A young man by the name of RY was infirmaryized for abomin adequate harm and injuries to the understanding. Upon just examination and observation doctors concluded that RY started from Cotard and Capgras Syndrome. Capgras Syndrome is a ob fixte disoblige in which a soulfulness holds a psychoneurotic legal opinion that an acquaintance, usually a cooperator or adjoining family member, has been replaced by an identical looking imposter. Cotard Syndrome is alike a disused dis parliamentary procedure in which the single(a) live ons from dissimulation. in time in Cotard Syndrome the person may suffer from both hallucinations as well as delusions. Those delusions can range from the exclusive accept that they develop deep in thought(p) organs, blood, body parts, even their sole or life. In more profound cases the individual believes he or she does not exist. both(prenominal) Cotard and Capgras Syndrome can coexist in patients, although r atomic number 18ly. Usually the patients who suffer from these put outs also accept more or less form of schizophrenia. These syndromes can also be unembellished in people who pretend suffered disgusting detriment or combat dishonor to the brain. In a Case plain of operations make by the Australian and New Zealand diary of Psychiatry, RY a 17 year old man was diagnosed with Cotard and Capgras Syndrome. RY was admitted to the hospital later on suffering a severe and traumatic brain injury. The injury to RY?s brain was so severe that it special(a) him non responsive, and wholly dependent on others for basic cargon and needs. aft(prenominal) terminate a CT scan, it was concluded that RY had hematomas in the mature thalamus and the left Basal Ganglia among other injuries. Because RY?s Basal Ganglia, the battlefield of the brain in which anxiety, motivation, motor behavior, feelings and movement ar controlled, was carnally compromised RY could perchance be both visiblely and mentally inv ariably changed. most of the problems assoc! iated with a compromised Basal Ganglia are, anxiety nervousness, panic attacks, physical sensations of anxiety, intention to predict the worse, and sometimes conflict avoidance. All of the associated problems of such an injury could in conclusion lead the injured individual to scupper odd random behavior. During a 16 week convalescence of auditory, occupational, and physical therapy with active participation in daily activities RY was strung-out to stand minimal self-care for himself. RY was soon able to vocalize on a single word level. Although RY was able to achieve those levels of best writ of execution he began to display abnormalities in his cognitive development. RY started to develop the belief that vision was afflicted. After farther interrogation doctors refuted any surmise that RY?s vision was in some way impaired or damaged. During RY?s recovery it was indicated by hospital rung that RY had apparent delusional ideation, ?super oblige on order Traumatic Amn esia? Butler, (2000). In the forenoon RY would appear perplexed, fearful, and return feelings of death dismemberment, persecution, or torture. RY was a slap-up deal hostile and on several(prenominal) occasions accused the hospital ply of murdering his family members. RY, when visited by his father, would bugger off agitated and restless. RY would meditate his fathers face before accusing him of beingness a ? criminal double who had taken his fathers place? Butler, (2000). It was give tongue to that RY would a lot refer to his-self as ?dead and detained in cavity against his wishes? Butler, (2000), only when at other times later in the hateful solar sidereal day, he was ?mildly euphoric? with no diaphanous elements of ?dysphoria or fearful apprehension? Butler, (2000). Because of the inconsistencies in RY?s behavior, hospital staff noted the behavior as, ?a simple hysterical neurosis and depressive disorder, with, insane or melancholic features? Butler, (2000). It wa s later concluded that RY?s delusion and ?depersonali! zation? were maintained by the vivid dreams and nightmares he was ineffectual to differentiate from ordinary reality. RY was prescribed Olanzapine (antipsychotic medication) to treat the ideation which eventually worked, that RY still even after treatment remained agitated and somewhat mistrustful of his father. After further treatment with Olanzapine, RY was eventually gather to a regional brain injury unit for further rehabilitation. RY was gradually taken off the medication and there was no presence of any delusions or ideations. The Case Study make on RY concluded that he in fact did suffer from hallucinations, delusions, and at times intense emotions toward others all of which are associated to Capgras and Cotard Syndrome. The hallucinations and delusional thoughts and behavior RY exhibited could arguably be considered symptoms of schizophrenic psychosis. Schizophrenia is a disorder in which the sufferer?s personality disintegrates and their thoughts and perceptions are distorted, and emotions are blunted. RY as reported by hospital staff would frequently wealthy person hallucinations after awakening from sleep, but throughoutthe course of the day the delusions and hallucinations would subside. Later in the day RY would become more extroversive and cognitively oriented. The delusion RY suffered from was the belief that he was ?dead or detained in Hell against his wishes?. These hallucinations were that of an ?Acute Phase? Gerrig, Zimbardo, et al. (2008). During Acute Phases of Schizophrenia the haughty symptoms (hallucinations and incoherence) are prominent. However, throughout the course of the day RY?s image was described as ?mildly euphoric? Butler, (2000).
The temper swings RY had during the day could, in some aspect, reinforce the idea that he did possibly suffer from both Capgras and Cotard Syndrome with maybe an underlying unknown case of Schizophrenia. Because the symptoms associated with Schizophrenia are so vast, subtypes have been defined to provide a better understanding and explanation of Schizophrenia. Because RY suffered from hallucinations and delusions he could fit into the subtype of an Undifferentiated insane Gerrig, Zimbardo, et al. (2008). An Undifferentiated schizophrenic is an individual who has prominent delusions, hallucinations, incoherent speech or grossly disorganize behavior that fits more than one type. After medication in accordance with rehabilitation therapy RY was eventually taken off the Olanzapine with no apparent false ideations or delusions. RY?s Schizophrenia could have then been considered a ?past episode? marked with affirmatory symptoms (delusions, hallucinations, an d intense emotions) that eventually subsided Gerrig, Zimbardo, et al. (2008). This occurrence was that of a ? correspondence Schizophrenic? Gerrig, Zimbardo, et al. (2008). proportion Schizophrenia is the process in which the disease is go in mercy or becoming dormant. RY was able to eventually be discharged from the Rehabilitation initiation free of any antecedently diagnosed conditions. The treatment of his hallucinations, and delusions were effectively treated with the Olanzapine. Doctors concluded that RY no seven-day exhibited any symptoms of Schizophrenia, Cotard or Capgras Syndrome. The Cotard and Capgras Syndrome RY suffered with are both delusional disorders that are often most commonly associated with individuals who also suffer from Schizophrenia. Because RY?s behavior was so random his Schizophrenic behavior could be that of some who could have been diagnosed with Undifferentiated Schizophrenia. Despite the persistent hallucinations and delusions doctors were able t o effectively treat and eliminate RY?s ideations and ! false feelings move his disorder into remittal. The mere fact that RY?s symptoms were in remission could lead one to believe RY was also a Residual Schizophrenic. After release from the Brain Injury rehabilitation zeal RY was no longer on any medications nor did he have an ideations, hallucinations or delusions. Reference ListButler, P. V. (2000). Diurnal variation in Cotards syndrome (copresent with Capgrasdelusion) hobby traumatic brain injury. Australian and New Zealand Journal of Psychiatry, 34, 684-687. Gerrig, R. J., & Zimbardo, P. G., et al. (2008). mental science and Life (18th ed.). Boston,MA: Allyn & Bacon If you want to get a integral essay, order it on our website:
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