Case Study Randy Schizophrenia Worksheet
1. Go to the DSM-IV checklist for schizophrenia and list each of Randy’s behaviors that satisfy the symptom criteria for schizophrenia. Positive symptoms: hallucinations, delusions, thought and mood disorders. Negative symptoms: flat affect and lack of hygiene. Cognitive symptoms: distress, trouble focusing, and problems with paying attention. 2. How long has Randy been experiencing symptoms that meet the criteria for schizophrenia? 3. What type of schizophrenia does Randy display? 4. What phase of schizophrenia was Randy in during the days before the diner incident? 5. What phase was he in at the time of the diner incident that led to his arrest? Explaining Randy’s Schizophrenia: 1. What genetic factors may have played a part in Randy’s schizophrenia? 2. What biochemical abnormalities might account for Randy’s symptoms? 3. What might have been the role of family stress in Randy’s disorder? 4. What sociocultural factors may have played a role in Randy’s schizophrenia? Treating Randy: 1. Assume that instead of being jailed for his offenses, Randy is referred to a community health center for treatment planning. You are assigned to be his caseworker. What kind of assessments will you need to do before you begin Randy’s treatment planning? 2. What type of medication might you recommend for Randy? 3. What mental health treatment modalities would be helpful to Randy in addition to medication? 4. What services other than mental health treatment might be beneficial for Randy?