Treatment plan for Paranoid- type Schizophrenia Case Study

Treatment plan for Paranoid- type Schizophrenia - Case Study moralThe paper tells that the goals of treatment for paranoid- type schizophrenia emphasize the promotion of safety of the customer and other involved people, ensuring proper nutrition, enhancing therapeutic relationship between the node and the therapist, and prevention of complications associated with medications and inappropriate social behavior. Recent developments in mental health research try out the importance of treating the client as an individual guinea pig rather than as part of the general afflicted population. In considering the treatment plan in this particular scenario, the psychiatric diagnosis may be entangled with the consideration of the clients current substance abuse. Since substance abuse appears to be co- morbid for this clients case, prescription of medications should consider all aspects that could hamper the clients adherence to the regime. When the climax of the appearance of signs and sym ptoms starts to stabilize, assistance may be needed to facilitate the clients reintegration to the society. In this phase of treatment, follow- up care should facilitate the participation of the clients family to identify early signs and symptoms of relapse. Since the client is potentially harmful to herself and others, safety should be regarded as the highest priority. Based on the initial assessment performed in the clinic, the client looked paranoid and seemed to be threatened by her new environment. At this moment, it is important that the therapist approach the client in a non threatening manner. Furthermore, the therapist should also be careful not to sound authoritarian as it may increase the clients stress level. Space is a vital component to be considered especially in the early phase of preventatives (Videbect, 2007). With the stance of the client, preemptive measures should include securing a physicians order for administering medication to control potentially injurious behaviors. Moreover, the therapist should continue to observe signs of escalating aggression such as pacing, kicking, and yelling. A quiet and less elating environment may be helpful in calming the client. However, seclusion and other forms of restraints may also be needed in heightened situations. Evaluation of this intervention is concurrent and does not end until the client demonstrates full recovery. The therapist should be careful in deciding whether the client has fully achieved a mental status at a functional level. Research has suggested that the clients report of feeling a sense of well- being is never an assurance that the risk for self- suffering has subsided (Videbect, 2007). Management of medications and side effects Another important aspect regarding the establishment and maintenance of safety for the client is the careful monitoring of the adverse effects of medications (Valenstein et al., 2011). male psychotropic drugs may light upon the organ function, especial ly the liver and kidneys, of clients on prolonged therapy. BUN and liver enzymes monitoring should be part of the treatment regimen to ensure that the client maintains a safe level of the medication. Other minor side effects like frequent urination, constipation, dry mouth, and photosensitivity may affect the clients adherence to prescribed therapy. Most patients initiating antipsychotic medications tend to terminate the regimen within the first few months of treatment (Olfson et al., 2007). Studies have shown that misadventure to follow the prescribed medications for mental health conditions is the most common cause of relapse of psychotic symptoms and subsequent hospital readmission (Videbect, 2007). With proper adherence to the prescribed therapy, the client is expected to attain a functional recovery and lead a normal life. Actually, the clients adherence to the prescribed regimen may be facilitated by the therapist in various ways.