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I NEED THIS 01/16/21 BY 8PM

Please no plagiarism and make sure you are able to access all resources on your own before you bid. You need to have scholarly support for any claim of fact or recommendation regarding treatment. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Remember to use scholarly research from peer-reviewed articles that is current. Sources such as Wikipedia, Ask.com, PsychCentral, and similar sites are never acceptable. Each classmate’s post is listed so please respond separately.

Read your classmates’ postings. Respond to your classmates’ postings.

  • Respond to all colleagues by discussing the elements of the mini script that you liked, and why. What might you add or have said differently?

1. Classmate (T. Bra)

CO: Roger come in what is troubling you today. You made an emergency appointment, is everything ok?

Roger: I’m just feeling trapped, like I’m disengaged from my own skin.

Co: How is the new medication working?

Roger: The medication was not helping, so I quit taking it.

Co: You quit taking your medication? It has only been a little while.

Roger: Yeah, it was not helping at all. In fact, it probably made it worse. I know you people think it will help but I just do not see how it helps.

CO: Roger you should probably talk to your doctor before just stopping any medication. Why did you stop taking the medication?

Roger: It makes me tired and all I want to do is sleep.

CO: What medication did the doctor prescribe you Roger?

Roger: The doctor gave me Seroquel. She said it might make me tired for a few days.

CO: how long have you been taking it?

Roger: about a week.

CO: It does take several weeks for the medication to show you the best results. Remember you have to get used to it and it could take a little bit of time.

Roger: yes, but I must go to work, and I cannot be tired at work. So, I cannot take it.

CO: Ahh that sounds like it could be worrisome, and you might overlook something.

Roger: Yeah, and It also takes all my energy away and I do not feel like doing anything.

CO: so, you feel like it makes you too tired to do anything.

Roger: yes exactly. See you get it.

CO: ok so

So: Roger what does schizophrenia mean to you?

Roger: Well, I have been doing some research. Schizophrenia is where your brain is wired a little differently than others. Your brain reacts to things differently and has a difficult time deciding what is real and what is fake.

CO: Yes, that is a good way to put it. Does your medications help at all?

Roger: Yeah, they help with voices and shadows.

CO: So, your medication can be helpful?

Roger: Yes, they can sometimes.

CO: Maybe discuss with your doctor another medication you could try if you are not happy with the results of the Seroquel. Remember though the medication is there to help the brain function. It replaces some of the chemicals that are misfiring. The medication works by blocking the receptors that dopamine works on. Essentially slowing down the dopamine activity and therefore decreasing the symptoms of schizophrenia. Making them more manageable.

Roger: ok

CO: which makes it easier to add the techniques you have been working on into manageability instead of chaos.

Roger: The medication can help block out the voices and the shadows.

CO: Right.

Roger ill give it another try.  

2. Classmate (K. Wor)

To better learn the depth and scope of what Roger understands about his diagnosis, one potential question that I think would warrant further discussion is asking Roger about his thoughts regarding the signs and symptoms of his diagnosis. To determine Rogers understanding about the role of medications, a potential question might be to ask him how he thinks medications would be beneficial to him, or to ask what his understanding of using medications to treat his diagnosis is in general.

To better learn about the reasons for medication nonadherence, it might be useful to ask about the benefits and adverse effects for him taking the medications it. Additionally, it might be useful to ask Roger about how he is managing/reacting to the side effects of the medications prescribed.

“Schizophrenia is a serious mental illness that can affect a person’s thinking, emotions, relationships, and decision making. To experience the full benefits of managing your diagnosis, adherence to treatment regimens is essential to reduce and prevent relapse of psychotic episodes and improve chances of managing the symptoms. The use of medications in treatment of schizophrenia is beneficial to help manage these symptoms and resume everyday activities. One medication that may be useful for you is risperidone in the treatment for first-episode of psychotic symptoms and managing positive and negative symptoms of schizophrenia. This medication is an effective antipsychotic medication that helps to rebalance chemicals in the brain and improve thinking, mood, and behavior. Counseling is also an added part of treatment of schizophrenia that can help you to understand and be aware of the symptoms. I understand that a new diagnosis and way of living can be both terrifying and challenging, and taking these medications despite the side effects has required a lot of strength from you.”

References

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.

3. Classmate (K. Ros)

Roger, thank you for seeing me today. I understand that you have been diagnosed with schizophrenia, by your psychiatrist and that you were given medication to help ease some of your symptoms, is this correct?

