MHR3001: Assessment Submission Sheet

School of Health and Education

Assessment Submission Sheet

Student Name:
Katteryne Lee Calderon Carhuaricra
Student No:
M00861574
Name of Programme:
PGDip Mental Health Practice
Module No: Module Title
MHR3001 Mental Health Awareness: From prevention to recovery
Name of Module Leader:
Alfonso Pezzella

Title of Assessment:
Case Study
Word Count: Campus/Site:
2000 per case Mental Health
Date Assessment due: Date Assessment Submitted:
21st March 2022 19th
March 2022
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references and quotations from both primary and secondary sources have been fully identified and
properly acknowledged in line with the Guidelines on Referencing and Citation Style in Health
and Social Science (www.lr.mdx.ac.uk/helpsheets/study_skills/hss.pdf)

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line with those regulations. (www.mdx.ac.uk/24-7/assess/index.htm)

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programme handbook and have ensured that my assignment complies with this statement.

Please sign and enter your student number here to confirm adherence to the above:

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M00861574………………………

Items Submitted (please tick as appropriate)

Self Assessment and Cover Sheet
x
x Assignment
 PGDIP MENTAL HEALTH PRACTICE
Katteryne Calderon Carhuaricra

Module leader: Alfonso Pezzella

 When Myra knows where she is
Myra lives in the residential care. She is eighty-three years old. Two years ago, she
was found strolling three miles from her own property she could not find her way home and
she wore his pyjamas and slippers. Her diagnosis is Alzheimer’s dementia. Sometimes, Mary
is conscious of her deteriorating cognition and her mobility has been affected for the last two
years. Following the NICE guideline (2019), in case the service user presents delirium and
dementia is convenient to treat the delirium first. Myra suffers from delirium superimposed
on dementia when she believes that her parents are still alive. The guideline advises that it
should be treated with antipsychotic drugs. I will be suggested to the professionals to support
her on a diary basis it is better to use antipsychotic drugs instead of the Reality Orientation
approach for the advanced stage of Myra’s dementia. For this reason, she probably will be
distressed more, and she will be aggressive to have the information will be impacted in her
behaviour.

The diagnosis for Myra is dementia due to Alzheimer’s disease [6D80] the description
is “The characteristic course is a slow but steady decline from a previous level of cognitive
functioning with impairment in additional cognitive domains (such as executive functions,
attention, language, social cognition and judgment, psychomotor speed, visuoperceptual or
visuospatial abilities) emerging with disease progression. Dementia due to Alzheimer’s
disease may be accompanied by mental and behavioural symptoms such as depressed mood
and apathy in the initial stages of the disease and may be accompanied by psychotic
symptoms, irritability, aggression, confusion, abnormalities of gait and mobility, and seizures
at later stages. Positive genetic testing, family history and gradual cognitive decline are
suggestive of Dementia due to Alzheimer's disease”. To avoid misinterpretation at the
diagnostic requirements following ICD-11(2022) is “dementia is presumed to be attributable
to underlying Alzheimer Disease (8A20) based on quantified clinical assessment or
standardized neuropsychological/cognitive testing, neuroimaging data, genetic testing,
medical tests, family history, and/or clinical history” and “early clinical history is typically
characterized by gradual onset, progressive memory problems and word-finding difficulties,
as well as mild functional impairment. The most common form of Alzheimer Disease begins
with neuronal impairment in the medial temporal lobes (the brain regions involved in
memory formation). As Alzheimer Disease progresses and affects other brain regions,
neurocognitive symptoms worsen. Atypical forms of Alzheimer Disease are also
characterized by progressive neurocognitive and functional impairment, with initial
neurocognitive symptoms often corresponding to the brain region(s) initially affected (e.g.,
visual processing impairment in posterior cortical atrophy, etc.)” (International Classification
of Diseases-11, 2022).

Initially, Myra meets the criteria to be diagnosed with Alzheimer’s dementia. However, a
professional report about her mobility decrease showed by fallings. A study finds that the
quantitative balance and gait measurement in patients with frontotemporal dementia (FTD)
and Alzheimer diseases (AD) have a differential pattern of balance and gait impairment
(Velayutham, S., et all., 2017) between them. To prevent falls, the services users with AD
must be training in postural stability and services users with FTD could do gait training.

