TOMASDELROSARIO

COLLEGE
BalangaCity,Bataan

ParanoidSchizophrenia

Submittedto:
Prof.RoseCabritit
Submittedby:
ReynaldoM.VianzonJr.

I.BiographicData

Name:

R.C.

Age:

42

Sex:

Female

Citizenship:

Filipino

CivilStatus: Single
Religion:

Catholic

PlaceofBirth:ZamboangaCity

DateofBirth:January15,1973
Address:

Pangasinan

Occupationpriortoadmission:
Education:

HairStylist

CollegeGraduate

Dateofadmission:

February2015

Previousadmissions:

2013

AdmittingDiagnosis:

ParanoidSchizophrenia

Informant:

RCsSister

II.INTRODUCTION

AteRCsfamilyoriginatedinZamboangaCity,herfatherdiedwhenshewas
only6yearsold.Hermotherworkedhardtogivethemabetterfutureandtosupporttheir
studies.Farmingistheirbreadandbutter.Luckilytheyallgraduatedwithadegree,
exceptforher.Shestheyoungestamongher5siblings.ShemovedtoManilawhenshe
was17y.otocontinuehercollege,tookSecretarialfromaSchoolsomewhereinTaft.
Shealsotookafreetraining/vocationalcourserelatedtohairstyling/manicurist/
massage.Thatbecameherpassion,thatiswhereshefoundhersatisfaction.Shewas
workinginherSistersbeautysaloninManila,whichhappenedtobeherclosestsister
too.Shementionedthatmostofhersiblingswerejudgingherwhenitcomestoher
achievements,andfailures.Andthatreallyaffectedherinmanyways.Whilepursuing
hercareer,shestayedinherclosestsisterinManila,togetherwithherSistersown
family.
Herproblemstartedsometimein2010.Afterbeingdepressedwithsomepersonal
problems.ShesaidthatshestartedhearinganOldladysvoiceinsideherhead.Soher
sisternoticedherunusualbehaviorandseekforanimmediatehelp.Shewasbroughtto
MandaluyongMentalHospitalin2011.Whenshewasreleasedinthesameyearher
siblingsdecidedtobringherhometoPangasinanwhereherothersisterisresiding.They
believedthataprovincelifewillhelphertorecoverfaster.Butunluckily,herrelationship
withhersisterinPangasinanbecamedamaged,duetoconstantfighting/arguments.That
alsohinderedherfromrecovering.Thatexperiencemadeherdecidetogobackina
mentalinstitution,butthistimeshedecidedtoenterMarivelesMentalHospin2012.
ThatwasthefirsttimeofheradmissioninMMH.Herpresentadmissionisherthirdtime
inMMH.Shementionedthatifshewillbesenthomesoon,shewouldwanttobewith

herclosestsisterinManila,aswellashernieceandnephewsthere.Shesaidthatisher
whereshecanfeelthatshebelongs.Shesreallylookingforwardingoinghomereal
soon.Tobewithherfamilyandtostartworkingagain.AteRCisshowingagreat
improvementanddevelopment.Ireallyhopethatshecangohomesoon.
III.DESCRIPTIONOFTHECONDITION
Schizophreniaisamentaldisordercharacterizedbythedisturbancesinthoughts,
sensoryperceptionanddeteriorationinpsychosocialfunctioning.Itisalsocharacterized
byaweakego.Thecommondefensemechanisms usedbyindividualareregression,
projection, withdrawal and denial. There are four As to acknowledge in having
schizophrenia,first,theassociativelooseness,thebluntedaffect,ambivalenceandthe
autisticthinking.
Paranoidschizophreniaisthemostcommontypeofschizophreniainmostparts
of the world. The clinical picture is dominated by relatively stable, often paranoid,
delusions usually accompanied by hallucinations particular auditory variety, and
perceptual alterations. Disturbances of affect, volition and speech, and catatonic
symptomsarenotprominent.ParanoidSchizophreniaismanifestedprimarilythrough
impaired thoughtprocesses,inwhichthecentral focus isondistortedperceptions or
paranoidbehaviorandthinking.Delusionsareinmostcasesgrandiose,persecutoryor
both.
Withparanoidschizophrenia,theabilitytothinkandfunctionindailylifeisbetter
compare with other types ofschizophrenia. It may not have as many problems with
memory, concentration or dull emotions. Still, paranoid schizophrenia is a serious,
lifelongconditionthatcanleadtomanycomplications,includingsuicidalbehavior.

