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Case Study Mr. Stevens

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Mr. Stevens is a 39 year old male who presented to the ED via LEO under IVC for alleged threatens towards others, recent delusions, and substance abuse issues. At the time of the assessment Mr. Stevens was calm and cooperative. He reports having a history of misuse of his medications. Mr. Stevens reports recently snoring prescribed medications and taking over the recommended amount. He states, "I have tripped out (referring to experiencing symptoms of psychosis) in the past taking my Adderall." Mr. Stevens reports for the past 6 months he has suspected his wife of having an affair with various people, however most recent his neighbor. Mr. Stevens reports he has stopped using his prescribed Adderall 4 months ago. He states, "Sometimes I would take em and get paranoid, my cousin put me on, and they would make me feel high." Mr. Stevens reports for the daily use of Adderall for the past 2 years. According to Mr. Stevens a Dr. Bill prescribed them to him after he told him he had a history of ADHD as a child. According to Mr. Steven for the …show more content…

Stevens mother and wife were contacted. Mr. Stevens mother reports her son has been snoring Adderall and other pain medications recently. She reports he has no mental health history. She states, "I took him to a psychologist when he was in his teens, but he said nothing was wrong with him other than he is spoils." The mother reports 6 months ago she started to notice changes in his behavior. She expressed beliefs of the delusions being substance induce. Mr. Stevens's wife reports having a 11 year relationship with Mr. Stevens and only seeing changes in his behavior. She reports noticing Mr. Stevens having mood swings for the past 4 months. She denies having an affair with anyone and is currently pregnant with Mr. Stevens child, which she is due in 2 weeks. She reports last Friday moving out of the home to stay with her mother in Virginia because of the conflict in the home over Mr. Stevens continuously accusing her of

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