This is the conceptualization of the case that your psychotic son doesn’t want you to know about!

The biggest problem John presents for his family is psychological stress, especially for his parents, and financial strain if the doctor prescribes serious medication. Although John is covered by insurance from his parents, the brothers are also concerned about the attitude John is acquiring due to his condition. He was known for being a strict boy who didn’t entertain the nonsense of his classmates. However, immediately noticing a change in his lifestyle and social life, John becomes a threat to young children and the elderly who do not have much energy. This is the case reported by relatives and friends of John who loved him and felt that his health condition could worsen later in his life. They did not know what had happened to John since he left school and the negative attitude he had towards the other members of the family. Therefore, this essay will seek to reveal the health problem that worries John and propose solution strategies for the problem. It will cover the history, symptoms, and other social events that may be related to the attitude changes John was displaying to his family and peers (Beck, 2011).

History of the presentation of the problem

When John was nine years old, he developed a serious mental illness that doctors diagnosed as abnormal migraines emanating from the central part of his brain. Taking medication and recovering from this condition, he began to isolate himself from other students at school. Some of his closest friends at home and at school, after which the class teacher put him under surveillance, reported this. His class teacher couldn’t see any strange behavior in John because he was all the time calm and acted normal in the teacher’s presence. However, this could be happening because John was a disciplined child who obeyed his parents and made intelligent decisions at school (Beck, 2011).

The teacher recommended a therapist to try to interpret the sudden change in behavior that John was exhibiting. The therapist was unable to give a concrete interpretation of his condition, but linked the migraines to some effects on his mental health. John continued with his school work but at a slow pace. He missed doing his homework or sometimes he would fall asleep and feel like not going to school anymore. His parents took him to the hospital for a medical check-up, after which they urged him to continue with his schoolwork as normal. The condition worsened one day when his deskmate noticed that he was talking to himself. As a friend, the girl reported this problem to the class teacher, who informed John’s parents of the latest developments in his condition. John denied being sick on several occasions when questioned by the teacher. He went on to say that he was fine and for everyone to stop bothering him about illnesses he couldn’t feel (Beck, 2011).

development history

John’s medication began formally after painful migraine headaches when he was nine years old. After being discharged from the hospital, he withdrew from his classmates and acted strangely around his best friends. However, most of the students in his school came to notice his worst behavior after the death of his sister whom he loved so much. His parents have since taken him to the nearest local hospital where he was given antipsychotic medication. With developments in different behaviors and attitudes towards people, John asked everyone to visit his room after getting permission from him. He began by giving conditions to everyone in the family in matters that touched his personal life (Beck, 2011).

It got progressively worse as he realized that the medications he was taking had no meaning to him. Because he skipped his medication and didn’t allow his parents to control his medication, John got progressively worse. These conditions resulted in several psychiatric emergencies requiring hospitalization. After the emergencies, the school administration advised his parents to arrange homeschooling sessions or admission to a mental school for him. Their reasons were based on the safety of other students with whom John was interacting on school grounds. They thought that John might do something bad like hurt himself or hurt another student that makes him angry. John developed anger and violence towards those students he perceived as enemies on school grounds. After a series of psychological tests, his parents arranged homeschooling sessions for him while giving him recovery medications (Beck, 2011).

One of his teachers noticed some strange behavior from John when he checked in to assess his homework. John locked himself in the bathroom while he yelled that someone wanted to hurt him while he was alone in the house. Despite this, John continued to educate him but at a slower pace as he hid in his room from time to time when the teacher arrived. However, the teacher provided substantial information about his condition when he indicated that John heard non-existent voices coming from the radio. Later that month at his home, John told his parents that he did not want to continue learning. His parents and siblings tried to convince him to continue his education, but he refused. Since he went away to learn, john sits at home all day watching television or playing in the garden. There is a change in his behavior from normal to psychotic (Beck, 2011).

Also, John exhibits various abnormal behaviors, such as walking around at night while talking about his stern teacher and his parents spying on him. He feels that everyone is uniting against him and he gets very angry with people. Sometimes the conversations turn serious when he scares people with death threats and suicide threats (Beck, 2011).

Conceptualization and Diagnosis of Cases

John’s case conceptualization covers information from his medical records and his social life. The teenager has records of behavior change since he was diagnosed with migraines that affected his mental health at times. However, his paternal grandfather had a history of persistent headaches, later found to be schizophrenia. From his medical record, his doctor posted various comments in his file that could help draw conclusions about his current medical condition. John suffers from a mental illness that has taken over his entire being so that he cannot recognize any burden in his social behavior. His social life has also changed from extroverted to introverted and violent towards the people concerned about his life. From the symptoms of psychotic disorders John had after leaving school, it is clear that DSM code 295.30 could represent an illness John suffers from. John displayed various symptoms of paranoid schizophrenia immediately after becoming a teenager (Beck, 2011).

References

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