Thoseindividualswhodiagnosedwithparanoidschizophreniaarenotespecially
pronetoviolence;oftenprefertobealone.Studiesshowthatifpeoplehavenorecordof
criminalviolencepriortodevelopschizophreniaandarenotsubstanceabusers,thenthey
are unlikely to commit crimes after they become ill. Most violent crimes are not
committedbypeoplewithparanoidschizophrenia,andmostpeoplewithschizophrenia
do not commit violent crimes. Substance abuse always increases violent behavior,
whetherornotthepersonhasschizophrenia.

Ifsomeonewithparanoidschizophreniabecomesviolent,theirviolenceismost
oftendirectedatfamilymembersandtakesplaceathome.Theseindividualsmayspend
anextraordinaryamountoftimethinkingaboutwaystoprotectthemselvesfromtheir
persecutors.

The onset of the disorder is usually later than catatonic or disorganized

schizophrenia.Menhaveearlieronset,andmorefrequentthanwomen.Womenhavea
bimodalonsetwithpeaksintheir20sandearly40s.Onestudydemonstratedwithin
subtypeageofinstitutionalizationgenderdifferencesonlyforparanoidschizophrenia

Thepresentetiologyoftheparanoidschizophreniaarethefollowing,geneticsitis
knownbecausepeoplebelievedthatmental disordercanbeinherit.Othercausesare
decreaseddopamine,stress,alcoholabuseandsubstanceabuse.

Prognosisofthediseaseisgoodwhenthereisnofamilialhistoryofthedisease,
thepatienthasgoodsocialandprofessionaladjustmentpriortoonsetofsymptoms,ifthe
diseasecomesuddenlyandthedisorderistreatedearly,quickly,consistently.Andonset
symptoms occur at later years oflife and there is an absence ofsymptoms between
psychoticepisodes.
Paranoidschizophreniaisusuallytreatedwithacombinationoftherapies,tailored
to the individual's symptoms and needs. Antipsychotic medications can reduce
hallucinationsanddisorderedthinking,butdonotaffectthesocialwithdrawalthatis
common among those with paranoid schizophrenia. Failure to take medication even
duringremissionperiodscanresultinarelapse.Psychotherapyisusedtoaddressthe
emotionalandsocialissuesthatresultfromparanoidschizophrenia.Grouptherapycan
beespecially helpful,becauseitcreates opportunities forsocializationforindividuals
withparanoidschizophrenia.
Thereasonofchoosingparanoidschizophreniaasstudyistoaddknowledge,and
toknowdifferentcontributingfactorsindevelopingthesaidillness.Perhapstocorrect
themisconceptionofnotallpeoplewhohavementalillnessareviolentanddangerous.
Whilethismaybetrueinsomecases,thegeneralizationhasbeenmadefartoowidely.
These attitudes contribute to a significant amount of prejudice against the
mentally ill, which may prevent people from seeking help. Stigma may also affect
peoples recovery, contributing to low selfesteem and decreased social contact. In
contrasttophysicalhealthissues,mostpeopleinourcommunityavoidevendiscussing

thesubjectofmentalillness,dancingaroundtheissueintheshadowofthesepervasive
misconceptions.
Moreover, the preferred client had a superficial manifestations which seen
directlytotheclientsexperiencingthesaidmentalillness.Andtheclientwascooperative
andprovidedprimaryinformationthatIneededinconductingthisstudy
IV.FAMILYHISTORY
AccordingtoAteR.C.,theyweresixandshewastheyoungestinthefamily.Her
fatherdiedwhenhewas6yearsoldduetoheartattackwhilehermotherdiedsometime
in2012.Theywereraisedandsentingoodschoolbyhermother,whowasafarmer.Her
fivesiblingshavetheirownfamilyandlivedseparatelywhileAteR.C.remainedsingle,
nochildren.Whichis correct,andmatchestheinformationwritteninherchart.

Also,shesaidthat shehadnoknownhistoryofhaving mental illness inthe

family.Sameinthechart,therewerenoreportsthatsomebodyintheirfamilysuffered
fromthesamecondition.