Mental Health and Wellbeing: Assessment, Risk Factors, Care Plan, and Positive/Negative Interaction

Running head: MENTAL HEALTH AND WELLBEING
Mental Health and Wellbeing
Name of the Student
Name of the University
Author Note

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MENTAL HEALTH AND WELLBEING
Answer 1
1. APPEARANCE
Dimitri is a young man of Asian origin and presents himself as tidy, neat and
well groomed. He has black hair of medium length and was dressed in casual attire.
His physical built was lean with love skin tone. Dimitri wears glasses and his thin rim
of moustache.
2. BEHAVIOUR
Throughout the interview process Dimitri is found to be cooperative however,
he has extremely slow engagement in the entire conversation. This is evident from
the his gestures like fiddling of fingers and excessive movements of hands. His
sitting posture was little hunched and was aligned on the left side during the entire
tenure of the interview. He exhibited extremely poor eye-contact during the entire
interview process and frequently got distracted when he hear voices. For example,
upon hearing certain voices, he turned his head towards the direction from which the
voice was coming, interrupting the conversation. He looked restless and was less
attentive as he was asking to repeat questions over and over again to the interviewer
(nurse).
3. AFFECT
Dimitri noted to be restricted as he stated that he is scared and is not
comfortable. However, his facial expression does not reveal any expression of fear
or anxiety.
4. MOOD

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MENTAL HEALTH AND WELLBEING
Dimitri's mood was not stable and this is evident when he stated that he is not
comfortable during the process of interview conduction. He also reported that he is
scared and fearful when he hears certain voices because he thinks that the voices
are criticising him.
5. SPEECH
Dimitri did not initiate any conversation by his own during the entire interview
process. When he spoke, his voice was slightly slurred, slow spaced and repetitive.
The volume of his voice is normal but at times it became loud when he hearted
voices. During the entire interview process, there was no spontaneous initiative to
indulge or continue the conversation. He was only providing short or one word
answers to the directed question framed by the nurse.
6. THOUGHT FORM
There are evidences of blocking of thoughts, looses association of logic with
the questions along with incoherent mixture of phrases and words. He stars hearing
certain voices even before he lines-up the ideas or these thoughts are finished and
this interrupts his line of thought. Eventually after a brief pause or interruption, he
fails to recall what he was saying.
7. THOUGHT CONTENT
Dimitri was found saying tht he was passing through auditory hallucinations
and those voices were constantly criticising him. He also did not express any signs
of obsessions or delusions at the moment. Moreover, he denied any intentions of
harming others or causing harm to self or self-harm. Dimitri was also found saying
the he will undertake certain protective actions for his self-defences. He also said

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MENTAL HEALTH AND WELLBEING
that he has stated writing novel but he was unable to finish the same due to these
auditory hallucinations.
8. PERCEPTION
He was suffering from auditory hallucinations as he recorded that he was
hearing voices.
9. COGNITION AND INTELLECTUAL FUNCTIONING
Dimitri is an oriented human being and was alert about the current place and
time. However, when questioned, he replied back after a brief pause. He mentioned
to the interviewing nurse that he was brought there b y one of his friend names
Cheryl and at present he is at mental health clinic which generally followed an
interview process. When the nurse conducted an intellectual functioning test, he
gave correct answers to simple mathematics questions initially. However, later on,
he corrected himself with wrong answers and informed the nurse that he weak in
mathematics. Memory test was not performed but he displayed a good memory in
the domain of the list of the medication that he is taking.
10. INSIGHT AND JUDGEMENT
Dimitri is aware of the mode of action of his prescribed medication. For
example he said that Olanzapine will help him recover from hearing voices and this
reveals that he has good insight and intact judgement. He also reported that when
he did not take the medication (Olanzapine) for a month when he was in Japan, the
situation became worsen as he started listening voices. He also has good level of
judgement as he agrees to take new set of medications as prescribed by the doctor.
However, he stated that he is not crazy.