How Old Is The Boy That Played In Home Alone This Is the Case Conceptualization Your Psychotic Child Doesn’t Want You to Know About!

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This Is the Case Conceptualization Your Psychotic Child Doesn’t Want You to Know About!

The biggest problem John presents to his family is the psychological stress, especially for the parents, and the financial strain if the doctor prescribes him serious medication. Although John is covered by his parents’ insurance, his siblings also worry about the attitude John is gaining because of his condition. He was known as a strict boy who was not amused by the foolishness of his peers. However, they immediately realized the change in their lifestyle and social life John becomes a threat to small children and old people who do not have much energy. This being the case, the referral came from John’s family and friends who loved him and felt that his health might deteriorate later in his life. They didn’t know what had happened to John since he left school and the negative attitude he had towards other family members. Therefore, this essay will seek to uncover the health problem that is troubling John and suggest coping strategies. It will cover the history, symptoms, and other social events that may relate to the changes in attitude that John displayed to his family and peers (Beck, 2011).

History of problem presentation

When John was nine, he developed a serious mental illness that doctors diagnosed as an abnormal migraine emanating from the center of his brain. After taking medication and recovering from the condition, he began to isolate himself from other students at school. This was reported by some of his closest friends at home and at school, after which the class teacher put him under surveillance. His class teacher could not see any strange behavior in John because he was and behaved normally in the presence of the teacher all the time. However, this could have happened because John was a disciplined boy who listened to his parents and made smart decisions at school (Beck, 2011).

The teacher recommended that the therapist try to interpret the sudden change in behavior that John was presenting. The therapist could not give a concrete interpretation of his condition, but linked the migraines to some effects on his mental health. John continued with his schoolwork, but at a slow pace. He missed homework or sometimes overslept and felt like he wasn’t going to school anymore. His parents took him to the hospital for a medical examination, after which they invited him to continue with his school duties as normal. The situation worsened one day when his colleague noticed that he was talking to himself. As a friend, the girl reported the problem to her class teacher who informed John’s parents about the latest developments in his condition. John denied being sick on several occasions when asked by the teacher. He kept saying that he was fine, but he couldn’t feel that everyone was tormenting him because of his illness (Beck, 2011).

History of development

John’s medication began formally after painful migraine headaches when he was nine years old. After being discharged from the hospital, he developed withdrawal from his peers and acted strangely towards his best friends. However, most of the students in his school noticed his worst behavior after the death of his sister whom he loved so much. Since then, his parents took him to a nearby local hospital where he was given antipsychotic medication. Along with developing different behaviors and attitudes towards people, John required everyone to visit his room after receiving his permission. He began to give conditions to everyone in the family in matters that touched his personal life (Beck, 2011).

He got progressively worse when he realized that the medicines he was taking had no meaning for him. Skipping medication and preventing his parents from monitoring his medication kept John from getting worse. These conditions have resulted in several psychiatric emergencies requiring hospitalization. After the emergency, the school management advised his parents to arrange for him home lessons or admission to a mental school. Their reasons were based on the safety of other students John interacted with on school grounds. They thought John might do something bad, like hurt himself or hurt another student who made him angry. John developed anger and violence towards those students he perceived as enemies in the school circle. After a series of psychological analyses, his parents organized home schooling classes for him while giving him medication for recovery (Beck, 2011).

One of his teachers noticed strange behavior from John when he logged in to grade his assignments. John locked himself in the bathroom while yelling that someone wanted to hurt him while he was alone in the house. Despite this, John continued with his schooling, but at a slower pace as he occasionally hid in his room when the teacher came. However, the teacher gave significant information about his condition when he said that John heard non-existent voices coming from the radio. Later that month at their home, John told his parents that he did not want to continue his studies. His parents and siblings tried to convince him to continue his education, but he refused. Since leaving school, John sits at home all day watching television or playing in the garden. There is a flip-flop in his behavior from normal to psychotic behavior (Beck, 2011).

In addition, John exhibits several abnormal behaviors such as walking at night while talking about his rude teacher and his parents spying on him. He feels that everyone is conspiring against him and becomes very angry with people. Sometimes the conversations get serious when he scares people away from him with death threats and suicide threats (Beck, 2011).

Case conceptualization and diagnosis

John’s case conceptualization covers information from his medical records and social life. The adolescent has a record of changing behavior immediately after being diagnosed with migraines that sometimes affected his mental health. However, his paternal grandfather had a history of persistent headaches, later diagnosed as schizophrenia. From his medical record, his doctor posted various comments in his file that could help draw conclusions about his current state of health. John suffers from a mental illness that has taken over his whole being and cannot recognize any accusation in his social behavior. His social life has also changed from an extrovert to an introvert who is violent towards people who are concerned about his life. From the symptoms of psychotic disorders that John had after leaving school, it is clear that DSM code 295.30 may represent the illness that John is suffering from. John displayed several symptoms of paranoid schizophrenia as soon as he became an adolescent (Beck, 2011).

References

Beck, A. (2011). Schizophrenia: cognitive theory, research and therapy. New York: Guilford Press.

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