Case Study
This case study was undertaken by Mr. James Trick O. Valera at their Psychiatric Facility in Laguna, Philippines in line with the "Seven Phases of Inquiry" conceptualized by the Story Theory.
Mr. Cruz is a 43 years old client currently admitted in a Psychiatric Facility. He was diagnosed with Bipolar Affective Disorder with current medication of Lithium Carbonate 450mg BID and Olanzapine 10mg HS. He was brought to the facility due to auditory hallucination, sleeplessness and with disrupted behaviour.
The nurse establishes rapport to the client and conducts series of interview the following are significant story plots that the nurse identify. Mr. Cruz is the 8th siblings in 11 children. His parent are too old to take care of him. At the age of 5, Mr. Cruz was brought to his eldest brother together with his younger brother. He remembered being punished and forced to do farm works at an early age. He stated that, “kung hindi kami magtratrabaho ng maigi di kami kakain” (It was like if we don’t work we will not be able to eat). He also remembered being bullied by his classmate whenever they so him sun drying their “palay” on the court in front of their house. He also stated that he and his brother where brutally punished by his elder brother that in a point his brother’s belt was broken and brought a “yantok” stick for them. He was not able to finish college due to refusal of his family to support his studies.
He was married with two children. He worked as a project manager in a construction company for almost 5 years and he applied for a promotion but didn’t get it due to his educational background and because of that he stated that all his childhood experience where hunting him and causes depression in his part. But his wife was able to support him that he survive his depression. Mr. Cruz also stated that he had an affair with his co-worker, his wife was able to forgive him but he can’t forgive himself. He resigned to that company and he started his own business together with his wife. They have a construction business and because of that they were able to live comfortably. He was able to buy properties.
A project was given to him by a church mate to build a house in an exclusive subdivision. Due to some circumstances, he was fooled by his church mate. The church mate was promising amount of money that he will pay if Mr. Cruz will be able to finish the project. Mr. Cruz use his own money to build the project even to the point that he was selling his properties. But in the end he was bankrupt and he was not able to be paid by his church mate. He was then depress without knowing what future will lead him and his family.
His brother was able to help him. He was able to borrow his brother’s car and use it for Uber. He started driving at 4am in the morning until in the midnight. He was stress because have to be able to get his boundary. Then later on due to family problem, Mr. Cruz when on mental breakdown and then brought to a psychiatric but refuses to take his medication. He was having verbal and physical argument towards his wife to the point that he wanted to kill his wife and himself. The client was then brought to the psychiatric facility.
As the psychotherapy (both group and individual) was given to the client by the psychiatric nurse, the client was able to understand himself better. The psychiatric nurse was able to create individualized plan of intervention to the client. Identification of significant life events that contributed to the current health challenge, the nurse was able to deeply understand the situation of the client. Self-ventilation was achieved in the process as sense of easiness and the client verbalizes his future hopes when he will be discharged in the facility that he will take his medication and fix his relationship with his wife and children. The client started having conflict resolution towards the primary family his wife and children.
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