He is waiting for his endoscopy test. His laboratory test on his clozapine evaluates an alarming low level of concentrations indicative to noncompliance of medication instructions.
The patient's illness and behavior display. David suffers from schizophrenia with chronic positive symptoms and secondary depressive illness to uncontrolled psychotic state that needs high level care and treatment. It was recorded that he had a number of hospital admissions in a period of 20 years. He also attempted suicide in 1980's. Few years ago he managed to be an outpatient directly under his mother's care. His new medication, clozapine, was able to sustain him then. Lately, David believes someone is waiting to murder him due to tax he thinks he owes so he leaves his house only to collect medication and benefits scheduled twice a week. He is very sensitive to strong smells and fragrances such as aftershave, alcohol, and soap powder. He eats maximum of twice a day only because he believes someone is trying to poison his food that leads him to settle lesser food intake for mobility's sake which resulted to detrimental weight loss. Sometimes he throws his food away of same reason. His mother observes his deteriorating mental and physical health for the past three months and requested minimal viewing of television as this contributes negative effects on him. He is getting disturbed by messages and scenes on television. Aggravated by the absence of social life or zero communications with neighbors and friends, his paranoia continues to lead him to believe death will get him any moment and complains of persistent abdominal pains and nausea which the doctor is currently trying to perform diagnosis. It maybe related to his mood. However there is no presence of illegal substance or alcohol misuse.
Healthcare. David has access to services of a Consultant Psychiatrist arranged by his psychiatric Social Worker. He is entitled to free sessions of Cognitive Behavioral Psychotherapy (CBT) and consultations at the Clozarill Clinic where they monitor his mental state and compliance with medication. His Social Worker coordinates his assistance with housing, food, clothing and medical expenses. He was also in the patients list under the care of a Crisis Resolution Team to provide intensive home treatment instead of admission. He is also listed to a Mobile Crisis Team that has a 24/7 operations center with police backup when necessary to stabilize a crisis. He was really secured with both medical and crisis support care by the government. What the Social Worker fails to acknowledge is the importance of social intervention as a part of the crisis resolution. The worker also is helping the person get to live an ordinary life as possible and aims to help search for employment opportunities that can be adapted with this type of illness. He is a member of the MDF The Bipolar Organisation, a charitable organization design to enable people with manic depression take control of their lives which can be accessed online too. Bipolar provides an access to self help groups nearer to the patient's home to be able to gain mutual support with others of similar situation to manager or learn better mood swings. (MDF Home) It also gives information on National health care (NHS) which promotes healthcare base on need regardless of the