Case study of Autism spectrum condition

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Case study

Mr A, not his real name is 35 year old male British man who was admitted on acute psychiatric ward and he is well known by the mental health services. Mr A had been diagnosed as having autism spectrum disorder since he was 3 year old. He lived in a supported accommodation since age 13. Mr A talks to himself sometimes in a very loud, fast and threatening manner.   Mr A could speaks clearly with correct grammar, however he rarely communicates verbally with other patients and frequently fails to respond when people speak to him. He could be very aggressive and violent when he is upset.  Generally, Mr A had 2-4 incidents (incident related to assault and criminal damage to hospital property) Mr A had trouble with focus and attention, he is quite distractible.

Periodically, Mr A would act out violently when asked to do anything for some minutes.  He was generally noncompliant, impatient, and characterized as lazy by other patients. Mr A sleep is very poor, he sleeps intermittently and often wakes up at night and tries to get out of the ward. If not constantly watched, he would continue to press the panic alarm and sometimes disturbs other patient by going into their bedrooms.  Mr A is obsessive about food and had poor table manners and he would eat as much food as he could very fast. Mr A is currently on clozapine and other antidepressant medications

The case study above should follow the guidelines below while writing.

A case study of an individual with an autistic spectrum condition, giving details of their individual strengths and difficulties and their current environment. The student will use their knowledge of current theories in autism to analyse and explain their behaviour in a person centred and empowering way, which considers their mental and physical wellbeing. Information from current evidence and best practice recommendations will be appraised and applied to the individual and their circumstances, and developed into a support plan to address identified needs, support the individual to achieve their wishes, or improve their daily life experience.

Appraise and synthesise evidence from a wide variety of national and international resources to inform the use of therapeutic interventions and/or referral.

Evaluate and selectively apply theoretical concepts and appraise the current evidence base to support effective communication within and across a range of complex situations.

NOTE:

The case study should be critically synthesise and use psychological and communication intervention. Motivation and mindfulness and social motivation should be considered as part of interventions. Please don’t define Autism but follow the guideline stated above

References to support the case study.

Atwood, T. (2015) The Complete Guide to Asperger’s Syndrome. London: Jessica Kingsley

 

Chaplin, E., Hardy, S. And Underwood L. (2014) Autism Spectrum Conditions; A guide. Hove: Pavillion

Department of Health (2010) Fulfilling and Rewarding Lives:The strategy for adults with autism in England. London HMSO

Department of Health (2009) Autism Strategy: Improving services for people with autistic spectrum condition. London:HMSO

Matson, J.L. and Sturmey, P. eds., (2011) International handbook of autism and pervasive developmental disorders. New York: Springer Science & Business Media

National Institute of Health and Clinical Excellence (2012) Autism: Recognition, referral, diagnosis and management of adults on the autistic spectrum. London: National Institute of Health and Clinical Excellence.

Bertelli, M.O., Rossi, M., Keller, R. and Lassi, S., 2016. Update on psychopharmacology for autism spectrum disorders. Advances in Mental Health and Intellectual Disabilities10(1).

de Vaan, G., Vervloed, M., Peters-Scheffer, N. C., van Gent, T., Knoors, H., & Verhoeven, L. (2016). Behavioural assessment of autism spectrum disorders in people with multiple disabilities. Journal of Intellectual Disability Research, 60(2), 101-112.

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Huguet, G., Benabou, M. and Bourgeron, T., 2016. The Genetics of Autism Spectrum Disorders. In A Time for Metabolism and Hormones (pp. 101-129). New York:  Springer International Publishing.

Minshawi, N.F., Hurwitz, S., Morriss, D. and McDougle, C.J., 2015. Multidisciplinary assessment and treatment of self-injurious behavior in autism spectrum disorder and intellectual disability: integration of psychological and biological theory and approach. Journal of autism and developmental disorders45(6), pp.1541-1568.

Russell, A.J., Murphy, C.M., Wilson, E., Gillan, N., Brown, C., Robertson, D.M., Craig, M.C., Deeley, Q., Zinkstok, J., Johnston, K. and McAlonan, G.M., 2015. The mental health of individuals referred for assessment of autism spectrum disorder in adulthood: A clinic report. Autism 

Sawyer, A., Lake, J.K., Lunsky, Y., Liu, S.K. and Desarkar, P., 2014. Psychopharmacological treatment of challenging behaviours in adults with autism and intellectual disabilities: a systematic review. Research in Autism Spectrum Disorders8(7), pp.803-813.

Spain, D., O’Neill, L., Harwood, L. and Chaplin, E., 2016. Psychological interventions for adults with ASD: clinical approaches. Advances in Autism,2(1).

Wigham, S., Rodgers, J., South, M., McConachie, H. and Freeston, M., 2015. The interplay between sensory processing abnormalities, intolerance of uncertainty, anxiety and restricted and repetitive behaviours in autism spectrum disorder. Journal of autism and developmental disorders45(4), pp.943-952.

Williams, D.L., Minshew, N.J. and Goldstein, G., 2015. Further understanding of complex information processing in verbal adolescents and adults with autism spectrum disorders. Autism, p.1362361315586171

Young, R. L., & Rodi, M. L. (2014). Redefining autism spectrum disorder using DSM-5: The implications of the proposed DSM-5 criteria for autism spectrum disorders. Journal of Autism and Developmental Disorders, 44, 758-765

World Health Organisation. (2014) Draft WHO global disability action plan 2014–2021: Better health for all people with disabilities. Geneva: World Health Organisation.

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