Mental Health Superior Court Paper
In this case, the young man had been hospitalist just two days back with psychosis and homicidal ideation. Psychosis refers to mental disorder which has direct effects on feelings and behavior. Sometimes, the psychosis patients may not actually realize that they are suffering since the symptoms include disorganized thoughts and speeches making them believe in themselves only. Homicidal ideation on the other hand results from other illnesses like psychosis and delirium, and it involves accumulated ideas and plans for ravage though the real revenge may not take place. Therefore, the young man’s psychosis illness had led to homicidal ideation which requires full treatment in accordance to the doctor’s schedule for recovery or else, the treatment may not be effective.
In this case, the doctor played a legal ethical role of protecting patients’ rights by first indicating that the young man still needed treatment after only two days of admission. He also explained the symptoms which directly matched the acute psychosis the young man was diagnosed with. Prodromal phase is the first stage of psychosis which is not easily recognized since the behavioral changes are not magnificent. The second stage of psychosis is acute psychosis where the actual sign and symptoms are clearly evident. These symptoms include positive and negative symptoms. Positive symptoms include; Delusions, which are false believes like someone is being followed or monitored, being plotted against, that one has unique abilities or even believing that other people are on full controlling. Hallucinations are other positive symptoms where someone hears, tests and even smell unreal things. Disorganized speech or behavior is also involved where someone acts the opposite of real expectation. The negative symptoms involve negative attitudes, suicidal behaviors, anxiety and depression, substance abuse and little display of emotions among others.
Prior to the doctor’s explanations which directly linked to the young man’s behavior, it was clear that he actually suffered psychosis and homicidal ideation. In addition, the doctor noted that the young man was positively responding to the antipsychotic treatment, which implied a positive progress in curing the illness. Since relapse took place the day before court, it implied that the young man behaved similarly to the initial symptoms which could further be interpreted that, he was not recovered but at the recovery stage thus prompting the doctors to decide his more hospitalization days for a full recovery. The patient’s father was also scared, a condition which would worsen if the patient was released without having fully recovered. The father has the legal right of choosing the healthcare of preference as a patient’s family, which has more concern on the family security.
Even though the patient seemed more euphoric than hostile, it did not imply he was well since that is one of the positive symptoms of disorganized behavior. This was acting on the opposite of everyone’s expectation in court, in addition to his response to the judge’s question of why he got angry. He said he got angry because his father and other family members maddened him, a real indication of a positive psychosis symptom of delusions which are false believes. On considering the evidence in court, the court had to discuss on the maximum hold days in hospital including the involuntary medicate to the client, which would ensure full recovery of the patient from psychosis and homicidal ideation.
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