smallrice

if the patients are psychotic group, they have lower function than neurotic patients. you can arrange simple topic to discuss such as how to arrange daily activities, how to make friend ,...how to coping symptoms...etc. for neurotic patient,they have higher function. we can talk about feeling about psychosoical events and then share the experience how to coping ...

there are many reasons why you get insomnia. the most important thing is sleeping hygiene. first is reduce coffee. or after noon don't take coffee. and also learn how to relax before sleeping. in day time, regular to do excerise .....let body tired ....

:nono:there is something like delusion or psychotic symtoms disturbing Alzheimer's patient... may be some low dose anti-psychtic drug can be helpful for this patient...

that can be helpful for you if you have medical experiance. in fact, lots of psychi. patient have medical problem such as DM , hypertension ...these are very common medical problem in dementia or the elderly patient..

in fact,most of psychotic patients have no insight for thier sick. they don't recognise thier behaviour are bizarre such as crazy shopping, became hostile, high mood ... besides, they cannot understand why they must be treated by psycho..they would fight, refuse to take any drug...may be help them to see doctor

i think first of all, reduce the patient's anxiety tone by taking drugs regularly such as ativan, inderal, rivotril ... then do a simple task step by step. it can build up her /his confidence.. and the importent thing is mental support as well. actually obsessive behavior may be his / her charater. it is not easy to change it. we have to teach this case focus on positive and decease anxiety tone.and also i agree GingerSue's opinion learn cognitive restructuring...

schizophrenia is mental illness. it cannot be diagnosed by physical examination. if you have family history, it will be more chance to get schizophrenia...