Schizophrenia disorder presentation for advanced psy
Schizophrenia DisorderPresented by Chau Nguyen-Davis
A single story• Thuy Tran hears voices.• Refuses to take showers• Trust issue with families and friends
What is schizophrenia?• Schizophrenia is a chronic, severe, and disabling brain disorder that has affected people throughout the history.
Symptoms• People with the disorder may hear voices other people do not hear. They may believe other people are reading their minds, controlling their thoughts, or plotting to harm them.
Treatment• Helps relieve many symptoms of schizophrenia, but most people who have the disorder cope with symptoms throughout their lives.
In the 1990’s• New antipsychotic medications were developed. Examples include:• Risperidone, zyprexa, seroquel, geodon, abilify.
Side effects of drugs• Some people have side effects when they start taking these medications. Most side effects go away after a few days and often can be managed successfully. Side effects of many antipsychotics include: drowsiness, blurred vision, rapid heartbeat, skin rashes, menstrual problems for women.
Schizophrenia’s statistics• 1.2 percent of Americans have the disorder.• 1.5 million will be diagnosed around the world.• In the USA, 100,000 people will be diagnosed• 7.2 people per 1,000 people within a city of 3 million who are likely to be suffer from schizophrenia.
Original name for this illness• Demetia praecox
The onset• During adolescence or early adulthood.• May begin in middle or late adult life.
Median age at onset• For men, the first psychotic episode of schizophrenia is in the early to mid 20s.• For women, the first psychotic episode of schizophrenia is in the late 20s.
Signs and symptoms• Social withdrawal• Loss of interest in school or work.• Deterioration in hygiene and grooming, unusual behavior, outburst of anger.
Symptoms of schizophrenia are divided into two major categories.• Positive symptoms ( delusions, somatic hallucinations, hearing voices, thought insertion or withdrawal)• Negative symptoms( alogia, avolition, anhhedonia, bluted.)
Causes• Genetic, biochemical, development, and environmental factors.• There is no known single cause of the disorder.
ProQuest Science Journals• Treating Oriental Patients with Western Psychiatry: A 12- Year Experience with Vietnamese Refugee Psychiatric Patients.• Out of the 2 million Vietnamese refugees, more than 1.5 million have been scattered around the world in many countries, such as the United States.
Cultural Perception of Mental Illness• Vietnamese perceives mental illness as a stigma.• Abnormal behavior is unacceptable for it shows a failure of one’s education on the control of behavior and consequently, will be a source of shame for the patient and his or her family.• All efforts will be made until the family gives up and accepts the need to refer the patient for treatment.
Abnormalities of cognitive function• Delusions and hallucinations are considered extrinsic to the patient’s normal mind.• They are believed to come from spirits of relatives or others, evils, or divinity.
Abnormal emotional manifestations are also unacceptable.• Individual selfcontrol is a constant requirement.• When control fails, further assistance may be provided by the elders of one’s own family.• This lack of control is a shame and not to be revealed to outside people.
The Vietnamese Mental Health Project• Established in 1989• Mental health problems amongst refugees from Vietnam resettled in London.• From 1995 the Project has changed its name to Vietnamese Mental Health Services (VMHS).
Aims• Aims to preserve and protect the good mental health of persons from Vietnam and their dependents and to promote a quality and culturally sensitive mental health services to people from Vietnam in the UK.
Services• Outreach and counseling services• Training/education about mental health issues; health/social care systems to people from Vietnam.• Publishing booklets in Vietnamese on mental health issues, and bimonthly Health Newsletter.
Counseling Services• Individual Counseling: work on crisis; confidence building and empowerment.• Family Counseling: helping family members coming to terms with mental illness in the family; dealing with dysfunctional family dynamics.
Supported Accommodation• Care and support provided include: monitoring mental state of residents for early intervention, medication taking, informal counseling and advice, life stills training, socialisation, encourage residents to take part in vocational training including English class.
Training/Education/Information• Meeting at the drop-in day centres• Visit a home• Health talk session• Booklets and health newsletter published in Vietnamese.
Contact• Vietnamese Mental Health Services at firstname.lastname@example.org
Conclusions• Many changes have been observed in the Vietnamese refugee’s perception of mental health after 14 years of resettlement in the USA.• Families are more understanding and accepting.• Young adults have started seeking professional help whenever they have emotional problems.
References:• “Vietnamese Health Mental Services” retrieved on June 14, 2012 from http://vmhs.org.uk/home2/english.php.• Psych Central. “Asian immigrants report fewer mental health problems” retrieved on June 14, 2012 from http://psychcentral.com/news/archives/2006-11/uow-air112706.html.• Today@UCI:Press Releases. “Older Vietnamese report more mental health problems” retrieved on June 14, 2012 from http://archive.today.uci.edu/news/release_detail_iframe.asp.• ProQuest Science Journals. “ Treating Oriental Patients with Western Psychiatry: A 12-Year Experience with Vietnamese Refugee Psychiatric Patients” retrieved on June 11, 2012 from http://search.proquest.com• ProQuest Central. “ Adjunctive benzodiazepine treatment of hospitalized schizophrenia patients in Asia from 2001 to 2008” retrieved on June 11, 2012 from http://search.proquest.com.