Roger’s Diagnoses and the Role of Medication

Since meeting with the psychiatrist, do you feel as though, this diagnosis of schizophrenia is accurate?

If so, in what ways do you feel it has affected your life and if not, can you describe to me, in what ways your life has changed recently?

Can you tell me why you think psychiatrists prescribe medication such as Thorazine, the one you were recently prescribed?

Reasons for Medication Nonadherence

When did you stop taking Thorazine, and how did you stop it?

You say the medication makes you feel trapped and disengaged in your own life, can you tell me exactly what you mean by trapped and disengaged and when you started experiencing these feelings?

How are these feelings different from what you were feeling before you started taking the medication?

The Role of Medication and Counseling Alongside a Diagnosis of Schizophrenia

Medications prescribed to treat Schizophrenia, such as Thorazine, help to control symptoms. This is done by altering levels of dopamine and serotonin, which are chemicals in the brain that affect mood, movement, and the way a person responds to rewards and experiences pleasure.

Thorazine is an antipsychotic medication which can help to reduce hallucinations and psychotic episodes, during which a person experiences a sudden change in personality and behavior and can’t tell what is real from what is imagined.

Medication used to treat schizophrenia is usually paired with some form of counseling. The pairing of these two, can teach the individual how to manage stress and the side-effects of any medication. This pair can also assist in managing related issues such as anxiety and depression.

Reflection

I understand that you are not happy with the way your body has reacted to the medication. You mentioned feeling trapped and also disengaged in your own life. All medications have some form of side effects. It is important to remember that it may take some time for our bodies to adjust. A psychiatrist prescribed you Thorazine because he/she felt as though the benefit to you is greater than the risks of the side effects. Typically, most people who take this medication, do not experience serious side effects.

https://www.webmd.com/drugs/2/drug-1444/chlorpromazine-oral/details

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson. 

WedMd, LLC. (2021). Thorazine tablet. Retrieved from https://www.webmd.com/drugs/2/drug-9543/thorazine-oral/details

Required Resources

Sinacola, R. S., Peters-Strickland, T., & Wyner, J. D. (2020). Basic psychopharmacology for mental health professionals (3rd ed.). Hoboken, NJ: Pearson.

· Chapter 8, “Treatment of Psychotic Disorders”

Required Media

TED. (2016, December 2). Paul Fletcher: Psychosis: Bending reality to see around corners [Video file]. Retrieved from https://youtu.be/tV2RLLtOgL4

Note: The approximate length of this media piece is 12 minutes.

TED. (2017, December 8). Debra Lampshire: Hearing Voices: an insiders guide to auditory hallucinations [Video file]. Retrieved from https://www.ted.com/talks/debra_lampshire_hearing_voices_an_insiders_guide_to_auditory_hallucinations

Note: The approximate length of this media piece is 18 minutes.

TED. (2013, February). Eleanor Longden: The voices in my head [Video file]. Retrieved from https://www.ted.com/talks/eleanor_longden_the_voices_in_my_head

Note: The approximate length of this media piece is 14 minutes.

TED. (2016, February). Mariano Sigman: Your words may predict your future mental health [Video file]. Retrieved from https://www.ted.com/talks/mariano_sigman_your_words_may_predict_your_future_mental_health

Note: The approximate length of this media piece is 12 minutes.

The Center for Health Care Services – Bexar County  (2017, August 10). What is psychosis? [Video file]. Retrieved from https://youtu.be/RRGGxK3OpNc

Note: The approximate length of this media piece is 3 minutes.

Optional Resources

Brain Behavior and Research Foundation (n.d.). Frequently asked questions about schizophrenia. Retrieved June 13, 2019, from https://www.bbrfoundation.org/faq/frequently-asked-questions-about-schizophrenia

DreamWorks (Producer), & Howard, R. (Director). (2001). A beautiful mind [Motion picture]. United States: DreamWorks, Imagine Entertainment and Universal Pictures.

com/contents/pharmacotherapy-for-schizophrenia-acute-and-maintenance-phase-treatment” target=”_blank”>Stroup, T.S., & Marder, S. (2019). Pharmacotherapy for schizophrenia: Acute and maintenance phase treatementUpToDate. Retrieved from https://www.uptodate.com/contents/pharmacotherapy-for-schizophrenia-acute-and-maintenance-phase-treatment