Mental Health: Understanding Paranoid Schizophrenia and Treatment

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HEALTH CARE ASSIGNMENT
(By)
Class (Course)
Professor (Tutor)
School (University)
City and State
The Date

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Introduction
In this essay, I am going to discuss Erick, a patient who has been assessed by healthcare
mental crisis team as he appears to have suffered from paranoid schizophrenia and some kind
of psychosis. To justify my clinical judgment, I will use literature to identify the mental
illness in Erick. I will discuss the probable cause of the illness, Aetiology and also signs and
symptoms of the mental disorder through the ICD- 10 criteria. Within the essay, I will
elaborate more of the nursing interventions and the treatment which are appropriate for the
understanding of the recovery concepts and health promotion that can reduce, control, and
prevent the relapse of the mental illness.
Through the Guidelines in the NICE, the ICD- 10 is among the major diagnostic procedures
of schizophrenia illness. It demonstrates the paranoid schizophrenia is a kind of mental
disorders characterized by hallucinations and persecutory or paranoid delusions as shown by
Erick’s presentation. The fact that the family members have observed Erick's signs and
symptoms for over six months, it indicates that he does not have psychotic episodes to
diagnose him with Schizophrenia. Erick also does not demonstrate some schizophrenia-
related symptoms like thought disorganization, speech incoherence, negative and catatonic
indications. As per the case scenario, the resolution team noted zero abnormal moods, motor
function disturbance, and incoherence of speech.
Aetiology
According to my clinical judgment on the patient’s illness, specifically the diagnosis, there is
a necessity to discuss with Erick concerning his past events, family background, and his
history. This is because there is no known evidence of schizophrenia development in people.
There are possibilities that Erick’s condition could have been caused by genetic factors,
neurotransmitters abnormalities or through environmental factors (Mannarini, and Boffo,

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2015). Schizophrenia is associated with genes from family members and relatives, and the
risk is high for identical twins. Mr. Erick can be diagnosed with Schizophrenia if there is a
case of such disease among his relatives. However, the case study has not provided us with
such sufficient information to enable me to make that conclusion. Schizophrenia is not
specifically determines based on the genetic field. Genetics only affect illness. According to
the vulnerable stress model, there is a relationship between the exposed genes and the
environmental aspect which may lead to schizophrenia development (Peralta, and Cuesta,
2016).
During the early prenatal death, child’s physical illness-treatment and virus exposure triggers
the illness and may enable the susceptibility to a person who is already predisposed to
schizophrenia genetically. Other aspects linked with schizophrenia include substance misuses
such as heroin, cannabis, and alcohol, but the case study had no information about Erick
using drugs. To assess this, a Urine Drug Screening (UDS) test has to be carried out on Eric
to clarify the case of substance misuse. A key is of noting this is whereby Eric, a young male,
show no interest or any motivation to see his friends as it is expected to peers. Also, his
family is disturbed by his issues, and schizophrenia mostly develops on young people at ’20s
and early adulthood (Grover et al, 2015).
Sign and symptoms
As discussed in the Aetiology above, schizophrenia exposes symptoms like hallucinations,
hearing of imaginable voices, paranoia, delusion and seeing imaginable things. In addition, a
victim has negative symptoms of disorganized emotional responses, depression moods and
isolating him/herself from family and friends (Strik et al, 2017). According to the ICD-10
guidelines, symptoms for schizophrenia should appear for at least one month and also the