Donnie Darko By Cody Thacker

Diagnosis • Axis 1: Paranoid Schizophrenia • Axis 2: None • Axis 3: None • Axis 4: School pressures, pressures of being a teen, jail time, jet engine falling into your room. • Axis 5: GAF- 27. The reason I score Mr. Darko at 27 is due to the fact that he has auditory, visual, and tactile hallucinations. He still manages to function in school and with relationships. He can be a little rude at times but so can any teen in high school. I do not believe he posed a threat to anyone until the end. He only performed his bad deeds if no one was around. The reason he pulled the gun and shot Frank was due to the fact that Frank had just killed Donnie’s girlfriend. In other words, normal functioning in all categories except for his hallucinations.

Auditory hallucinations Visual hallucinations Tactile hallucinations Problems Auditory hallucinations Visual hallucinations Tactile hallucinations Irritability Grandiose thoughts.

Treatment Recommendations • Level of Care: Adolescent Acute Care • Facility: Short Term Psychiatric Hospital • Programming and Resources: Daily exercise, group therapy, daily medication, access to help 24/7, and locked facility. • Length of Stay: 3 weeks-Month • Recurrence of TR Services: Services should repeat whenever symptoms start to pick up or recur. Medications should be taken as prescribed and that should keep him out of facilities.

Treatment Plan Week One: Assessments followed by initial therapies group and talk therapies followed by daily medications. Week Two: More therapies(group/talk and add in emotional therapies, sport therapy, and hypnotism.) continue medication and re-assess. Week Three: Continue weekly therapies. Introduce new leisure skills to help with future psychotic breaks.

Assessment • Apathy Evaluation Scale (AES) • The reason I picked this scale is because it doesn’t just focus on ADL’s, it also shows emotional stability, social capabilities, and the way a person is thinking. • It will be conducted over the course of a week seeing what the patient’s likes and dislikes are as well as questions about the patient’s life. • From this I hope to extract the level of functioning that the patient can operate at on a consistent basis. Such as group involvement, new skills, and what needs to be improved on. • Donnie’s level of leisure functioning is good except he doesn’t comprehend the ramifications of his actions.

• Weaknesses: Irresponsible, delusional, self- righteous, combative Functional Summary • Strengths: Social, intelligent, caring, independent, reliable friend • Weaknesses: Irresponsible, delusional, self- righteous, combative

Take medicine regularly Avoid confrontation Therapeutic Goals Take medicine regularly Avoid confrontation Full night’s sleep consistently

Therapeutic Objectives Lessen agitation Decrease anger outbursts

Interventions Hypnotism Therapy: To keep Donnie’s true thoughts in the open. Talk Therapy: Allows Donnie to release some inner anger. Sport Therapy: To focus Donnie’s attention on something other than his hallucinations. Pet Therapy: Gives Donnie someone to talk to besides his therapist. Yoga: Allows Donnie to calm his mind and body. Group Therapy: Shows Donnie how crazy some of the thoughts that go on in other people may show that his are not normal as well.

Evaluations Effectiveness: Perform week to week assessments on level of emotional stability, hallucinations, and better interactions in social situations. Plan to Review Goals: weekly assessments Basis to Continue/Revise/Discontinue: Improvements and failures will be marked by increases and decreases in scores due to assessments.

Recommendations/ Discharge/Transition Future plan/After Outpatient: Remain on medication and comeback monthly for checkups and continue talk therapy and hypnotism therapy

https://www.youtube.com/watch?v=X L5dlRDo5Yo Video https://www.youtube.com/watch?v=X L5dlRDo5Yo