1. Patient Description:
Patient is a young school age boy with light brown hair and deep brown eyes. He has a very friendly demeanor and is dressed in a polo shirt, shorts, and wears uneven socks. He lives in a home with his mother and attends school regularly. He states that he likes school but that his favorite time of day is when he is in his bedroom playing with his toys. He says that his best friend is his stuffed bear, Pooh and that he waits for him every day until he returns from school. Patient immediately starts talking about a wonderful place that he visits with his toys calls the "Hundred Acre Wood." When inquired if this is a place that he dreams about he replies that it is not in fact a dream, and that he visits this magical place with his toys. He soon shares a book titled Winnie-the-Pooh by A.A Milne. Inside of the book he reveals various drawings of his toys and their homes. The patient shows where he lives in this magical place which is the inside of a large tree. He also has a swing drawn outside the front door of his "home." Patient seems very proud of his drawings and is passionate about this make-belief place. When asked if he could show me this wonderful place, he responded that only he can see his toys and go on adventures with them. Besides this fault the patient seems to show no other signs of mental disorder.
Although patient seems like a normal boy at first glance, he does show signs of a mental disorder. He can be easily diagnosed with schizophrenia since he is unable to differentiate between real life and his imaginary world. Although his toys are real, he hallucinates having experiences and adventures with them, a sure sign of a psychological disorder. Luckily, the patient does not have hallucinations about negative or disturbing images such as death, but his hallucinations disable him from being able to make logical associations among his thoughts and ideas. The patient shows signs of positive schizophrenic symptoms including both auditory and visual hallucinations, since he thinks that his toys are alive and communicates with them. The patient also shows no indication of violent actions or thoughts which is common with schizophrenia. Although his disorder is a relatively mild case due to it not interfering with school, treatment is necessary to keep the disorder from progressing. Possible causes may include a reaction to stress, brain abnormalities such as dopamine over activity, and genetics. More testing is necessary to point out a sure cause. Treatment options include the use of antipsychotic drugs such as Thorazine, Prolixin, or Loxapine. Also beneficial would be weekly psychotherapy to help the patient learn more about his disorder, and a psychiatrist to manage his medicines. If all of these options fail, patient can consider Electroconvulsive therapy (ECT) which has been shown to help not only patients suffering from depression but also schizophrenia. These treatments will help both the patient...