Schizophrenia Case Studies

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Diagnosis: Schizophrenia
Based on clues from the case study, we have diagnosed Marianne with Schizophrenia. Schizophrenia is a severe disorder that is seen as disordered, distorted thinking often demonstrated through delusions, hallucinations, disorganized language, and unusual motor behavior. it states that Marianne has showed signs of flat affect, a negative symptom of schizophrenia. Marianne also explains that she hears voices, which can be referred to as hallucination - a positive symptom of schizophrenia. Marianne believes that she is being persecuted by some of her closest friends. This can be understood as delusion of grandeur, which is the belief that people are out to get you.
Insight Therapy:
Gestalt therapy is an experiential form
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Most psychologist treat their psychotic patients with a more cognitive approach. Due to Marianne’s diagnosis of Schizophrenia we have planed to use the ABC model as a way of cognitive-behavioral therapy. Realistic goals should be discussed in the early stages of the cognitive-behavioral therapy. The ABC model should be discussed and portioned into Activating Events (A), Beliefs (B) about the events, and the Consequences (C) of their thoughts/actions. The ABC model can be understood as being separated into stages based on the events. At the beginning, the negative event, which is part of the activating event category (A) of the ABC model, can be either be interpreted into an either rational and irrational belief. The showing of an irrational or rational belief is part of the belief category (B) of the ABC model. If the patient shows a rational belief than he would show healthy negative emotions, if he shows irrational belief than he would experience unhealthy negative emotions. These demonstrations of healthy and unhealthy negative emotions is part of the consequences category (C) of the ABC model. To begin Marianne’s cognitive behavioral therapy she should start to rate the intensity of distress based on a scale from 0-10. After the rating, her consequence ( C), like losing her friend’s and family because she thinks they are all conspiring against her, will then be divided into emotional and behavioral consequences. Marianne will then give her own explanation as to what activating events (A) seem to have caused the consequences (C). She will then be provided feedback to acknowledge the A-C connection. Marianne’s own Belief (B) which is the actual cause of C will then be discussed. This is how Marianne’s Schizophrenia will be approached by the