Case Study: Schizophrenia with Stimulant Abuse in a 25-Year-Old Male Patient Information: • Name: John Doe • Age: 25 • Gender: Male • Ethnicity: Caucasian • Marital Status: Single • Living Situation: Lives alone, currently unemployed • Presenting Problem: Brought to the emergency department on a 5150 psychiatric hold (California Welfare & Institutions Code) for danger to self after expressing suicidal ideation with intent and plan. He has a history of two previous suicide attempts by intentional overdose (benzodiazepines and acetaminophen). Psychiatric History: • Diagnosis: Schizophrenia, diagnosed at age 21 • Co-occurring condition: Stimulant Use Disorder (methamphetamine), severe • Past hospitalizations: 4 psychiatric admissions in the last 3 years • Suicide attempts: 2 intentional overdoses in the past 18 months Presenting Signs and Symptoms: Positive Symptoms of Schizophrenia: • Auditory hallucinations: Reports hearing voices commenting on his actions and urging self-harm • Paranoia: Believes that "the government is watching him through his phone" • Delusions: Fixed belief that neighbors are poisoning his food Negative Symptoms: • Social withdrawal • Flat affect • Lack of motivation (avolition) • Anhedonia Cognitive Symptoms: • Impaired attention • Disorganized thoughts and speech (tangentiality) Stimulant Abuse Symptoms: • Dilated pupils, tremors • Paranoia and agitation. Need Assignment Help?