't feel.
development history
John's medication officially began after painful migraine headaches when he was 9 years old. After his discharge, he became reclusive among his peers and behaved strangely even to his closest friends. However, most of the students at the school came to notice his worst behavior after the death of his sister, whom he loved so much. After that, his parents took him to a local hospital where he was prescribed antipsychotics. Advances in various behaviors and attitudes towards people led John to ask everyone to visit his room with his permission. He began to condition everyone in his family on matters affecting his personal life.
He got progressively worse as he realized that the medicine he was taking meant nothing to him. Because of skipping medications and forbidding his parents to monitor them, John gradually deteriorated. These conditions have resulted in several psychiatric emergencies requiring hospitalization. After an emergency, the school administration advised his parents to organize home school sessions or enter a psychiatric school. Their reason was based on the safety of the other students John was interacting with on school grounds. They thought that John could do bad things, such as hurting them or hurting other students who upset him. John developed anger and violence on school grounds against students he perceived as enemies. After a series of psychoanalysis, his parents organized homeschooling sessions for him while administering him drugs for recovery.
One teacher said that when John checked in to grade his work, he noticed strange behavior. While John was alone at home, he locked himself in the bathroom screaming that someone was trying to harm him. Nonetheless, John continued his education, but at a slow pace, he occasionally hid in a room when teachers arrived. However, the teacher pointed out that John had heard non-existent voices on the radio, and he provided some real information about his condition. At their home later that month, John told his parents he did not want to continue learning. His parents and siblings tried to persuade him to continue his education, but he refused. Since he left school, John has been sitting at home all day watching television or playing in the garden. There is a twist in his behavior, going from normal to psychotic.
Also, as John talks about his harsh teacher and his parents spying on him, he exhibits several unusual behaviors, such as walking in the evening. He feels everyone attacking him and gets very angry with people. Sometimes the conversation gets serious when he scares people away with death threats and suicide threats.
Case conceptualization and diagnosis
John's case conceptualization covers information from his medical history and social life. Adolescents sometimes have a history of behavioral changes immediately after a migraine diagnosis that affects their mental health. However, his paternal grandfather had a history of persistent headaches and was later identified as schizophrenic. In his medical records, his doctors have posted other comments on his file that may help draw conclusions about his current state of health. John suffers from a mental illness that has consumed his entire being to the point where he is unable to recognize any charge in his own social behavior. His social life has also changed from an extrovert to an introvert who is violent towards those who care about his life. From the symptoms of the psychotic disorder that John experienced after leaving school, it is clear that DSM code 295.30 could indicate a disease that John suffers from. John showed some symptoms of paranoid schizophrenia right away as an adolescent.
