There are two major types of antipsychotic medication. Typical antipsychotics are older drugs, such as chlorpromazine and hal
WK6 Discussion SOCW 6443: Treating Psychotic Disorders
There are two major types of antipsychotic medication. Typical antipsychotics are older drugs, such as chlorpromazine and haloperidol. Typical antipsychotics tend to be highly effective, yet they often have severe side effects. Older clients are more likely to have been prescribed typical antipsychotics before newer atypical antipsychotics became available. However, as long as the client is tolerating the medication, generally the treatment will continue.
Atypical antipsychotics, or newer drugs, tend to be tolerated more readily, and the side effects are less severe (Perry, Alexander, Liskow, & DeVane, 2007). Since typical antipsychotics often have severe side effects, they are used as a last resort when the atypical antipsychotics are not effective. Nevertheless, both antipsychotic medications manage the positive symptoms of schizophrenia or other psychotic disorders, including hallucinations and delusions.
For this Discussion, review the media programs “Psychotic Disorder Case Study: Disorder Case Study: Ralph”and consider the case study’s current antipsychotic drug treatments. Next, you will be placed into one of two groups (i.e., Group A: “Harry” case study or Group B: “Ralph” case study). You then will post to your specific group about your assigned case study. You will then respond to a colleague from the opposite group about their case study HARRY
Questions in bold and answers after 300 to 500 words my case study is Ralph
Post an alternative antipsychotic drug treatment for your assigned case and explain why you think it is more appropriate.
Explain the potential negative side effects and identify symptoms that may not be relieved by the treatment.
Then, explain one potential ethical concern related to this client’s treatment and your role as a mental health professional once the client has been stabilized on his medication.
Give at least one alternative for case study Harry
Be sure to support your postings and responses with specific references to the Learning Resources APA 7th addition
Resources
Lichtblau, L. (2011). Psychopharmacology demystified. Clifton Park, NY: Delmar, Cengage Learning.
Chapter 4, “Antipsychotic Pharmacotherapy” (pp. 51–62)
Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook of clinical psychopharmacology for therapists (8th ed.). Oakland, CA: New Harbinger.
Chapter 11, “Psychotic Disorders” (pp. 129-138)
Chapter 19, “Antipsychotic Medications” (pp. 227-238)
Psychotic Disorder Case Study: Harry
Psychotic Disorder Case Study: Harry Program Transcript
[MUSIC PLAYING]
HARRY: Hey. I'm Harry. I guess I need to talk to you about the voices. I'm schizophrenic. And I tried Seroquel. I tried Zyprexa. I've taken Geodon, and Risperdal, the whole shoot and shebang.
They work, or they work pretty well for a while. I'm having trouble controlling the voices again. The voices are getting stronger. I can hear them now.
Dr. Davis says he's going to try to have to dig deeper into his bag of tricks to find something that will work. I don't know he'd want to play a trick on me. I'm not going down that rabbit hole. What?
So I'll take these stronger drugs that used to be on the—stop. Stop. Stop. Stop. Stop. Stop that. The drugs from that bag are golden. These are dark and cloudy. I'm ready for it to stop.
Sorry. [MUMBLING] How can I live alone if the voices keep getting stronger? How can counseling help me other than to help me keep a straight thought for five minutes and figure out about this new—I mean, old pill in the rabbit hole?
Psychotic Disorder Case Study: Harry Additional Content Attribution
Creative Support Services Los Angeles, CA
Dimension Sound Effects Library Newnan, GA
Narrator Tracks Music Library Stevens Point, WI
Signature Music, Inc. Chesterton, IN
Studio Cutz Music Library Carrollton, TX
© 2014 Laureate Education, Inc. 1
,
Psychotic Disorder Case Study: Ralph
Psychotic Disorder Case Study: Ralph Program Transcript
[MUSIC PLAYING]
RALPH: My name is Ralph. I was diagnosed with schizophrenia 35 years ago. I've worked extremely hard to keep it together over the years. And the medication has really helped. There's just one thing—well, two, really. I now weigh 295 pounds. And I have developed this weird tic.
When it first started, I barely noticed that my arm twists up every few seconds. My grandmother told me she thought I might have Parkinson's disease. Oh, great, I thought, just what I need, another major condition.
But after talking with my psychiatrist—Dr. Davis died a couple of weeks ago, by the way—he told me they were extrapyramidal effects, or something like that. I guess taking Mellaril for 35 years really did a number on me. Well, it causes these weird tics.
I decided that it wasn't worth me staying on this medication. Of course, after about two weeks off of it, the glitters were back. I had forgotten how real those things seem. I could hear mumblings of things that don't really make sense, and every once in awhile I think I see a flash. I think of them as little Tinkerbells. But I haven't ever been able to really make one out.
I know they can't be real because they went away on the medication. Well, I stopped that right quick. I went back in the Mellaril and was fine. But I ended up gaining the last 50 pounds. And the tic got even worse. Well, at least no glitters. Anyway, Dr. Davis is gone. And I really want all this to get better. I know I'm here to talk to you about learning to make it on my own. But isn't there something that can be done about all these issues?
How am I ever going to get a date looking like this? How am I ever going to be able to keep a job? It's tough enough being blah old me. Why does it have to be harder just because I don't want the glitters around?
Psychotic Disorder Case Study: Ralph Additional Content Attribution
Creative Support Services Los Angeles, CA
© 2014 Laureate Education, Inc. 1
Psychotic Disorder Case Study: Ralph
Dimension Sound Effects Library Newnan, GA
Narrator Tracks Music Library Stevens Point, WI
Signature Music, Inc. Chesterton, IN
Studio Cutz Music Library Carrollton, TX
© 2014 Laureate Education, Inc. 2
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