1. Kasus schizophrenia 1AG is a 28-

1. Kasus schizophrenia 1
AG is a 28-year-old single African-American male with an approximately 3-year history of paranoia, increasing use of marijuana and cocaine, and poor work performance. His symptoms seemed to intensify around his being caught taking money from his girlfriend’s bank account to buy cocaine. Since then he has become suspicious that the police were watching his movements and that people on the street knew personal information about him. He has left several jobs one after another due to his belief that other employees were sabotaging him and that people were talking behind his back. He occasionally hears his father speaking to him but has not seen him in 10 years. He is sad and hopeless about the state of his life and very guilty about his substance abuse and stealing from his girlfriend. Though supportive of him, the patient’s girlfriend is feeling somewhat frustrated by the patient’s withdrawal from her and reluctance to socialize to the extent that they had in the past.
 What diagnoses are suggested by this presentation?
 What additional information would help to clarify the diagnosis?
2. Kasus schizophrenia 2
Soon after his discharge from the hospital, AG stopped taking his olanzapine. He had gained a lot of weight, and he didn’t believe the medication was helping. He continued to have difficulties maintaining employment and being involved socially. With encouragement from his girlfriend, AG sought treatment again and was started on risperidone 2.5 mg a day. He continued to experience paranoia, still feeling unable to function up to his potential at work, and still tending to be reclusive. A new therapist supported his involvement in Alcoholics Anonymous, and with AG began to question the depression diagnosis. She referred him to a center specializing in schizophrenia where the diagnosis was clarified as schizophrenia, paranoid type, continuous with depressive episode, single episode, alcohol dependence, early full remission; and polysubstance abuse, early full remission.
 List a reason why risperidone was selected as the next antipsychotic choice for AG.
 Describe nonpharmacologic treatment strategies that may be appropriate for AG.
 Discuss a risperidone dosing plan and list side effects AG may experience on this medication.

Results (Indonesian) 2:

1. KASUS skizofrenia 1
AG adalah laki-laki Afrika-Amerika tunggal berusia 28 tahun dengan sekitar sejarah 3 tahun paranoia, meningkatnya penggunaan ganja dan kokain, dan kinerja yang buruk. Gejalanya tampak untuk mengintensifkan sekitar keberadaannya tertangkap mengambil uang dari rekening bank pacarnya untuk membeli kokain. Sejak itu ia telah menjadi curiga bahwa polisi sedang menonton gerakannya dan bahwa orang-orang di jalan tahu informasi pribadi tentang dia. Dia telah meninggalkan beberapa pekerjaan satu demi satu karena keyakinannya bahwa karyawan lain menyabotase dia dan bahwa orang-orang berbicara di belakang punggungnya. Dia kadang-kadang mendengar ayahnya berbicara padanya tapi belum melihatnya dalam 10 tahun. Dia sedih dan putus asa tentang keadaan hidupnya dan sangat bersalah penyalahgunaan zat dan mencuri dari pacarnya. Meskipun mendukung dia, pacar pasien yang merasa agak frustrasi oleh penarikan pasien dari dia dan keengganan untuk bersosialisasi sejauh bahwa mereka telah di masa lalu.
 diagnosis Apa yang disarankan oleh presentasi ini?
 Apa informasi tambahan akan membantu untuk memperjelas diagnosis?
2. KASUS skizofrenia 2
Segera setelah keluar dari rumah sakit, AG berhenti mengambil olanzapine nya. Dia telah memperoleh banyak berat badan, dan ia tidak percaya obat itu membantu. Dia terus mengalami kesulitan mempertahankan pekerjaan dan terlibat secara sosial. Dengan dorongan dari pacarnya, AG mencari pengobatan lagi dan dimulai pada risperidone 2,5 mg sehari. Dia terus mengalami paranoia, masih merasa tidak dapat berfungsi sesuai dengan potensinya di tempat kerja, dan masih cenderung menjadi tertutup. Seorang terapis baru didukung keterlibatannya dalam Alcoholics Anonymous, dan dengan AG mulai mempertanyakan diagnosis depresi. Dia dirujuk ke pusat yang mengkhususkan diri dalam skizofrenia dimana diagnosis diklarifikasi sebagai skizofrenia, tipe paranoid, terus-menerus dengan episode depresi, tunggal episode, ketergantungan alkohol, awal remisi penuh; dan penyalahgunaan polysubstance, awal remisi penuh.
 Daftar alasan mengapa risperidone terpilih sebagai pilihan antipsikotik berikutnya untuk AG.
 Jelaskan strategi pengobatan nonfarmakologis yang mungkin sesuai untuk AG.
 Diskusikan risperidone sebuah dosis rencana dan daftar efek samping AG mungkin mengalami di obat ini.