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Case #132566D

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Theresa Hoang

on 11 October 2013

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Transcript of Case #132566D

Case #132566D
Jane Donson
Question 1
Well in the early phase, people with schizophrenia often seem eccentric, unmotivated, emotionless, and reclusive. They isolate themselves, start neglecting their appearance, say peculiar things, and show a general indifference to life.
Relationships suffer because people with schizophrenia often withdraw and isolate themselves. Paranoia can also cause a person with schizophrenia to be suspicious of friends and family
A schizophrenic person’s delusions, hallucinations, and disorganized thoughts typically prevent him or her from doing normal things like bathing, eating, or running errands.
Question 2
Both mother's and father's genes will be passed on when the baby is developed. Half mother and half father, so yes the genes will be passed on to the child. We need to screen the husband to see if he is a carrier in order to have an accurate assumption. However, if the husband is a carrier and you are affected with the disorder, the child has an increased risk of 40% of having schizophrenia. If both husband and wife are not affected it is a less of a risk. So it all depends on the husband's genes and whether or not schizophrenia will be developed in Jane.
Question 3
There's no sure way to prevent schizophrenia. However, early treatment may help get symptoms under control before serious complications develop and may help improve the long-term outlook. Sticking with the treatment plan can help prevent relapses or worsening of schizophrenia symptoms. In addition, researchers hope that learning more about risk factors for schizophrenia may lead to earlier diagnosis and earlier treatment. For people at increased risk of schizophrenia, taking proactive steps such as avoiding illegal drug use, reducing stress, getting enough sleep and starting antipsychotic medications as soon as necessary may help minimize symptoms or prevent them from worsening.
How will Schizophrenia affect my everyday life?
If I have kids will my children receive the gene?
Can Schizophrenia be prevented?
Case Recommendation
Genetic Screening for Schizophrenic genes:
We can find out what the chances are of Jane developing Schizophrenia, and test her husband for the gene as well.
Some recommendations:
-Psychological therapy:
Used as an adjunct to a good medication plan, however, psychotherapy can help maintain the individual on their medication, learn needed social skills, and support the person's weekly goals and activities in their community.
-Antipsychotic Medicine:
Antipsychotic medications help to normalize the biochemical imbalances that cause schizophrenia. They are also important in reducing the likelihood of relapse. Side effects for antipsychotics may cause a patient to stop taking them. However, it is important to talk with your doctor before making any changes in medication since many side effects can be controlled.
In extreme cases. A person with schizophrenia may choose to enter a hospital if she feels her symptoms are out of control. This is called voluntary hospitalization or voluntary commitment. There are also situations when a person with schizophrenia may be forced to go to the hospital. These threats include suicide threat and violence to others.

Jane Donson, age 19, has asked to speak with a genetic counselor because she is concerned about developing Schizophrenia. Both her mother and her maternal grandmother were affected with schizophrenia and had to be institutionalized most of their adult lives. She has come in to find out if she can be tested to see if she will too will develop the disease. She has watched her relatives suffer and she wants to take what ever steps she can to plan her future and be prepared to battle this debilitating disease.
Multifactorial Genetic Disorder
This is a mental disorder which skews the person's interpretation of reality
Watch for symptoms of abnormal behaviors such as hallucinations, delusions, and disordered thinking
Depending on the severity, it may be difficult to hold jobs and take care of oneself
-may have to rely on family members for care and support
This disease has a ten percent chance of passing from direct family member (father/mother)
The exact genes causing schizophrenia have not yet been established
Influenced by Mutations in genes and outside environmental factors
-linked to a combination of at least 10 defective genes
-nutrition, hormonal imbalance, chemical balance, details will be addressed
A pedigree is a diagram that shows the occurrence and appearance or phenotypes of a particular gene or organism and its ancestors from one generation to the next
Grandmother has Schizophrenia
Grandfather could be a carrier which would increase the risk by about 20%
Mother has Schizophrenia, however the father we do not know anything about
If her father is a carrier she will most likely have the disease
If her father is not, she will most likely not have the diease due to the 10 percent of risk from her Mother
Full transcript