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PSYCHOSIS Sample Treatment Plan

  Problems:
       
Delusions of persecution, referential, somatic, religious or grandiosity Catatonia of stupor, rigidity, negativism, posturing, excitement and mutism
Hallucinations of any sensory modality such as auditory, visual, olfactory, gustatory, or tactile Affective flattening characterized by immobile, unresponsive face, poor eye contact, reduced body language
Disorganized thinking such as looseness of association, tangentiality, illogic, incoherence, etc... Alogia manifest by brief, laconic empty replies
Disorganized behavior demonstrated by poor self care, unpredictable agitation, poor ADL’s, bizarre behavior Avolition characterized by inability to initiate and persist in goal-directed activities
       
       
  Goals:    
       
  Reduce psychotic symptoms such that patient is able to function with greater relative autonomy Maintain and motivate compliance with medications
  Significantly reduce or eliminate hallucinations and/or delusions Reduce stressors that may have contributed to exacerbation of symptoms
Develop insight into his/her illness    
       
  Objectives:    
       
Patient and family/friends will provide detailed history of signs and symptoms Patient will demonstrate more organized, coherent thought processes
Patient will express increased insight into mental illness and understanding of the need for medications and comply with prescription Patient will demonstrate greater degree of independent living and ADL’s
Patient will comply with follow up appointments Family members will demonstrate greater understanding of mental illness and increase positive support of patient and his struggles
Patient will understand relationships between stressors and psychosis