Schizoaffective Disorder

Case Presentation #2 Psychiatric Disorder
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Schizoaffective disorder is a complex mental illness that includes schizophrenia and mood problems. Schizoaffective disorder patients struggle with symptom management, social interactions, and daily functioning. This paper will present a detailed case study of a schizoaffective disorder patient, "MK." This paper will also analyze MK's history, assessment, treatment plan, and nursing care using psychodynamic nursing philosophy.
Identification DATA
32-year-old Caucasian MK lives in the city. MK freely sought mental diagnosis and treatment. His first psychiatric clinic appointment informs his initial appraisal.
Chief Complaint
"I have no control over my thoughts and emotions. I am experiencing strange beliefs and hearing voices that others do not."
History of Present Illness
MK began experiencing schizoaffective illness five years ago. His symptoms have grown and become more burdensome. His anxiousness and mood swings first hindered his attention and daily life. His illness worsened significantly in the previous year. At this time, MK swung between joy and deep sadness. These strong emotions were accompanied by self-harm and death thoughts. He struggled with work and relationships. Hearing voices comment on his thoughts and deeds and becoming paranoid about conspiracies are concerning. This extensive history highlights the urgent need for care and support to manage his severe schizoaffective symptoms.
Psychological History
MK's five-year odyssey into schizoaffective disorder has proved challenging. In the early stages, he experienced perpetual anxiety and mood fluctuations, which hampered his capacity to concentrate on everyday tasks. His distress began with these symptoms. His situation has changed dramatically in the past year. MK encountered severe mood swings, and symptoms worsened. He went through intense euphoria, feeling invincible, and deep, debilitating depression, feeling helpless. During his mood fluctuations, he started self-harming and considered suicide. These suicidal thoughts threaten his health and require quick intervention. In addition to mood swings, MK reported auditory hallucinations. He heard critical, judgmental voices commenting on his thoughts and behaviors. His senses have become progressively warped, typified by paranoid illusions that evil powers are conspiring against him to spread fear and mistrust in his daily existence.
Personal and Social History
MK's alcohol and drug history shows no substance abuse. He denied heavy drinking and drug use throughout the initial assessment. He has no substance addiction difficulties, which could complicate his psychiatric state. Estrangement and social isolation characterize MK's family. His family rarely sees or helps him. Family disconnection has left MK absent from a traditional support structure; his treatment strategy must include other support sources. The legal history of MK has no major legal difficulties. He has never committed a crime or been pr...