Introduction
From the moment Mr. Dale, was admitted in the hospital three weeks ago nothing about him has changed. At first, we tried to interview him but that was not possible since he refused to disclose anything. The main reason he was admitted into hospital is because he became agitated and intrusive as we further went to asses him. He suspects all the doctor and nurses who attend to him. For the past five days he has been requesting to be discharged but refuses to disclose any information why he wants to be discharged, and refuses we contact any of his family members with the claim that he does not trust any of them. we tried giving him drugs to calm his nerves but he did not take them with claims we want to poison him; this clearly show that he was thinking our motive was to harm him.
He finally agreed to confide in one of the nurses and reported to her that his family has had several cases of paranoid disorder. Despite engaging this nurse in small conversation, he refused to confide in her completely and always diverted the conversations that were about him to something else. Finally, he allowed us to contact one of his sons who reported past incidences where he had held beliefs that his family members were against him resulting to him isolating everyone. He further described his father as someone who held grudges for a long time, was having strained relationship even with their mother, also very aggressive and this behavior was worsening every day. This information helped diagnose him as a person with paranoid social disorder using the DSM-5 criteria.
Conclusion
Mr. Dale was admitted in hospital due to his aggressive behavior. He continuously refused to disclose anything about himself and displayed symptoms of being paranoid. The symptoms he displayed include; agitation and intrusiveness, he refused we contact any of his family members he always thoughts the doctors and nurses want to harm him and refused to take any medication, he refused to confide in anyone, according to the description of him given by his son; he held grudges for a long time, and refused to trust his wife and this condition was worsening every day. According to the DSM-5 criteria he was diagnosed as paranoid.
