Jasmine reports she needs help because she overthinks everything and thinks she has a mental illness. Intrusive, obsessive thoughts started when she was 14 years old. She reports watching a television show about sex offenders and began to think that she would engage in behaviors she saw on the TV show. She reports thoughts that she might hurt or kill her parents and she is very frightened by these thoughts. She started having suicidal thoughts so that she wouldn’t hurt other people and feels the need to punish herself for those thoughts. She tries to distract herself with other thoughts in order to avoid the homicidal and suicidal thoughts. She denies history of self-injurious behaviors or eating disorders.
The pediatrician recommends that Jasmine go to the nearest emergency department for referral to an inpatient adolescent unit. The recommendation is Voluntary Commitment.
Her parents voice concern regarding their daughters willingness to actually go to a hospital.
This is an unfolding case study which we will be utilizing for this discussion
Questions:
- Based on what you know so far, what are your concerns and what will be your interventions. (Elaborate on at least 3)
- How will you explain Mental Health Hospitalizations to Jasmine’s parents? (Elaborate on at least 3 important points)
- Jasmine is worried about how she will be treated at the hospital. She has seen many movies and does not want to be tied down and medicated. How will you educate Jasmine?
- Is it ever ok to alert others to Jasmine’s condition? Why or why not?
- As the parents predicted Jasmine now states emphatically “I do not want to go to the hospital.” How do you anticipate Jasmine’s care will change?
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Expert Solution Preview
Introduction:
The case study presented is about Jasmine, who is experiencing intrusive, obsessive thoughts from a young age. As a medical professor, my goal will be to evaluate the situation and provide the necessary intervention to help Jasmine.
1. Based on what you know so far, what are your concerns and what will be your interventions?
My concerns about Jasmine are her depression, suicidal thoughts, and her obsessions that may lead her to harm her parents. One of my interventions will be to recommend her to a psychiatric hospital in order to obtain therapy services and medication. Another intervention will be regular monitoring and follow-up to ensure she is making progress on her treatment.
I will also collaborate with a team of psychologists, psychiatrists, and social workers to develop a treatment plan for her as well as involve her parents in the treatment process.
2. How will you explain Mental Health Hospitalizations to Jasmine’s parents?
I will explain that mental health hospitalizations are facilities designed to help individuals with mental health issues, where they can receive advanced care, therapy services, and medication management. I will also explain that it will be necessary for their daughter to stay for some time to ensure she achieves recovery effectively. I will also highlight the benefits and potential risks of their daughter’s mental health hospitalization.
3. Jasmine is worried about how she will be treated at the hospital. She has seen many movies and does not want to be tied down and medicated. How will you educate Jasmine?
I will educate Jasmine about the benefits and importance of medication management in the hospital, which may include mood stabilizing medication to avoid medication errors. I will also inform her that medication is not the only option, but it can be an effective option to manage her symptoms. I will also explain that there is no reason to tie her down or restrict her freedom during her treatment, as the goal is to help her recover.
4. Is it ever ok to alert others to Jasmine’s condition? Why or why not?
Yes, it is okay to inform her close family or friends about her condition, as it can help provide a support system for her in the recovery process. However, it is important to emphasize the importance of respecting her privacy and ensuring no stigmatization or discrimination.
5. As the parents predicted Jasmine now states emphatically “I do not want to go to the hospital.” How do you anticipate Jasmine’s care will change?
Jasmine’s care may change because she might start to refuse treatment and skip appointments. This may lead to a deterioration of her mental health, so it is essential to involve her parents and close family to persuade and support her to take her treatment seriously. It is also relevant to have a care plan that can accommodate her reluctance but still ensure that the necessary services are accessed in a timely and effective manner.
Added Question: How does family support affect the treatment and recovery of individuals with mental illnesses?