To talk about cognitive intervention in Alzheimer’s disease is essential to understand

the definition of cognitive training, cognitive rehabilitation and cognitive stimulation.
Cognitive training, mainly the tasks are created to specific cognitive functions (attention,
memory work) and routinary tasks for events life. Cognitive rehabilitation, person-care and
family care are the goals when the therapist sets the strategies to achieve them. Focus on
building up the patient’s strengths. Cognitive stimulation is based on the interaction with
others and how they are using and how it affected their social skills (Taylor, V., et all., 2018).
On another side, it is necessary to be able to recognise the stage of Alzheimer disease Myra
is. When Myra’s illness is taking progress to moderate to severe is when she arrives at the
residential relying on her caregiver or mental health professionals.
Definition of severity in Alzheimer disease considers cognitive parameters, functional
and neuropsychiatric components. A study using the Mini-Mental State Examination
(MMSE) and Global Deterioration Scale (GDS) to determine the degenerative dementia
scores of ¿ 10 and ≥6 (Voisin, T. & Vellas., B., 2009) respectively indicates severe dementia.
There are many approach therapies that can help to make improving better quality of
life for her, it can perform with therapies such as massage and touch, aromatherapy, music,
animal-assisted therapy, sensory garden (Strøm, B. S., et all, 2016). Myra presents a severe
Alzheimer’s dementia where in this stage she will become more aggressive. A study finds
that Aromatherapy and aromatic plants can be used as a treatment for controlling agitation,
aggression, and psychotic symptoms (Scuteri, d., et all., 2017). In addition, it can perform
animal-assisted therapy (AAT), Myra was a veterinarian she has a strong connection with the
animals it is very useful to incorporate TTA to Myra. Where it promotes social and
communication skills, help the interaction with others and enhance self-esteem and well-
being and decrease behavioural and psychological symptoms (BPSD) (Peluso, A., et all.,
2018).
A pilot trial investigation about the ketogenic diet intervention in Alzheimer’s disease.
The ketogenic diet is about restricted carbohydrates and increased fat nutrients. The effect in
our bodies is that ketone body levels and ketone utilization decrease brain glucose
consumption, lower insulin, and reduce inflammation. It can benefit cognitive performance
(Taylor, M. K., et all., 2018). Myra can implant on his diet a ketogenic diet to see if there is
any cognitive improvement.
Myra has moments of clarity when she is capable to realise her deteriorating
condition, she becomes more stressed in this situation. At the stage of Myra deteriorating is
increasing her isolation is exponential, even in the care centre she is avoiding doing activities
for her impaired cognition.
The stigma falls on the family when they find the diagnosis of Myra. They decreased
their visits to residential care. There is a strong belief that Alzheimer’s dementia has
biological causes. It could be a risk that her family has concerns about inheriting the illness.
At the same time, the perception of the disease is hopeless, and Myra is on a path to eventual
death. There are many stereotypes about the illness. Additionally, families find negative
consequences from stigma. Myra’s family is suffering a burden, sense of guilt and judgement.
High probability that Myra’s family might experience isolation and increased depression
(Rosin, E. R., et all., 2020).
Base the treatment in person-centred care and psychoeducation to the family. It will
be helpful to reduce the stigma about Alzheimer’s dementia by working with the family
inside the residential care. To highlight and explain to them that be involved in activities
where Myra may enjoy and feel support. To find ways how the family and Myra can engage,
for example creating roles in scenarios when Myra wants to decorate her room or Myra want
to go shopping (Comas-Herrera, A., et all., 2020). Any activity where is involved Myra and
her family fight with the stigma, they could experience in themselves.
Language has a stronger component in how it can influence humans. Starting, that
humans are an only specie has developed the language for communicating our feelings and
thoughts. At the 2014 Alzheimer’s Disease International conference for avoiding social
stigmatization in Alzheimer’s dementia. It was found very disrespectful and dehumanizing
using words like “demented” “sufferers”, “subjects”, “victims”, and “not all there”. To fight
stigmatization, it is necessary to create programmes where they can be the protagonist and
relate their own experiences. Therefore, using the networks such as Facebook, Twitter and
Instagram to spread the information to a different range of ages. In this way, social isolation,
discrimination and stigma will be reduced (Swaffer Kate, 2014).
Nowadays, there is a coronavirus disease 2019 (COVID-19) which the professionals
must continue working as usual and still provide the best services. Myra has a high risk of
suffering severe COVID-19 because of her older age and the medical comorbidities with
Alzheimer’s disease. The role of the professionals is to prevent any contagious infection
inside the residential care. Speaking metaphorically, there is an octopus where each arm is a
necessity that the professionals should take into account such as care for basic needs, calm
down challenging behaviours, comprehensive cognitive enhancement, clinical management
of cognitive disorders and concerns for and credits to caregivers. It is an uncertain period,
where saving the life’s Myra is a priority under other needs. Professionals who are looking
after a person with Alzheimer’s dementia should take a regular screening for anxiety, stress
and depression. Mental Health professionals should receive support from others, for example
teaching relaxation methods and recreational activities (Mok, V. V., et all., 2020).
As a mental health professional is very important to be innovative for improving the services.
When Alzheimer’s dementia gets progress in the advanced stage Myra likely will be more
aggressive caused by disorientation, confusion, distress, poor understanding of the basic
routines. Research where the improvement of services is under consideration. The main idea
is to reduce the agitation that can be verbal or physical aggression applying the Targeted
Intervention Interdisciplinary Model for Evaluation and Treatment of Neuropsychiatric
Symptoms (TIME) its principles come from cognitive behavioural therapy and person-
centred care. Its components are the registration and assessment phase; a guided reflection
phase; and an action and evaluation phase. This is a powerful tool that professionals can use
as a prevention of Myra’s falls and family therapy in her Care Programme Approach (CPA)
(Lichtwarck, B., et all., 2019).
Myra arrives at the residential Care under sections two and three (Mental Health Act,
1983) means that in section two that person needs an assessment in her case, she does not the
mental capacity to understand the important information. Under this section, she can receive
treatment, for example, medication. This section involves two doctors, one doctor is a
specialist in mental health disorders, and another is a doctor from Myra’s GP. Myra can stay
at Hospital for twenty-eight days under section two. After those days, Myra still needs the
treatment she is under section three which expired every six months it can be renovated.
Another relevant Mental Capacity Act 2005 incorporates the process of knowing
Deprivation of Liberty Safeguards (DoLS). The implication with Myra is her diagnosis of
Alzheimer’s dementia where she can be at risk for herself at her house, for example, forget
turn in off staff like cook, tv, wash machine. She can be lost on the street putting at risk her
life and the others. Therefore, her freedom is restricted under the Mental Capacity 2005 for
her best interest.
Things will be changed for Myra probably from 2022, for the reason The Liberty
Protection Safeguards (LPS) will be the renewed version of DoLS. LPS look after the
person’s rights and Myra will be the epic centre in this process. Where professionals have the
duty of listening to the preferences of Myra like her wishes, feelings.
For the new update of her Care Programme Approach, Myra was a veterinarian who
loves animals, and she loves the company of her loved ones. The professionals can arrange a
new plan to meet once a week where they can go with her to the nearest farm.

Overall, it may be said Myra is suffering from a chronic mental illness. The concern
on the table is her well-being, the level of depression or isolation is suffering her family.
Finds ways with the therapies to work harder in being involved with her family in her
therapy. As a professional to be updated for new generation medicaments and new generation
therapies for Alzheimer’s dementia. To protect and prevent healthcare for the burnout
syndrome which can be affected to the services and care to the person who is living and be
treated in residential care. Another important concern is to help the family with the process of
bereavement for the advanced age of Myra and her anosognosia will progress when the
illness advances itself. It stands shoulder-to-shoulder between family and professionals for
the best recovery for Myra.
Cohen, L.W., Zimmerman, S., Reed, D., Sloane, P.D., Beeber, A.S., Washington, T., Cagle,
J.G. and Gwyther, L.P., 2014. Dementia in relation to family caregiver involvement and
burden in long-term care. Journal of Applied Gerontology, 33(5), pp.522-540.
Hamilton, J.R., 1983. Mental Health Act 1983. British Medical Journal (Clinical Research
Ed.), 286(6379), p.1720.
Lichtwarck, B., Myhre, J., Selbaek, G., Kirkevold, Ø., Rokstad, A.M.M., Benth, J.Š. and
Bergh, S., 2019. TIME to reduce agitation in persons with dementia in nursing homes. A
process evaluation of a complex intervention. BMC health services research, 19(1), pp.1-16.
Mind. 2020. Sectioning. [ONLINE] Available at: https://www.mind.org.uk/information-
support/legal-rights/sectioning/overview/. [Accessed 19 March 2022].
Mok, V.C., Pendlebury, S., Wong, A., Alladi, S., Au, L., Bath, P.M., Biessels, G.J., Chen, C.,
Cordonnier, C., Dichgans, M. and Dominguez, J., 2020. Tackling challenges in care of
Alzheimer's disease and other dementias amid the COVID‐19 pandemic, now and in the
future. Alzheimer's & Dementia, 16(11), pp.1571-1581.
Peluso, S., De Rosa, A., De Lucia, N., Antenora, A., Illario, M., Esposito, M. and De
Michele, G., 2018. Animal-assisted therapy in elderly patients: Evidence and controversies in
dementia and psychiatric disorders and future perspectives in other neurological
diseases. Journal of geriatric psychiatry and neurology, 31(3), pp.149-157.
Pink, J., O’Brien, J., Robinson, L. and Longson, D., 2018. Dementia: assessment,
management and support: summary of updated NICE guidance. bmj, 361.
Quality compliance systems. 2021. LPS and DoLS – How are they different?. [ONLINE]
Available at: https://www.qcs.co.uk/lps-and-dols-how-are-they-different/. [Accessed 19
March 2022].
Rosin, E.R., Blasco, D., Pilozzi, A.R., Yang, L.H. and Huang, X., 2020. A narrative review
of Alzheimer’s disease stigma. Journal of Alzheimer's Disease, 78(2), pp.515-528.
Scuteri, D., Morrone, L.A., Rombolà, L., Avato, P.R., Bilia, A.R., Corasaniti, M.T.,
Sakurada, S., Sakurada, T. and Bagetta, G., 2017. Aromatherapy and aromatic plants for the
treatment of behavioural and psychological symptoms of dementia in patients with
alzheimer’s disease: clinical evidence and possible mechanisms. Evidence-Based
Complementary and Alternative Medicine, 2017.
Strøm, B.S., Ytrehus, S. and Grov, E.K., 2016. Sensory stimulation for persons with
dementia: a review of the literature. Journal of clinical nursing, 25(13-14), pp.1805-1834.
Swaffer, K., 2014. Dementia: stigma, language, and dementia friendly. Dementia, 13(6),
pp.709-716.

Taylor, M.K., Sullivan, D.K., Mahnken, J.D., Burns, J.M. and Swerdlow, R.H., 2018.
Feasibility and efficacy data from a ketogenic diet intervention in Alzheimer's
disease. Alzheimer's & Dementia: Translational Research & Clinical Interventions, 4, pp.28-
36.

Velayutham, S.G., Chandra, S.R., Bharath, S. and Shankar, R.G., 2017. Quantitative balance
and gait measurement in patients with frontotemporal dementia and Alzheimer diseases: a
pilot study. Indian journal of psychological medicine, 39(2), pp.176-182.

Voisin, T. and Vellas, B., 2009. Diagnosis and treatment of patients with severe Alzheimer’s
disease. Drugs & aging, 26(2), pp.135-144.

World Health Organization (2019). International Statistical Classification of Diseases and

Related Health Problems (11th ed.). https://icd.who.int/
 Talk to me
Joseph is a university student in his first year. He is nineteen years old. The first
admission to the Early Intervention Team was a referral from GP. He is using his expressions
such as "Weird experiences" to describe the changes in his behaviour and he accepts that his
conduct is changed. He spends all day in his university halls room alone listening to music on
his iPod and smoking cannabis. He also reports he has started to feel like people are out there
to get him and does not feel safe outside this room. Joseph has begun hearing voices that at
the beginning were agreeable and easy to avoid. However, he feels more distressing, and he is
worried about them.
Joseph consumes the cannabis for past few years using it as a relaxing method. His
main concerns are missing lectures at the university and the voices in his mind.
According to the description of what happens to Joseph and following the ICD-10 Joseph is
diagnosed with a severe depressive episode with psychotic symptoms [F32.3]. ICD-10
defines a depressive episode as “the patient suffers from lowering of mood, reduction of
energy, and decrease in activity. Capacity for enjoyment, interest and concentration is
reduced” (World Health Organisation (WHO), 2016). It can be the reason Joseph stops doing
activities such as clubbing with his friends, playing the guitar, and assisting with his lectures
at the university. And as well explains that Joseph wants to stay in his room all day.
Following the medical records, Joseph presents suicidal thoughts as he confirms it was in the
past, but at the present, the suicidal thought is not there. ICD-10 describes severe depressive
episodes with psychotic symptoms [F32.3] “with the presence of hallucinations, delusions,
psychomotor retardation, or stupor so severe that ordinary social activities are impossible:
there may be danger life from suicide, dehydration, or starvation. The hallucinations and
delusions may or may not be mood-congruent” (World Health Organisation (WHO),2016).
Services users with psychotic major depression (PMD) was founding that they have
an increased level of cortisol in their urine, however, it was not the presence of cortisol in
services users with schizophrenia. (Keller, j., et all.,2007). The idea is to measure the level of
cortisol of Joseph with a blood test or urine.
There is an overlapping between depressive and negative symptoms in schizophrenia because
low mood, pessimism, and suicidality are more specific to depression. But alogia and blunted
effect have a high link with negative symptoms (Dubovsky S., et all, 2021). Joseph describes
having suicidal thoughts before.
 The medical report from Joseph finds that he consumed cannabis in the last two years.
Cannabis consumption cannot link with auditory hallucinations, low mood, suicidal thoughts
(in the past years) until there is a measure of the quality, quantity study of the drug he is
consuming. Diagnosis works to prevent and support Joseph from the auditory hallucinations
and the depression.
The contrast between ICD-10 and ICD-11 differences of severe depression with
psychotic. In ICD-11 Joseph’s diagnosis is single episode depressive disorder, severe, with
psychotic symptoms [6A70.4]. The description is almost the same in ICD-10. However, ICD-
11 divides the severity of depression from hallucinations and delusions. In this situation,
Joseph’s diagnostic criteria must assess the level of depression and the type of psychotic.
Instead, ICD-10 Joseph’s diagnosis of depression is straight away nominated as severe
Dubovsky, S., et all., 2021).
Joseph is concerned about the auditory hallucinations the beneficial admission for him
is to recover in Early Intervention in Psychosis (EIP). The identification and intervention in
the prepsychotic phase are crucial to be able to recognize the risk of developing the illness
and the necessity of the treatments should be effective in the prevention of progression of the
psychosis (Killackey, E., and Yung, A., 2007).
According to the NICE guideline (2018) to treat severe depression with psychosis the
service user had suicidal thoughts in the past. So, for the first instance, Joseph has been
assessed for the risk of suicide to prevent. In other words, NICE advise referring to specialist
mental health services for a programme of coordinated multi-disciplinary care, also facilitate
psychological interventions and pharmacological treatment.
As a mental health professional, the aim of the case is to focus on psychological
intervention. For this fact, the method of Acceptance-based Depression and Psychosis
Therapy (ADAPT). ADAPT is a conversion of Behavioural Activation (BA) and Acceptance
and Commitment Therapy (ACT). They are individual sessions for up to 6 months. The first
phase is rapport building where the therapist goes through the history life of Joseph and the
current symptoms he presents. The therapist guides Joseph to travel to his past attempts and
choose those events were avoiding or struggling to change ways of coping with stressful
events. And the second phase is when behavioural activation is introduced to Joseph where
the therapist made examples of how the activity level and mood affect them. Using the TRAP
model (Trigger, Response, Avoidance Pattern) for avoiding the mood of influence and the
negative consequences. The next step is to apply the TRAC model (Trigger, Response,
Alternative Coping) where the therapist demonstrates to Joseph to divide goals into smaller,
to convert easier achievable steps. The third phase is acceptance and mindfulness. From the
previous session, Joseph is more taught to deactivate negative thoughts. The activities are
focused on mindfulness techniques at the same time Joseph make commitments for valued
behavioural changes with his depression and for his psychotic symptoms as well.
Additionally, it will be offered to participate one of the family members with the reason that
they receive psychoeducation and discuss how Joseph can be supportive. In the last phase,
relapse prevention, the focus is improvising functioning and quality of life rather than
symptoms reduction (Brandon, A., et all., 2012). Regarding, his academic situation is part of
his quality of life, for ending his motivation should improve in this phase setting his priorities
at this moment.
Applying ADAPT therapy to Joseph. He can engage in new activities such as playing
the guitar like mindfulness therapy where he will be more stimulated and as well to commit
as a value behavioural change to reduce smoke cannabis, instead to smoke it will be better to
find other alternatives for relaxation.
If the pharmacological and ADAPT treatments are failed. In this case is recommended
(NICE, 2018) to consider Electroconvulsive Therapy (ECT). A recent study, find that it is
better to approach cognitive techniques when the service user is less confused by psychotic
experiences (Dubovsky, S., et all., 2021).
Joseph reports experiencing “weird experiences”, prefer to be in his room all day and
feels unsafe outside of his room. Probably, if Joseph responses bad to the pharmacological
treatment there is contemplation with the Multidisciplinary Team (MDT) to use ECT.
According to the theoretical model of Corrigan, social stigma is three main categories:
stereotypes, prejudice and discrimination. Stigmatisation causes delays in the recovery of
people with mental health problems. In addition, there is gender as a variable that will not be
present for many studies how are the effects of mental illness and gender (Corrigan, 2007).
The assumption is that Joseph is considering males as his gender. There is a stronger society
that believes that males are less expressive and talk about their emotions and avoid looking
for help and support. A Chinese study shows that Chinese men are expected to conduct
greater self-control, willpower, more emotional control and suppression than are Chinese
women (Cheung, R., et al., 2018). As well in occidental culture, the general public’s
cognitive attributions about masculinity present men are more sufficient to restraint their
emotions than women. Joseph can be affected by this cultural belief independent of his
diagnosis. The gender stigma makes it worst to seek help when there are mental health
problems. For this reason, Joseph arrives at the services by help’s family friend.
 A study assessed with psychometric tests variables the self-stigma, loneliness,
intensity of depressive symptoms and the severity of psychological symptoms in 110
participants with diagnoses of psychotic disorders to find what variables affect the
intensification of depressive symptoms indirectly. Self-stigma modifies depression symptoms
because there is an interfering feeling of loneliness like the influencer between stigma and
depression (Świtaj, P., et all., 2013). Joseph’s situation is compressive to feel lonely when he
is living in a university accommodation without any family support.
At nineteen years old receiving a diagnosis of schizophrenia or psychosis is very
harmful to a young adult who still has brain development (Satterthwaite, T., Baker, J., 2014).
Joseph reports his concern about the exam stress and the voices which are distressing now,
and he says “he avoids his friends because he cannot talk to them about what’s happening. He
is worried that they will not understand him and will think that he is mad”. Highlighter the
lines in Joseph’s report because there is a self-labelling condition.
Self-labelling affects stigma stress both contributing to reducing the well-being of young
people at risk of psychosis. In EIP is important to address the care plan approach with Joseph
the shame and stigma with effective strategies and coping skills (Rusch, N., et all., 2014).
There is a discrepancy in the roles of services and professionals in recovery. Most of the
time, Joseph will be spending all the time with the healthcare assistant supporting him. So, in
this way is important they have a good relationship with him. Because Joseph is going to find
support and help. Considering he will share his thoughts and his feelings with the healthcare
assistants for the reason they will spend a huge amount of hours together. This role is crucial
in building a relationship with Joseph to encourage trust in the services and listen to his needs
and concerns. The professionals provide the best services but when they have burnout
syndrome their services can be affected.
Joseph arrives at the EIP as an informal service user. He is concerned about the
“weird experience” and the hearing delusions, and he wants to take his lectures again. It is
not any reason to apply the mental health act 1983 to Joseph. In another hand, he can refuse
to receive the assessment or treatment he should be under the mental health act 1983.
In summary, Joseph presents a severe depression with psychotic. Joseph consumes
cannabis in the last 2 years, however before he presented suicidal thoughts in the past. The
focus in the treatment is motivated to incorporate Joseph into the lectures at university. Music
therapy can motivate Joseph to be involved in recreational activities with other academic
students or musicians. At the same time, it will be reduced the stigmatization that he is
feeling about his diagnosis. For the other type of intervention, it is group sessions with his
peer where he can find support and see there are more persons with the same problems. In the
summative for care about his mental health and well-being to be close more his family for
introduce family therapy part of the therapy treatment.
Bluglass, R. and Beedie, M.A., 1983. Mental Health Act 1983. British Medical Journal
(Clinical research ed.), 287(6388), p.359.
Cheung, R.Y., Mak, W.W., Tsang, P.S. and Lau, J.T., 2018. Stigma of psychosis: Do
diagnostic label, symptom manifestation, and gender matter?. American Journal of
Orthopsychiatry, 88(5), p.529.
Corrigan, P.W. and Watson, A.C., 2007. The stigma of psychiatric disorders and the gender,
ethnicity, and education of the perceiver. Community mental health journal, 43(5), pp.439-
458.
Dubovsky, S.L., Ghosh, B.M., Serotte, J.C. and Cranwell, V., 2021. Psychotic depression:
Diagnosis, differential diagnosis, and treatment. Psychotherapy and Psychosomatics, 90(3),
pp.160-177.
Gaudiano, B.A., Nowlan, K., Brown, L.A., Epstein-Lubow, G. and Miller, I.W., 2013. An
open trial of a new acceptance-based behavioral treatment for major depression with
psychotic features. Behavior modification, 37(3), pp.324-355.
Rüsch, N., Corrigan, P.W., Heekeren, K., Theodoridou, A., Dvorsky, D., Metzler, S., Müller,
M., Walitza, S. and Rössler, W., 2014. Well-being among persons at risk of psychosis: The
role of self-labeling, shame, and stigma stress. Psychiatric Services, 65(4), pp.483-489.
Satterthwaite, T.D. and Baker, J.T., 2015. How can studies of resting-state functional
connectivity help us understand psychosis as a disorder of brain development?. Current
opinion in neurobiology, 30, pp.85-91.
Świtaj, P., Grygiel, P., Anczewska, M. and Wciórka, J., 2014. Loneliness mediates the
relationship between internalised stigma and depression among patients with psychotic
disorders. International Journal of Social Psychiatry, 60(8), pp.733-740.
Świtaj, P., Grygiel, P., Anczewska, M. and Wciórka, J., 2014. Loneliness mediates the
relationship between internalised stigma and depression among patients with psychotic
disorders. International Journal of Social Psychiatry, 60(8), pp.733-740.
World Health Organization (2019). International Statistical Classification of Diseases and
Related Health Problems (11th ed.). https://icd.who.int/
World Health Organization (WHO). The ICD-10 Classification of Mental and Behavioural
Disorders. World Health Organization, 1993.
 MHR3001: Self-Assessment of Academic Work

Self Assessment of Academic Work

Areas for improvement identified from previous feedback on assignments from previous studies, including
formative assessment from this module, that I have endeavoured to address.

My knowledge and vocabulary are increased drastically. At the same time, the review of the last research in the last
ten years, make me change my perspective of the new world after COVID-19.

Aspects I think I have done well

I was mindful to look for the last studies and the same time to create my own thoughts from them. To innovate with
the last resources and take into account this new generation. Mainly in Joseph’s case when his consume of cannabis
is alert of dual diagnosis or is part of scape of reality.

Things which were difficult and I’m not too happy about and I would particularly like comments on:
My vocabulary can be better and use more formal words and more academic expressions.

My self-assessment of this piece of work:

I enjoyed doing the assessments and each time when I was writing I love imaging they are real person. Hopefully, in
the future I can support them and look after them. At the same time, I could not stop thinking about how is beautiful
the theorical part of the mental health field. I can spend my life reading the studies that can be used as a tools in a
practical setting.

Other comments: