Bianca was diagnosed with schizophrenia

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Bianca Chandler is a 17-year-old African American female who lives with her maternal grandmother, Peace Chandler, age 70, who is her legal guardian. Bianca was diagnosed with schizophrenia two years ago during a series of three psychiatric admissions when she was experiencing auditory hallucinations and paranoid delusions. She was placed on Risperdal (risperidone) 2 mg BID. Peace brings Bianca to you for an outpatient evaluation. She reports that Bianca has been experiencing more auditory hallucinations, refuses to shower or bathe, and is not sleeping at night. She reports that Bianca has refused to attend church lately, something very important to her close-knit, extended Southern Baptist family. Her granddaughter's appearance is always unkempt. Today, she is wearing multiple layers of clothing even though it is a warm late spring day. Bianca has poor interpersonal skills and does not interact much with you, but she does answer questions. Her affect is flat and presents as depressed. She is not suicidal or homicidal. Her grandmother monitors her medication and assures you that Bianca is taking it as orderedHow you would work the family as a unit? What issues would you prioritize and why?

Reference no: EM133908342

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