Verbal Presentation – A Client with a New Diagnosis of Schizoaffective Disorder

Verbal Presentation

Introduction

One of the merits of working in mental health has been working alongside each client as they pave the way towards their personal notion of recovery. The client being addressed today is one whom I supported throughout her two-month admission. Her diagnosis was schizoaffective disorder, after a preliminary diagnosis of bipolar disorder with a manic episode. Schizoaffective disorder represents an ‘intermediate position on the continuum of mental illness between schizophrenia and mood disorders… it involves an uninterrupted duration of illness of a major mood disorder as well as symptoms such as delusions and disorganised speech for at least one month’ (Wilson, Nian & Heckers, 2014). Interventions include antipsychotic therapy, either alone or in conjunction with mood stabilisers (Joshi, Lin, Lingohr-Smith, Fu & Muser, 2016).

 I have chosen this client because there was a notable improvement in her mental state over the course of the two months. I was also interested in the gradual alteration of her diagnosis and its link to the phenomenon of interchangeability. Interchangeability is the evolution (changing) of diagnoses due to fluctuations in one’s functioning and symptoms that may contradict the original diagnosis (Hung, Yang, Kuo & Lin, 2017). This was relevant to my client as she was demonstrated various psychotic features in addition to manic episodes. In a seven year follow-up study it was demonstrated that those with schizoaffective disorder experienced approximately 12% more changes in their diagnosis compared to those with schizophrenia or mood disorders (Hung, Yang, Kuo & Lin, 2017).

Client Introduction

My client, ‘Pat’ (who has been de-identified), is a 77-year-old Caucasian, single lady with no children. Pat lives on pension and is a retired personnel manager who worked in the fashion design industry. She reported that she is currently housing a homeless man. There are some conflicting accounts that Pat was married in the past, however, Pat denied this.

Presenting Problem

Pat presented to the hospital and was admitted to the ward after being brought in by police under section 351 (with no previous forensic involvement) due to her increased agitation and psychotic symptoms – screaming, armed with scissors and voicing beliefs that her grandparents were murdered by ‘the Germans’. According to collateral history provided by one of her brothers, Pat had for several weeks believed she was ‘a TV character’ or ‘Shirley Temple’. Pat allegedly bit a police officer and was handcuffed, consequently sustaining a fracture to her left wrist. During her admission, Pat was placed under a Treatment Order.

Pat stated that her reason for being admitted was that she was sexually harassed by a neighbour and that she wanted him to leave her house. She explained that she had been finding it difficult to cope since her mother’s death approximately six months ago.

Mental State Examination

Appearance: 77 year old, Caucasian female, petite frame, with short, blonde hair. Reasonably well-groomed and attending to her own hygiene. Wearing a red top and a yellow vest.

Behaviour: Distracted – observed looking through drawers and walking away from staff at times when attempting to engage. Using large, sweeping hand gestures. Minimal interactions with co-patients, guarded. Not accepting medications. Observed walking the entire perimeter of the garden and attempting to look over the fence.

Speech: Pressured, annoyed tone, mumbling and incoherent at times, responding to probing questions.

Mood: ‘Bloody awful’.

Affect: Congruent with stated mood, irritable.

Thought Form: Disorganised. Loosening of associations and tangential. Client was sometimes singing or reciting poetry during the conversation.

Thought Content: Pat reported that she did not feel mentally unwell and wanted to be discharged as she needed to ‘be there for the children and look after the homeless man in my house’. She elaborated that ‘the only reason why I’m here is because I lost my mother.’ Pat verbalised some litigious themes, including wanting to call her lawyer so they could ‘sue all of you for poisoning my system with these drugs’.

Pat referred to herself in the third person and commented, ‘You don’t want to mess with Pat. I have connections with people in high places.’ Pat denied current suicidal ideation or thoughts of injuring herself.

Perception: Observed talking to herself, responding to internal stimuli.

Cognition: Alert and oriented to time, place and person.

Insight: Poor, wanting to be discharged promptly, unwilling to receive treatment for her condition.

Judgement: Impaired. Limited decision making capacity at present; impulsive.

Risks: Overall high risk: high absconding risk given client’s impulsivity and previous attempts to leave the ward. Escalating in agitation and verbally aggressive towards staff, requiring PRN medications and de-escalation strategies.

Formulation: Pat has poor insight into her condition and remains impulsive. Whilst she denies risks to herself, her escalating agitation and limited engagement with her treatment may place her at risk of harm towards others.

Plan: Pat remains on 1:15 visual observations and is subject to an Inpatient Treatment Order. Pat is prescribed regular Olanzapine 5mg (nocte) and sodium valproate 800mg BD, with the view to crossover from Olanzapine to Paliperidone. 1:1 therapeutic nursing engagement and provide medication psychoeducation. Monitor Pat’s neurovascular observations for her wrist fracture, side effects of her medications and her Valproate levels. Supervise Pat in the garden area.

History

Medical History: Pat reported that ‘sometime in the 1980s I was hit by a car and had a concussion’.

Family History: Pat states that ‘my father had mental health issues’; she did not want to elaborate further.

Personal History: Pat was born in the UK and immigrated to Australia in 1964. She describes having a ‘happy childhood’ with ‘the most beautiful family’ of three brothers and one sister, and her parents. With regard to relationships, Pat mentioned that she ‘lived with a priest for forty-six years.’ Pat and her mother were close and Pat looked after her for approximately ten years before she passed away. Pat cites her siblings as her main social supports.

Significant events include Pat’s mother’s passing over six months ago, and the passing of some of her pets and ‘children’ whom she has looked after over the years. Pat has an extensive trauma history, including being subjected to childhood sexual assault, which she reports has made her distrustful of men. Pat stated that a neighbour attempted to sexually ‘entice’ her which triggered distressing memories.

Drug and Alcohol History: Pat states that she is a ‘social drinker’ and drinks ‘1 to 2 glasses of alcohol’ when she is at a social gathering every few months. Pat denies past or current drug use.

Recovery Focus

Specific dates for Pat’s mental health journey are unclear, as Pat was unable to recall dates (such as her admission to a private hospital for depression) and there was a ‘convoluted pathway of referrals’ as per her treating team. Pat did recall that she has been taking the antidepressant Paroxetine for ‘at least ten years’. Pat expressed that ‘Aropax is the best tablet’ and viewed it as the best treatment for her mood. Pat stated that she was ‘fed up’ with the fact that she was commenced on several new medications, believing that they ‘make me into a zombie’, and she reported increased sedation.

Pat stated that the best treatment for her is ‘being alone because I’m a loner, going for a walk and being out in nature’. She expressed that ‘thinking positive thoughts and talking to my family on the phone’ helps her in recovery.

Pat said that spending ‘my first Mother’s Day’ without her mother was a very negative experience. She voiced that ‘being caged and feeling like sleeping all the time’ made her feel more unwell.

After staff asked Pat’s brother about Pat’s baseline mental state, he reported that ‘even though she’s slowly improving, she still doesn’t have a clue that she’s getting better.’

Pat’s DSM formulation is schizoaffective disorder and she strongly disagreed with her diagnosis initially, stating that she is ‘not schizo or bipolar, just grieving’.

Pat’s aims in her recovery were ‘to get out of this place’, she expressed a desire to move to Queensland and to ‘start afresh’. She also reported that whilst on the ward she would be trying to ‘look after myself more’.

People involved in Pat’s care included her brothers, the social worker (in helping her to manage finances and other affairs), the occupational therapist (in assessing her daily functioning), neuropsychologist (assessing her cognition), the nursing and medical staff. Pat’s brother was her nominated person and she did not have an advance statement.

Formulation – 5Ps Framework

Predisposing Factors: Pat reports some family history of mental health issues; significant trauma history; past carer stress; previous struggles with depression.

Precipitating Factors: Pat expresses that the grief of losing her mother worsened her mental state, as well as the sexual harassment she received from a male neighbour.

Perpetuating Factors: Pat states that ‘taking away my rights’ and ‘keeping me caged’ makes her more distressed. Pat asserts that ‘putting me on these medications’ reduces her ability to concentrate and function normally.

Protective Factors: Pat states that remembering her ‘beautiful family and my dogs’ and ‘how good my life has been’ help her to cope when feeling unwell. She reports that ‘being outside in nature, looking after others and loving children and animals’ give her a sense of purpose.

Plan: Utilise Pat’s family network and family visits or meetings; actively involve her in care planning; advocate for feasible medication changes to the treating team.  Collaborate with Pat and her family about a relapse prevention plan (including support people to contact when she feels unwell and symptoms to be aware of)  prior to discharge. Continue to elicit Pat’s recovery goals, acknowledge the progress she has made, and ask what has worked for her in the past to stabilise her mood. Enquire what the nursing/medical staff can do to facilitate achieving her goals. Educate Pat about her medications as well as her rights as a patient under the Mental Health Act 2014 (Vic).

Word count: 1650 (1500 + 10%).

Order Now

Get expert help for Verbal Presentation and many more. 24X7 help, plag free solution. Order online now!

Universal Assignment (July 2, 2025) Verbal Presentation – A Client with a New Diagnosis of Schizoaffective Disorder. Retrieved from https://universalassignment.com/verbal-presentation-a-client-with-a-new-diagnosis-of-schizoaffective-disorder/.
"Verbal Presentation – A Client with a New Diagnosis of Schizoaffective Disorder." Universal Assignment - July 2, 2025, https://universalassignment.com/verbal-presentation-a-client-with-a-new-diagnosis-of-schizoaffective-disorder/
Universal Assignment December 31, 2022 Verbal Presentation – A Client with a New Diagnosis of Schizoaffective Disorder., viewed July 2, 2025,<https://universalassignment.com/verbal-presentation-a-client-with-a-new-diagnosis-of-schizoaffective-disorder/>
Universal Assignment - Verbal Presentation – A Client with a New Diagnosis of Schizoaffective Disorder. [Internet]. [Accessed July 2, 2025]. Available from: https://universalassignment.com/verbal-presentation-a-client-with-a-new-diagnosis-of-schizoaffective-disorder/
"Verbal Presentation – A Client with a New Diagnosis of Schizoaffective Disorder." Universal Assignment - Accessed July 2, 2025. https://universalassignment.com/verbal-presentation-a-client-with-a-new-diagnosis-of-schizoaffective-disorder/
"Verbal Presentation – A Client with a New Diagnosis of Schizoaffective Disorder." Universal Assignment [Online]. Available: https://universalassignment.com/verbal-presentation-a-client-with-a-new-diagnosis-of-schizoaffective-disorder/. [Accessed: July 2, 2025]

Please note along with our service, we will provide you with the following deliverables:

Please do not hesitate to put forward any queries regarding the service provision.

We look forward to having you on board with us.

Most Frequent Questions & Answers

Universal Assignment Services is the best place to get help in your all kind of assignment help. We have 172+ experts available, who can help you to get HD+ grades. We also provide Free Plag report, Free Revisions,Best Price in the industry guaranteed.

We provide all kinds of assignmednt help, Report writing, Essay Writing, Dissertations, Thesis writing, Research Proposal, Research Report, Home work help, Question Answers help, Case studies, mathematical and Statistical tasks, Website development, Android application, Resume/CV writing, SOP(Statement of Purpose) Writing, Blog/Article, Poster making and so on.

We are available round the clock, 24X7, 365 days. You can appach us to our Whatsapp number +1 (613)778 8542 or email to info@universalassignment.com . We provide Free revision policy, if you need and revisions to be done on the task, we will do the same for you as soon as possible.

We provide services mainly to all major institutes and Universities in Australia, Canada, China, Malaysia, India, South Africa, New Zealand, Singapore, the United Arab Emirates, the United Kingdom, and the United States.

We provide lucrative discounts from 28% to 70% as per the wordcount, Technicality, Deadline and the number of your previous assignments done with us.

After your assignment request our team will check and update you the best suitable service for you alongwith the charges for the task. After confirmation and payment team will start the work and provide the task as per the deadline.

Yes, we will provide Plagirism free task and a free turnitin report along with the task without any extra cost.

No, if the main requirement is same, you don’t have to pay any additional amount. But it there is a additional requirement, then you have to pay the balance amount in order to get the revised solution.

The Fees are as minimum as $10 per page(1 page=250 words) and in case of a big task, we provide huge discounts.

We accept all the major Credit and Debit Cards for the payment. We do accept Paypal also.

Popular Assignments

Nursing Ethics and Law – Henry Pearson Case Study

Nursing Ethics and Law – Henry Pearson Case Study Course Code & NameNUR1103 |Context of Professional PracticeAssessment Item and NameAssessment THREE | Case StudyAssessment Item TypeEssay/ Case studyDue Date & TimeWeek 10 | 15th March 23:59 hrsLengthEssay is 1200 words + or – 10%Marks and WeightingOverall mark is out of

Read More »

NUR3397 – Complex Care Case Study Presentation

Course Code & NameNUR3397 |Complex Care AAssessment Item and NameAssessment TWO | PresentationAssessment Item TypeIndividual oral presentationDue Date & TimeWeek 10 | 22nd April 23:59 hrsResults data will be returned to you three weeks after your submission dateLength12-15 minute oral presentation recorded to ZOOM cloud + or – 10%Marks and

Read More »

AI in Recruitment: Legal and Ethical Implications for Harmony Haven

PurposeThis assessment helps you demonstrate report-writing skills essential for HR and other professional roles. It develops your research abilities, including sourcing, reviewing, and synthesizing academic and non-academic literature. Strong report-writing skills support informed business decisions, enhancing your ability to assist managers and advance your career. AI in Recruitment: Legal and

Read More »

Youth Justice Crisis: Indigenous Incarceration in Australia

issues During Impact Root  cause Youth justice crisis ongoing Disproportionate indigenous youth incarcerations reports of abuse eg Don Dale Low age of criminal responsibility (10) – Systemic racism and overpolicing – Lack of diversion and rehabilitation pathways Word: 1000 Topic selected: Youth Justic Crisis, Assessment 1: Conflict Analysis Exercise –

Read More »

PV System Design and Energy Analysis for Residential Use

Executive Summary Provide a brief summary of the key methods and key results, max 500 words. 1.         Introduction (aims and objectives and brief description of the system studied and methods of the next sections) approximately half a page 2.         Solar irradiation analysis Provide location and data used. Provide hourly GHI,

Read More »

Assignment 3: Statistical Analysis and Recommendations for Enhancing HDI

Student Name:               Your full name Student ID:                     Your Student ID Make sure to delete the instructions!! Introduction: Include a succinct introduction at the start of your report. You may write a few sentences about purpose of this report, the type of analysis, or any other relevant information (about 50 words).

Read More »

Brian Old Age Case study Assignment

Assessment 1 – Written AssessmentAssessment TypePurposeDescriptionWritten AssignmentThe purpose of this assessment is to broaden each student’s understanding of the modulecontent using a case study and assessment toolsCase Study: Brian is an 84-year-old retired farmer in a rural area in Northern Territory. Hewas recently assessed following a minor motor vehicle accident

Read More »

Assessment name: Portfolio of planning cycle

Assessment name: Portfolio of planning cycleDue Date: Friday 13 June 11:59pmWeighting: 50%Length: 2000 wordsTask Description: This Portfolio is comprised of two tasks. You must submit your assessment as onedocument. Task 1: Anecdotal record and learning experienceAnecdotal recordView the video of pre-schoolers provided under the link “Video for Assessment 2” andcomplete

Read More »

NUR5327 Assessment 3 Assignment Help

Name NUR5327 Assessment 3 (Essay)Purpose The purpose of this assessment is to demonstrate your understanding of therolesof leadership and management in healthcare by identifying and analysinga change you have actively participated in, and how it relates to key topicssuch as interprofessional communication, evidence-based practice, and staffdevelopment.LearningOutcomes NUR5327 Assessment 3 Assignment

Read More »

Mathematics Investigation and Reflection Assignment Help

Submission: Mathematics Investigation and Reflection Assignment Help TurnitinFormat:Individual written document.Uses the current APA referencing style correctly.Length:2,000 wordsThreshold Detail:For this assessment task you must obtain at least 50% of the overall result (i.e. 25 points). If the total result for this unit is at least 50 points but you scored less

Read More »

FASS Research Proposal Template Assignment

FASS Research Proposal Template Word length2000 to 3000 wordsTitleUse a concise and descriptive title that accurately reflects the content of the proposal.Background context and significanceThis section should explain the background and context of the proposed research work,indicating the main contribution to knowledge you wish to make.Aims and objectivesInclude a clear

Read More »

Evidence to Inform Nursing Practice Assignment Help

Unit Code:   NURS12165 Unit Title:    Evidence to Inform Nursing Practice Assessment Three Type:                               Written Assessment Due date:                         Week 11: Wednesday, 28 May 2025 at 1600 (AEST) Extensions:                     Available as per policy Return date:                    Results for this assessment will be made available on Wednesday, 18 June 2025 Weighting:                       50% Length:                           

Read More »

NUR1120 | Burden of Disease and Health Equity

Assessment Item Task SheetCourse code andnameNUR1120 | Burden of Disease and Health Equity Assessment itemand nameAssessment Three | ReportDue date and time Week 11 | 22/04/2025 at 2359 hours AESTLength 1400 words (+/- 10% in each section) – includes in-text references, but not reference list.Marks out of:Weighting:80 Marks50%Assessed CourseLearning Outcomes(CLO)CLO1,

Read More »

PSY1040 Portfolio: Cultural Responsiveness & Self-Awareness

Course Code and NamePSY1040: An Introduction to Cultural Safety in PracticeAssessment Item Number and NameAssessment 2: PortfolioAssessment Item TypePortfolio PSY1040 Portfolio: Cultural Responsiveness & Self-AwarenessDue Date & TimeTuesday, 29 April 2025 (Week 12), 11:59pmLength2000 words – an average of 400 words per task.Marks and WeightingMarked out of: 100Weighting: 50%Assessed Course

Read More »

Innovative Digital App Development Report

OVERALL DESCRIPTION OF TYPE OF ASSIGNMENT Assessment 1- Type of Assignment Individual Written Report Details Individual Written Report 3,000 words (500 words of the Report is Contextualisation) Weighting of Assessment : 70% INDIVIDUAL MARK Learning outcomes assessed by Assessment: 1, 2, 3 and 4 – See Module Listings of Learning

Read More »

Tourism Trends and Investment Decisions: A Comparative Study

Assignment TaskYou are a strategist working for a major hospitality group based in Australia. The company is planninginternational expansion, and the board has asked you to compile a report to identify the most suitablelocation for the project. The board has shortlisted two international locations (which will be allocatedto you by

Read More »

EC502 Language and Literacy in the Early Years

EC502 Language and Literacy in the Early Years Unit Code/Description EC502 Language and Literacy in the Early Years Course/Subject Bachelor of Early Childhood Education Semester March 2025 Assessment Overview   Unit Learning Outcomes Addressed 1, 2, 3 Assessment Objective Assessment 1: Poster Including an Invigilated stage in Week 3. Due

Read More »

EC501 Early Childhood Learning and Development

Unit Code/Description EC501 Early Childhood Learning and Development Course/Subject Graduate Diploma in Education (early childhood) Semester S 1, 2025 Assessment Overview   Unit Learning Outcomes Addressed 1, 2, 3 Assessment Objective In this assessment, student are required to select one of the case studies provided and critically analyze the child’s

Read More »

JSB172: Professional Academic Skills

JSB172: Professional Academic SkillsAssessment: Workplace Report and Presentation Weight: 50%Due date: Friday 30th May 11:59pm Length: 1,750 words (+/- 10 %) / 5minutesPurpose/Learning Objectives:This assessment relates to Learning Outcomes 1, 2, 3, and 4: Task:Your task is to write a Workplace Report identifying how to address the topic/issue chosen or

Read More »

2015PSY Developmental Psychology Assignment

2015PSY Developmental Psychology Assignment 2025 2015PSY Developmental Psychology Assignment Assignment MaterialsAssignment Information Sheet & Marking Criteria.pdf (this document)Assignment Template.docx (template)Example Assignment.pdf (HD exemplar)Due Date: Friday 16 May, 11:59PM (Week 10)Weighting: Marked out of 100 (worth 30% of course grade)Word Count: 1,500 words maximum(inclusive of main text, headings, in-text citations; excluding

Read More »

Principles of Economics Federal Budget

Principles of Economics Short-answer Assignment V1 (20% of final mark) The assignment consists of four questions.  You should allocate at least half a page (or 250 words) to each answer or 1000 words for all four answers depending on the nature of and/or marks allocated for the question/s. You may

Read More »

LML6003 – AUSTRALIA’S VISA SYSTEM 1 (FAMILY AND OTHERVISAS)

Graduate Diploma in Migration Law LML6003 – AUSTRALIA’S VISA SYSTEM 1 (FAMILY AND OTHER VISAS) Assessment Task 2 – Semester 1, 2025 LML6003 – AUSTRALIA’S VISA SYSTEM 1 (FAMILY AND OTHERVISAS) Instructions: 1. Students must answer all questions as indicated. Make certain all answers are clearly labelled. 2. Make certain

Read More »

Construction Cadetships in the Australian Construction Industry

REPORT TOPICPrepare an Academic Report on the following:‘Construction Cadetships in the Australian Construction Industry’.The report should encompass the following: Your personal evaluation and critique of the key findings in your report including your evaluation of construction cadetships, yourfindings in relation to potential issues/problems with cadetships and your recommendations to improve

Read More »

Assessing Corporate Governance and its Significance

Assessing Corporate Governance and its Significance: A Case Study Analysis Overview: Accounting irregularities have cost investors millions of dollars and, most importantly, adversely impacted their confidence in the financial system. While there have been remarkable improvements in regulatory supervision, auditing framework and reporting transparency, young graduates must assess major corporate

Read More »

Master of Professional Accounting and Accounting Advanced

Assessment 2 – Business Case (CVP) AnalysisUnit Code/Description ACC901 Accounting for Managerial DecisionsCourse/Subject Master of Professional Accounting and Master of Professional Accounting AdvancedSemester S1 2025 Assessment Overview Unit Learning OutcomesAddressed1,2,3,4 and 5Assessment Objective The primary objective of this assessment is to assess the students’ ability to apply CVPanalysis and relevant

Read More »

Urban Design Theory Essay writing

Essays are a major form of assessment at university. Through essays, you develop your understanding of discipline-specific content, strengthen your critical thinking, and develop your ability to translate that thinking into a persuasive written form. This assignment assesses your understanding of the following Unit Learning Outcomes: 1) understand the historic

Read More »

Statutory Interpretation of Disability Discrimination in NSW Law

Foundations of Law 70102 – Assessment Task 3 – Autumn 2025Statutory Interpretation and Research ExerciseDue: Thursday 22 May 2025 by 23.59Length: 2000 words (excluding the headings Part A, Part B and Part C, footnotes andbibliography. Any additional headings that you decide to use will be included in the wordcount)Weighting: 40%Task

Read More »

Can't Find Your Assignment?