When considering a diagnosis of schizotypal disorder, the PMHNP expects which of the following to be present in the history?
Answer:
Mr. Kendall is a 47-year old male who is presented by his younger sister Megan to care. Mr. Kendall has spent his entire adult life living in an apartment that was attached to his parents’ home. His mother died a few weeks ago, and the property is listed for sale. Mr. Kendall will have to move, and while discussing this with him, Megan became very concerned. He has apparently been considered odd all his life, has never married or even dated as far as Megan knows, but she had no idea how odd he was. When his mother died, he seemed disconnected from reality and had episodes of talking to people who weren’t present. Megan says that sometimes she does not even understand what he is talking about. He seems to think he has psychic powers, and that he doesn’t need to move because he knows the house will not be sold. diagnosis of schizotypal disorder
Mr. Kendall is a 47-year old male who is presented to care by his younger sister, Megan. Mr. Kendall has spent his entire adult life living in an apartment that was attached to his parents’ home. His mother died a few weeks ago, and the property is listed for sale. Mr. Kendall will have to move, and while discussing this with him, Megan became very concerned. He has apparently been considered odd all his life, has never married or even dated as far as Megan knows, but she had no idea how odd he was. When his mother died, he seemed disconnected from reality and had
Mr. Kendall is a 47-year old man who is referred by his sister for assessment of a mental disorder for which the noted diagnostic criteria are met. Mr. Kendall’s 50+ year history includes significant concerns about the prospect of moving from the home he shared with his mother. He has been living in this home since his mother died and is unable to move forward in life. His last two personal relationships were with his mother, whom he was very close to until her death, and bizarrely, he believes that she will come back to life after burial. When stressed, he exhibits odd behavior, has episodes of talking to people who are not present and believes he has psychic powers and does not need to move because he knows the house will not be sold. diagnosis of schizotypal disorder
Mr. Kendall has been diagnosed with schizotypal personality disorder secondary to his mother’s death. Schizotypal personality disorder is characterized by odd behavior and beliefs, such as magical thinking and a feeling of cognitive emptiness. Most patients with this diagnosis are unusually reserved, believe in astrology, UFOs, and the power of crystals, and spend hours staring at the wall or ceiling. This case study outlines what the PMHNP will look for when examining Mr. Kendall. diagnosis of schizotypal disorder
Mr. Kendall is a 47 year old male who currently lives with his sister Megan. Megan has been providing care for her brother, which has taken a toll on her both emotionally and financially. Mr. Kendall has never married and is quite awkward around women. He has difficulty looking at people when they speak to him, seldom smiles and has no close friends. Mr. Kendall has not worked in over 10 years, but is skeptical that he needs to do so.
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When evaluating Mr. Kendall, the nurse practitioner (NP) also observes deviant social behavior due to cognitive and perceptual abnormalities. He has had only one short-term relationship and thus appears to have never experienced true love. He works as a cook at a small diner and claims to have psychic abilities to see the future because of this job. When comparing an individual with Schizotypal Personality Disorder that does not have persistent psychotic symptoms with normals, which of the following presentations would be expected most frequently? diagnosis of schizotypal disorder
Most people with schizotypal disorder describe their need for social relationships as being extremely important in their lives, even though they have never had any significant or lasting relationships. Despite all this, family members report that the person is emotionally indifferent and callously unresponsive to their expressed needs and feelings. diagnosis of schizotypal disorder
It is 5pm when Megan Kendall rushes in, out of breath and scared. Her older brother, Kendall, will not budge on the idea of having to move out of the family home. He thinks a couple from California bought it and wants to find them and make them stop. “No one’s bought it,” Megan says. “There are no such things as psychics. You have to move.” Kendall replies, “I’m dead if I leave this house.” diagnosis of schizotypal disorder
Question:
Mr. Kendall is a 47-year old male who is presented to care by his younger sister, Megan. Mr. Kendall has spent his entire adult life living in an apartment that was attached to his parents’ home. His mother died a few weeks ago, and the property is listed for sale. Mr. Kendall will have to move, and while discussing this with him, Megan became very concerned. He has apparently been considered odd all his life, has never married or even dated as far as Megan knows, but she had no idea how odd he was. When his mother died, he seemed disconnected from reality and had
episodes of talking to people who weren’t present. Megan says that sometimes she does not even understand what he is talking about. He seems to think he has psychic powers, and that he doesn’t need to move because he knows the house will not be sold. When considering a diagnosis of schizotypal disorder, the PMHNP expects which of the following to be present in the history?