Patient 15: Jack Davis

**Kyle Jennings:** professional psychologist.  a person who specializes in the study of mind and behavior or in the treatment of mental, emotional, and behavioral disorders.

These documents will cover the illnesses of Jack, my 15th patient. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

                                                             Patient information

Full name: Jack Andrew Davis

Nicknames: Jackie, Jackson, Jack-Rabbit

Gender: male

Birth date: 5/1/81

Homestate: Potosi, Missouri

Appearance: black hair, brown eyes, caucassian

Graduation year: 1993

College: University of Missouri College of Veterinary medicine

Occupation: entrepreneur

Interests: animals,    creepy poems

Hobbies: playing drums, singing, parkour, exercising

Political relation: Republican

Spouse: Bethany Davis (1993-2000) Ruby Jewels (2018- present. Girlfriend)

Siblings: Abigail Davis

Children: Avery, Hailey, Hunter (adopted)

Movements supported: animal rights,

How famous? Whole midwest knows him

Mental illnesses: Schizophrenia, anorexia, depression

Main caretaker: Ruby Michelle Jewels

Takes medicine? Yes

Does drugs/alcohol? Yes (cigarettes and whiskey)

Triggers: loud, sudden noises, dark rooms, being alone

Backstory: physically abused by mother since age 3, sexually since age 13, mentally abused whole life after mother refused to get him medication for his schizophrenia. Sent to the library when he had a mental breakdown at school. Played various sports and participated in band due to mother. Was part of the drum line and the percussion. Still plays drums. Was the running back in football from 3rd grade to 12th grade. Also played baseball, tennis and did cross country. When he’d cry during sports, they’d just walk him to the bench so he could calm down. Was considered a popular kid, so he wasn’t bullied by anyone.

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Schizophrenia information

Schizophrenia is a chronic brain disorder that affects less than one percent of the U.S. population. When schizophrenia is active, symptoms can include delusions, hallucinations, disorganized speech, trouble with thinking and lack of motivation. The exact cause of schizophrenia isn't known, but a combination of genetics, environment, and altered brain chemistry and structure may play a role. Schizophrenia is characterized by thoughts or experiences that seem out of touch with reality, disorganized speech or behavior, and decreased participation in daily activities. Difficulty with concentration and memory may also be present. Treatment is usually lifelong and often involves a combination of medications, psychotherapy, and coordinated specialty care services. Schizophrenia is never cured, though the person will learn to control it.

Most commonly though, people diagnosed with schizophrenia will hear multiple voices that are male, nasty, repetitive, commanding, and interactive, where the person can ask the voice a question and get some kind of answer. Many rules of thumb apply to schizophrenics. One is that people with the disorder often don't realize they're ill, so they're unlikely to go to a doctor for help. Another issue is that many of the changes leading up to schizophrenia, called the prodrome, can mirror other normal life changes.Another is that schizophrenics smoke more. People with schizophrenia smoke up to three times more than the general population and more than most psychiatric populations. Schizophrenia patients who smoke also have higher levels of nicotine in their bodies because they tend to extract more nicotine per cigarette than other smokers.

Signs of schizophrenia

* Behavioral: social isolation, disorganized behavior, aggression, agitation, compulsive behavior, excitability, hostility, repetitive movements, self-harm, or lack of restraint
* Cognitive: thought disorder, delusion, amnesia, belief that an ordinary event has special and personal meaning, belief that thoughts aren't one's own, disorientation, mental confusion, slowness in activity, or false belief of superiority
* Mood: anger, anxiety, apathy, feeling detached from self, general discontent, loss of interest or pleasure in activities, elevated mood, or inappropriate emotional response
* Psychological: hallucination, paranoia, hearing voices, depression, fear, persecutory delusion, or religious delusion
* Speech: circumstantial speech, incoherent speech, rapid and frenzied speaking, or speech disorder

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Anorexia information

Anorexia is characterized by a distorted body image, with an unwarranted fear of being overweight. Symptoms include trying to maintain a below-normal weight through starvation or too much exercise. Medical treatment may be needed to restore normal weight. Talk therapy can help with self-esteem and behavior changes. In Jack’s case, it is caused by trauma. What do you feed Jack because he has anorexia? Feed  him bland grain-based items, such as saltine crackers, cooked pasta with no sauce, plain pancakes, corn flakes with no milk, and bread. Do not feed him something high in sugar, such as sugary cereal and candy. Do not give him a lot of dairy, as that can give him an upset stomach.   Don't get frustrated or annoyed by Jack’s eating habits or try to force him to eat.

Signs of anorexia

* Whole body: dehydration, dizziness, fainting, fatigue, low blood pressure, low body temperature, osteoporosis, water-electrolyte imbalance, or feeling cold
* Behavioral: binge eating, compulsive behavior, hyperactivity, impulsivity, or social isolation
* Weight: underweight, weight loss, or extreme weight loss and thinness
* Mood: anxiety, apprehension, or guilt
* Gastrointestinal: constipation or vomiting
* Menstrual: irregular menstruation or absence of menstruation
* Developmental: delayed puberty or slow growth
* Also common: brittle nails, bruising, depression, dieting, dry hair, dry skin, headache, sensitivity to cold, or slow heart rate

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Depression information

A mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life. Possible causes include a combination of biological, psychological, and social sources of distress. Increasingly, research suggests these factors may cause changes in brain function, including altered activity of certain neural circuits in the brain. The persistent feeling of sadness or loss of interest that characterizes major depression can lead to a range of behavioral and physical symptoms. These may include changes in sleep, appetite, energy level, concentration, daily behavior, or self-esteem. Depression can also be associated with thoughts of suicide. The mainstay of treatment is usually medication, talk therapy, or a combination of the two. Increasingly, research suggests these treatments may normalize brain changes associated with depression. Jack is slowly but surely losing his depression. It’ll most likely be gone a month from now, as long as he takes his medicine three times daily. He’s been depressed for over 20 years, and attempted suicide many times. The depression is caused by his schizophrenia, and a little portion is about his childhood.

Signs of depression

* Mood: anxiety, apathy, general discontent, guilt, hopelessness, loss of interest or pleasure in activities, mood swings, or sadness
* Behavioral: agitation, excessive crying, irritability, restlessness, or social isolation
* Sleep: early awakening, excess sleepiness, insomnia, or restless sleep
* Whole body: excessive hunger, fatigue, or loss of appetite
* Cognitive: lack of concentration, slowness in activity, or thoughts of suicide
* Weight: weight gain or weight loss
* Also common: poor appetite or repeatedly going over thoughts

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Action and Solution for Jack

 Jack is crying and whining and refusing to talk
 Jack is angry and being rude
 Jack refuses to take his medicine
 Jack is having a full-on fit
 Jack is getting too excited and being loud
 Jack is saying “gimme gimme” and whining

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Never do list

1. Never hit or yell at Jack when he’s doing something wrong. He doesn’t understand right from wrong
2. Never ignore him. That is life threatening to him
3. Never force feed him. He’ll eat when he’s ready
4. Do not go out of his schedule. He has to follow it otherwise he’ll have a breakdown.