Acute Care Mental Health: Assessment, Formulation, and Treatment

Acute care mental
Health
1

Table of Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY ..................................................................................................................................3
Detailed assessment of the person mental and physical health..............................................3
A formulation of problems which include symptoms of mental illness.................................4
Reflection ..............................................................................................................................7
CONCLUSION ...............................................................................................................................7
REFERENCES................................................................................................................................8
Books and Journals.................................................................................................................8
2

INTRODUCTION
According to studies extended acute care is defined as in which psychiatric are
hospitalized to provide the levels of care, this is a long term treatment which are given to adults
for the purpose of diagnosed of constant mental illness due to this reason there is need of
entailing episodes of treatment. This is an assessment of Mr. peter in which would be covering
social and psychological factor of Mr. peter. Birken and et. al., (2019).
MAIN BODY
Detailed assessment of the person mental and physical health
Case study
There is one old man named peter. Mr peter is a 40 years old. He was suffering from
mental illness called bipolar disorder which is also called manic depression, due to this there was
huge change in his mood or behaviour his way of thinking was barely changed sometimes he
could feel over energized and happy at the same time later on he used to feel hopeless and sad.
This is a disorder he was suffering from which was associated with number of episodes of mood
swings which lead to a manic depression. Whenever he used to go to the park or outside the
house, he could act very sad or talk unusual or whole day complaining about having stomach
aches or frequent headaches, his neighbours used to talk to him scornfully or mimic his activities
and tries to harm him as well as complaints about him to his parents. The passivity phenomenon
was control by external force which includes feelings, impulses, and actions. Due to this reason
he was admitted in acute inpatient facility brought by his parents with the claim of that he was
harming government property and peoples around him, or he was behaving abnormally because
of this peoples were getting scared, thus he was admitted involuntarily to the inpatient facility.
Bowman and et. al., (2021).
The parents reported that he behaves abnormally and talk unusually that peoples are
trying to harm him or making fun of him negatively, and sometimes he becomes over happy,
overexcited and on the other period he becomes over sad and hopeless, this stage classifies
hallucination. He used to hear sounds such as banging of doors, music and footsteps, sometimes
he also used hears some voices such as negative voices which are commanding him to harm
himself. He was going through psychological stress this was the reason, he was brought to
facility management and assessment. Delusion perception this is a part of bipolar disorder and
3

delusion for example Mr peter saw one car passing by him, and then he thought that he would be
killed. He also experienced auditory hallucination of third person such as group of individuals
talking and arguing about patient. Mr peter had a following history of bipolar disorder which was
genetically transferred from one generation to another and in the past there were no medicaments
were taken and the symptoms of patient like moping around, changes in mood,
hallucination,feeling sudden sensation in the body such as having crawling feeling on the skin, or
in addition he used see different shapes, colours, and peoples which wasn't real and weird
behaviour of peter was increasing day by day. Even though his family supported him in the
stages of his disease as well as given him mental and emotional support. This disorder reduced
his all skills and reduced his enthusiasm at work. Bucci and et. al., (2019).
Physical assessment
The term physical assessment demonstrates the person's improvement in health profile. In
the case of Mr peter he had a normal blood pressure as well as he was not alcoholic or smoker.
But he was going through intense emotional changes and huge changes in his behaviour and
mood were seen and such kind of changes were increasing each day, which was associated with
bipolar disorder. Consequently, there was need of assessments which could qualifies changes in
behaviour or mood, commonly this involves Mr peter should do blood testing or else brain
scanning than these test could determine symptoms. Santangelo and et. al., (2018).
A formulation of problems which include symptoms of mental illness
Mental state examination
Mr peter was very anxious and whenever he was trying to communicate, there was racing
thoughts in his mind due to this reason he was not able to concentrate along with this he was
going through delusion of thoughts such as thought insertion and thought broadcasting. Delusion
is false belief which indicate abnormality or disorders in the affected patient content of thought,
he was having disturbances in his thoughts with a multiple fragmented of delusions or in addition
some other mental disorder which includes mania or obsessive compulsive disorder and such
kind of beliefs are not accounted by the person's religious background and or cultural. There are
many thought disorders which are mentioned below;
 Alogia -This term is defined as poverty of speech in content or in amount or this is
known as loss of speech production and it is classified as negative symptom.
4