Patient Evaluation for Mr. Jones

Triston Grounds

Abnormal Psychology- Professor Leonard

6/21/11

Mr. Jones

Patient Evaluation for Mr. Jones

Patient's stated reason for coming: John Nash c has schizophrenia and suffers from severe mental illness, as he experiences most, if not all, of the symptoms that are required to make a diagnosis of this mental illness

History of the present illness: He claims to always have been a happy-go-lucky type of guy. Mr. Jones claims a partner that died this seems to be the strike of why his manic depressive disorder elevates and why he acts in such a way. Mr. Jones believes that he can fly tries to fly off a construction site which results in him checking in to a psychiatric hospital. Jones appears charismatic, seductive, provocative, and euphoric. Mr. Jones manages to spend all his money in a couple of days, indicating a self-destructive pattern. At age three he started to play Mozart, by twelve he had claimed that had read everything, and at eighteen he was the center of the universe. He claims to just have woken up one day and was in a mental institution. Jones was first diagnosed with manic-depressive illness in late adolescence and had several hospitalizations for more than 20 years. He talks about a serious suicide attempt in college, but then makes light of it by adding a joke. First his concentration decreases as he loses an unusual skill with numbers; then he appears listless and sullen. He becomes so apathetic that he can't even wash himself. He wanders around, not enjoying anything that usually appeals to him. He moves slowly, appears lost, and ultimately accepts help. After he realizes that he can't stop the sadness, he takes his prescribed medication. Not long after this phase, his mood starts to escalate again. His speech speeds up, and he shows a sense of humor. But instead of his previous qualities of expansiveness or elation, Jones now demonstrates irritability.

Past psychiatric illness, treatment and outcomes: Jones was first diagnosed with manic-depressive illness in late adolescence and had several hospitalizations for more than 20 years. He talks about a serious suicide attempt in college, but then makes light of it by adding a joke. Mr. Jones admits to taking 73 aspirin and never having a headache again. There is no other previous treatment or outcomes mentioned.

Medical history: Jones was first diagnosed with manic-depressive illness in late adolescence and had several hospitalizations for more than 20 years. He talks about a serious suicide attempt in college, but then makes light of it by adding a joke. In a previous relationship his girlfriend saw signs of a mental illness while he thought he was functioning fine.

Psychosocial history: His relationships with his family, friends, and colleagues are disrupted by the intrusiveness of the symptoms of his mental illness, especially because he is perceived as being so smart and the bizarre behaviors he exhibits are so unlike with the perceptions that others had of him. Even before the onset of his mental illness, he admits that he is not a particularly personable individual, and he has always been more comfortable and satisfied with numbers and his work than with people. Nonetheless, he is able, before his illness, to forge several significant relationships, including a romantic relationship that leads to his marriage to Alicia

Drug and alcohol history: Unknown

Behavioral observations: John Nash displays classic positive symptoms