Question

Clinical vignette o patient..... Tim is a 24 year-old PhD candidate has changed and become increasingly biza school, he states that he is no lon continue with school. He used to drink als currently using any substances. He has entrate on work and tells friends and f he leaves the house, and spying on tric hospital after he throws his hance. Hospital staff members comm is alone, as though he is having a cony psychiatric hospital a When asked about his behavior, Tim state "I couldn't. I couldn't use my phone any “The agents are listening. They're after m 57 am wanted by the government. I'm si coming up from the floor. Can you smell “The president wants to kill me, the agen +1 dandbrinad

its a scenario and 6 question to be answered

Answer 1

1. Tim's Identical twin brother( 1st option)

( studies show that more than first degree relatives( 6.5%), monozygotic twins of schizophrenic persons have more risk ( 40%)

2. Tim believes he is wanted by the government and that President wants to kill him( 2nd option)

( Delusion is a false fixed belief. Tim has both deusion of persecution and Grandiosity)

3. Tim cannot begin or sustain his planned course of work in graduate school(2nd option)

( positive symptoms of Schizophrenia are delusion, hallucinations and racing thoughts. Negative symptoms are Apathy, lack of motivation, anhedonia- no happiness in anything, and social withdrawal)

4. Paranoid Schizophrenia, because Tim felt both persecuted and grandiose( 2nd option)

( paranoid schizophrenia is characterised by delu9, hallucinations, avolition- lack of motivation-, slow movement and social withdrawal)

5. Decreased temporal lobe gray ( 2nd option)

( Research studies show that MRI scan report of Schizophrenics indicate the brain structural alterations such as loss of grey matter of frontal, temporal and thalamus regions)

6 th question is not given.