The biggest problem John presents for his family is the psychological stress, especially for his parents, and the financial strain if the doctor prescribes serious medications. Although John is covered by his parents’ insurance, the brothers are also concerned about the attitude John is taking due to his condition. He was known to be a strict boy who did not entertain the nonsense of his classmates. However, immediately noticing a change in his lifestyle and social life, John becomes a threat to young children and the elderly who don’t have much energy. This is the case reported by family and friends of John who loved him and felt that his health condition could worsen later in his life. They did not know what had happened to John since he left school and the negative attitude he had towards the other members of the family. Therefore, this essay will seek to reveal the health problem that worries John and propose solution strategies for the problem. It will cover the history, symptoms, and other social events that may relate to the attitude changes John was showing to his family and peers (Beck, 2011).

History of the presentation of the problem

When John was nine years old, he developed a serious mental illness that doctors diagnosed as abnormal migraines emanating from the central part of his brain. As he took medication and recovered from his condition, he began to isolate himself from other students at school. Some of his closest friends at home and at school, after which the class teacher put him under surveillance, reported this. His class teacher could not see any strange behavior in John because he was calm all the time and acted normal in the presence of the teacher. However, this could be happening because John was a disciplined child who obeyed his parents and made smart decisions at school (Beck, 2011).

The teacher recommended a therapist to try to interpret the sudden change in behavior that John was exhibiting. The therapist was unable to give a concrete interpretation of his condition, but did link the migraines to some effects on his mental health. John continued with his school work but at a slow pace. He missed doing homework or sometimes fell asleep and felt like not going to school anymore. His parents took him to the hospital for a medical checkup, after which they urged him to continue with his schoolwork as normal. The condition worsened one day when his desk mate noticed that he was talking to himself. As a friend, the girl reported the problem to the class teacher, who informed John’s parents about the latest developments in his condition. John denied being sick on several occasions when asked by the teacher. He kept saying that he was fine and for everyone to stop bothering him about illnesses he couldn’t feel (Beck, 2011).

development history

John’s medication was formally started after painful migraine headaches when he was nine years old. After being discharged from the hospital, he isolated himself from his classmates and acted strangely towards his best friends. However, most of the students at his school came to notice his worst behavior after the death of his sister whom he loved so much. Since then, his parents took him to the nearest local hospital where he was given antipsychotic medication. With developments in different behaviors and attitudes towards people, John asked everyone to visit his room after getting permission from him. He began giving conditions to everyone in the family in matters that touched his personal life (Beck, 2011).

He got progressively worse as he realized that the medications he was taking had no meaning for him. Because he skipped his medication and did not allow his parents to monitor his medication, John got progressively worse. These conditions resulted in several psychiatric emergencies that required hospitalization. After the emergencies, the school administration advised his parents to arrange for him home school sessions or admission to a mental school. His reasons were based on the safety of other students John interacted with on campus. They thought that John might do something bad like hurt himself or hurt another student which makes him angry. John developed anger and violence towards those students he perceived as enemies on campus. After a series of psychological tests, his parents arranged homeschooling sessions for him while giving him medication to recover (Beck, 2011).

One of his teachers noticed strange behavior from John when he checked in to grade his assignments. John locked himself in the bathroom as he yelled that someone wanted to hurt him while he was home alone. Despite this, John continued to educate him but at a slower pace as he hid in his room from time to time when the teacher arrived. However, the teacher provided substantial information about his condition when he stated that John heard non-existent voices coming from the radio. Later that month at his home, John told his parents that he didn’t want to continue learning. His parents and siblings tried to convince him to continue his education, but he refused. Since he left for apprenticeship, john sits at home all day watching tv or playing in the garden. There is a change in his behavior from normal to psychotic (Beck, 2011).

Also, John exhibits various abnormal behaviors, such as walking around at night while talking about his stern teacher and his parents spying on him. He feels that everyone is ganging up on him and gets very angry with people. Sometimes conversations turn serious when he scares people with death threats and suicide threats (Beck, 2011).

Conceptualization and Diagnosis of Cases

John’s case conceptualization covers information from his medical records and his social life. The teen has records of behavior change since he was diagnosed with migraines that affected his mental health at times. However, his paternal grandfather had a history of persistent headaches, later found to be schizophrenia. From his medical record, his doctor posted different comments in his file that could help draw conclusions about his current medical condition. John suffers from a mental illness that has taken over his entire being so that he cannot recognize any charge in his social behavior. His social life has also changed from extroverted to introverted and violent with people concerned about his life. From the symptoms of psychotic disorders that John had after leaving school, it is clear that DSM code 295.30 could represent an illness that John has. John displayed various symptoms of paranoid schizophrenia immediately after becoming an adolescent (Beck, 2011).

References

Beck, A. (2011). Schizophrenia: cognitive theory, research, and therapy. New York: Guilford Press.