a combination of repressed homosexuality and overweening obedience to the father and other authority figures. The end result is commonly a narcissistic character disorder, substance abuse, and reckless behaviors. Under extreme stress, this can manifest itself as schizophrenia.
Does this diagnosis remind you of someone?
http://www.trickcyclists.co.uk/pmps_gap.htmGAP dc10
You have just reviewed a 42-year-old man with a history of poorly-controlled schizophrenia. He has had frequent admissions to hospital due to non-compliance with medication and he is also misusing alcohol intermittently.
He is currently psychotic, with evidence of thought disorder. He believes that he is hearing the voice of God and is communicating with spirits. He believes that he is being influenced by them and that they are controlling his actions. You also suspect that he is experiencing auditory hallucinations, although he denies this. He does not think that he needs to be in hospital and is also refusing to take his medication. You are concerned about his welfare, as you had spoken to his CPN earlier who said that he was voicing suicidal thoughts involving firesetting. His consultant had also said casually that if he turned up for assessment, he might need to be detained.
You believe that he should be detained under the mental health act and ask a mental health officer (MHO) to see him. The MHO sees him, but does not believe that he should be detained. She says that a belief in spirits should not mean he should be detained and that she herself believes in similar things. She does not necessarily view him as being very ill at the current time.
How do you now proceed, bearing in mind that you have grave concerns over this man's welfare and safety?
:dunce: :crazy: :bounce: