John Nash

1.
What is the chief complaint (in client’s own words and report of others)
John is frequently seen alone, and some see John as talking to someone unreal. Sol and Bender
also said that he was a bit weird sometimes. When John grew old in the movie, he has still his
delusions and he said that he was a bit suspicious at some people he doesn’t know because it
might be someone unreal.
2. Based on the above information and closed viewing of the movie, what questions would u raise
during history taking? What are some possible answers?
You might base your questions on:
a. history of client’s illness
Q: Have you met some new people recently? Were your family and friends able to meet
your new friend/s? if not, why aren’t they able to meet them?
A: I have met my new roommate when I came in the University, a co-professor who also
teaches there. My wife wasn’t able to meet my roommate because he is always busy.
But sometimes, he brings along his niece once in a while. I also met someone, but I
cannot tell you who he is.
b. past psychological history and treatment
Q: When did you last had your session with the therapist? How was it? Did the therapist
gave you some medications?
A: I had talked to a therapist a year ago. He said that I’m having some problems. He gave
me some medications which I took when I am at home.
c. treatment outcome, psychosocial history
Q:How did the medications you took affect you? Were you able to work properly with
your medications?
A: I cannot work with my medications, and it affects me because I cannot attend to my
wife anymore.
Q:How are you coping up with your family and friends? Have you had any problems and
conflicts with them?
A: I don’t have any time to talk to my colleagues because I was too busy with my work.
3. When did john first had symptoms or problems? how long has this been going on?
He experienced his first symptoms when he first moved in Princeton University, where he
thought that he had a roommate named Charles Hansen who calls himself “The prodigal
roommate”. John Nash’s delusions continued until he grew old.
4. What previous treatment has john had? Was the treatment successful?
He had his treatment at the psychiatric hospital, where he was given insulin shots to cal him off.
And he was given medications at home to lessen his symptoms but he refused to take this
because he can’t work with it.
5. What kind of support does john have? What strength does john have?
Her wife was very supportive all the way even though she has weak emotions, she still did her
best to take care and support John. He also was able to come back to Princeton University and
he allowed himself to collaborate into the University community for him to be able to ignore his
delusions. John’s strengths would be her wife, who serves as his motivation and inspiration that
helps him to cope up with his problems together with some of his friends.
6. What other observation do u have about client’s behavior? Is the diagnosis discussed above
accurate?
He is sometimes a bit confused when his symptoms bother him. He doesn’t talk too much and
thinks too much about his work and I think that is what paranoid schizophrenic triggered him.
The diagnosis was accurate because the symptoms of a schizophrenic John showed all
throughout the movie.
7. What DSM-IV-TR criteria support (or negate) this diagnosis? What treatment plan would you
outline? With what expected outcome?
A. Characteristic symptoms
-Disorganized Speech (e.g., frequent derailment of incoherence)
-Grossly disorganized or catatonic behavior
-Negative Symptoms (i.e., affective flattening, alogia, or avolition)
-Hallucinations
-Delusions
-Negative symptoms, i.e., affective flattening, alogia(the loss of a previously held ability to
speak or understand spoken or written language, due to disease or injury of the brain), or
avolition
B. Social/ occupational dysfunction
His job was severely affected, he can’t work peacefully because of his delusions, and he was too
busy to talk his code breaking thing job that was said by William Parcher, one of his delusions.
His social life was also affected, he can’t attend too much to his wife, and colleagues because he
was too busy doing his delusionary job.
C. Duration
Continuous signs of disturbance persisted until he grew old and started when he was in
graduate school.
295.30 Paranoid Type
A type of schizophrenia in which the following criteria are met:
A. Preoccupation with one or more delusions or frequent visual/auditory hallucinations.

B. None of the following is prominent: disorganized speech, disorganized or catatonic
behavior, or flat or inappropriate affect.
Treatment Plan:
-Diversional Activities
-Maintenance of the Patient
-Consistent Nurse-Patient Interaction and with friends
-Spiritual encouragement
The expected outcome would tell that the patient has improved, in terms of decreased delusions,
agitations, and any other expected symptoms.
Ubiadas, Christine Alyx G.
3NU10

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1.

B. Social/ occupational dysfunction

295.30 Paranoid Type

A type of schizophrenia in which the following criteria are met:

A. Preoccupation with one or more delusions or frequent visual/auditory hallucinations.

-Maintenance of the Patient

-Consistent Nurse-Patient Interaction and with friends

Ubiadas, Christine Alyx G.

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