Case Study of Jake

Case Study of Jeff

Danielle L. Brown

Walden University

Case Study of Jeff

Jeff is 21 year-old junior in college that presented at the emergency room non-communicative and in an inflexible position, with one hand raised, throughout the length of his interview. It is reported by the roommate, who is with Jeff, that he has not been himself as of the last six months. Additionally, the roommate reported Jeff being introverted and dressing unsuitably for the weather. The roommate stated that weeks ago, Jeff thought that bugs were crawling on him and that he needed to be “fumigated”. The roomate stated that Jeff seemed to be fine until six months ago, when he apparently stopped attending classes regularly. It appeared that Jeff was relatively healthy, except for having two toes amputated recently, as a result of an accident. Finally, the roomate mentioned that Jeff’s parents made him aware approximately nine months ago, that they would be getting a divorce.

Diagnostic for Jeff

Axis I 297.1 Delusional Disorder Somatic type

Axis II None

Axis III None

Axis IV divorce, amputation of toes

Axis V GAF -39

According to the DSM-IV-TR (APA, 2000), one of the main features of Delusional Disorder is the manifestation of one or more inexplicable behaviors that continues for a month or more. In Jeff’s case, the roomate reported that he has been acting oddly for the past six months. Additionally, a feature of Delusional Disorder is hallucinations, however, the hallucinations should not be conspicuous (APA, 2000). According to the DSM-IV-TR (APA, 2000), Jeff should not have a change in appearance; which he does. The DSM-IV-TR (APA, 2000) criteria included; functioning is not diminished, if mood incidents transpire, they are fleeting in nature, the conceptual disruption in not due to a biological condition, that it is not the result of schizophrenia, and that the delusions are not bizarre.

Jeff’s diagnoses on the Axis...