
정신과병동 이상행동양상관찰 보고서
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정신건강간호학실습) 정신과병동 이상행동양상관찰 보고서
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2024.06.17
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1. Schizophrenia환자는 양가감정을 보이며, 상반된 감정이 동시에 존재하여 말의 앞뒤가 맞지 않습니다. 사고이탈 증상도 관찰되었고, 과대망상과 환청 등의 양성증상도 나타났습니다. 이러한 증상들은 정신분열병의 전형적인 증상들입니다.
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2. Apathy환자는 무반응 상태로 침대에 누워있으며, 표정과 감정이 느껴지지 않는 무감동한 모습을 보입니다. 외부자극에 대한 반응이 없어 프로그램에도 참여하지 않는 등 무감동 증상이 관찰됩니다.
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3. Delusion환자는 자신이 유명한 가수라고 믿는 과대망상을 보이며, 이를 반복적으로 말합니다. 또한 자신이 하느님의 음성을 듣는다는 환청 증상도 있습니다.
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4. Depersonalization환자는 자신이 여자인지 남자인지 혼란스러워하며, 자해를 하게 된 이유로 자신이 자신이 아닌 것 같다고 말합니다. 이는 자신의 정체성에 대한 혼란을 나타내는 이인증 증상입니다.
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5. Projection환자는 자신의 체중이 130kg이라고 믿고 있으며, 이는 실제와 다른 왜곡된 신체상을 보여주는 심리적 투사 증상입니다.
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6. Negativistic Behavior환자는 대화를 시도하는 학생들의 질문에 대해 듣지 못한 척하며 대답하지 않는 등 부정적이고 거절적인 행동을 보입니다.
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7. Bipolar Disorder환자는 압박언어 증상을 보이며, 말의 양이 많고 속도가 빨라 중단시키기 어려웠습니다. 이는 조증 증상의 일부로 볼 수 있습니다.
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8. Major Depressive Disorder환자는 활동이 저하되어 다른 사람과의 대화를 피하고 움직임이 거의 없으며, 대부분을 침대에 누워서 보냅니다. 이는 우울증의 전형적인 증상입니다. 또한 자살 생각도 있는 것으로 나타났습니다.
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9. Substance related Disorder환자는 알코올 중독 프로그램에 참여했으며, 지난 내용을 전혀 기억하지 못하는 등 손상된 기억력을 보였습니다.
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10. Anxiety환자는 간단한 대답 외에는 말을 하지 못하며, 불안해하는 모습을 보였습니다. 이는 약물 부작용으로 인한 불안 증상으로 추정됩니다.
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1. SchizophreniaSchizophrenia is a complex and debilitating mental disorder that affects how a person thinks, feels, and behaves. It is characterized by a range of symptoms, including hallucinations, delusions, disorganized speech and behavior, and cognitive impairments. The causes of schizophrenia are not fully understood, but it is believed to involve a combination of genetic, environmental, and neurological factors. Treatment typically involves a combination of medication, psychotherapy, and social support, with the goal of managing symptoms and improving the individual's quality of life. While schizophrenia can be a challenging condition, with proper treatment and support, many individuals with schizophrenia are able to live fulfilling and productive lives.
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2. ApathyApathy is a state of indifference or lack of motivation, characterized by a lack of interest, enthusiasm, or concern for one's surroundings or activities. It can be a symptom of various mental health conditions, such as depression, dementia, or Parkinson's disease, or it can occur as a standalone issue. Apathy can have a significant impact on an individual's quality of life, as it can lead to social withdrawal, decreased productivity, and a general sense of disengagement from the world. Treatment for apathy often involves addressing the underlying cause, whether it's a mental health condition or a neurological disorder, and may include therapy, medication, or lifestyle changes to help the individual regain a sense of motivation and engagement.
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3. DelusionDelusions are false beliefs that are firmly held despite evidence to the contrary. They can be a symptom of various mental health conditions, such as schizophrenia, bipolar disorder, or delusional disorder. Delusions can take many forms, including persecutory delusions (beliefs that one is being harmed or threatened), grandiose delusions (beliefs of having special powers or abilities), or bizarre delusions (beliefs that defy logic or reality). Delusions can have a significant impact on an individual's functioning and can lead to distress, social isolation, and impaired decision-making. Treatment for delusions often involves a combination of medication and psychotherapy, with the goal of helping the individual recognize and challenge their delusional beliefs.
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4. DepersonalizationDepersonalization is a dissociative disorder characterized by a persistent feeling of detachment from one's own body, thoughts, or emotions. Individuals with depersonalization may feel as if they are observing themselves from outside their body, or that their surroundings are unreal or dreamlike. This can lead to significant distress and impairment in daily functioning. The causes of depersonalization are not fully understood, but it is often associated with trauma, stress, or other mental health conditions. Treatment for depersonalization typically involves a combination of psychotherapy, such as cognitive-behavioral therapy, and in some cases, medication. The goal of treatment is to help the individual regain a sense of connection to their own experiences and to reduce the distress associated with the dissociative symptoms.
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5. ProjectionProjection is a psychological defense mechanism in which an individual attributes their own unacceptable thoughts, feelings, or behaviors onto others. This can manifest in various ways, such as blaming others for one's own mistakes, or accusing others of having the same negative traits that the individual is trying to avoid in themselves. Projection can be a way for individuals to protect their self-image and avoid taking responsibility for their own actions. However, it can also lead to interpersonal conflicts and a distorted view of reality. Addressing projection often involves self-awareness, introspection, and the development of healthier coping mechanisms to deal with difficult emotions or behaviors. Therapy can be helpful in this process, as it can provide a safe space for individuals to explore and confront their own biases and projections.
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6. Negativistic BehaviorNegativistic behavior refers to a pattern of oppositional, defiant, or hostile behavior towards others, often in the context of authority figures or social norms. This can manifest in various ways, such as refusing to comply with requests, arguing, or engaging in passive-aggressive behaviors. Negativistic behavior can be a symptom of underlying mental health conditions, such as oppositional defiant disorder, conduct disorder, or personality disorders. It can also be a coping mechanism for individuals who feel powerless or frustrated in their lives. Addressing negativistic behavior often involves a combination of therapy, behavior modification techniques, and addressing any underlying mental health issues. The goal is to help the individual develop more constructive ways of expressing their needs and emotions, while also learning to navigate social situations and authority figures in a more adaptive manner.
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7. Bipolar DisorderBipolar disorder is a mental health condition characterized by extreme mood swings, ranging from manic episodes of elevated mood and energy to depressive episodes of low mood and energy. These mood episodes can significantly impact an individual's ability to function in daily life, as well as their relationships and overall well-being. The causes of bipolar disorder are not fully understood, but it is believed to involve a combination of genetic, neurological, and environmental factors. Treatment for bipolar disorder typically involves a combination of medication, psychotherapy, and lifestyle changes, with the goal of managing symptoms, preventing relapse, and improving the individual's quality of life. While bipolar disorder can be a challenging condition, with proper treatment and support, many individuals are able to live fulfilling and productive lives.
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8. Major Depressive DisorderMajor depressive disorder, also known as clinical depression, is a mental health condition characterized by persistent feelings of sadness, hopelessness, and a loss of interest in activities that were once enjoyable. It can have a significant impact on an individual's ability to function in daily life, including their work, relationships, and overall well-being. The causes of major depressive disorder are complex and can involve a combination of genetic, neurological, and environmental factors. Treatment for major depressive disorder typically involves a combination of medication, psychotherapy, and lifestyle changes, with the goal of alleviating symptoms and improving the individual's quality of life. While depression can be a challenging and debilitating condition, with proper treatment and support, many individuals are able to manage their symptoms and live fulfilling lives.
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9. Substance related DisorderSubstance-related disorders refer to a range of mental health conditions that involve the use and abuse of various substances, including alcohol, drugs, and medications. These disorders can have a significant impact on an individual's physical and mental health, as well as their social and occupational functioning. The causes of substance-related disorders are complex and can involve a combination of genetic, neurological, and environmental factors. Treatment for substance-related disorders typically involves a combination of medication, psychotherapy, and behavioral interventions, with the goal of helping the individual achieve and maintain sobriety, address underlying mental health issues, and develop healthy coping mechanisms. While substance-related disorders can be challenging to overcome, with the right treatment and support, many individuals are able to achieve long-term recovery and improve their overall quality of life.
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10. AnxietyAnxiety is a mental health condition characterized by persistent feelings of worry, fear, and apprehension. It can manifest in various forms, such as generalized anxiety disorder, social anxiety disorder, or panic disorder, and can have a significant impact on an individual's ability to function in daily life. The causes of anxiety are complex and can involve a combination of genetic, neurological, and environmental factors. Treatment for anxiety typically involves a combination of psychotherapy, such as cognitive-behavioral therapy, and in some cases, medication. The goal of treatment is to help the individual develop healthy coping mechanisms, reduce the intensity and frequency of anxiety symptoms, and improve their overall quality of life. While anxiety can be a challenging condition, with the right support and treatment, many individuals are able to manage their symptoms and live fulfilling lives.
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