Mrs. Warren, Schizophrenia demonstrating the symptom of a somatic delusion, Part 6
A middle-aged woman demonstrates negative symptoms of a very flat affect and very restrictive movement. She also demonstrates a positive symptom of having a somatic delusion, reporting she has abdominal pain due to a snake crawling into her stomach while she was asleep. Having both positive and negative symptoms qualify her for a diagnosis of schizophrenia.
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OFF CAMERA: [00:00:31] Hi Mrs. Warren. Nice to see you again. How are you.
MRS. WARREN: [00:00:36] OK.
OFF CAMERA: [00:00:37] Can you tell me why you came to the emergency room tonight.
MRS. WARREN: [00:00:42] My stomach hurt.
OFF CAMERA: [00:00:46] Mom brought me.
MRS. WARREN: [00:00:47] Oh how long is your stomach been hurting.
MRS. WARREN: [00:00:53] Since we went to the lake on Sunday.
OFF CAMERA: [00:00:57] What do you think is causing your stomach to hurt.
MRS. WARREN: [00:01:02] Snake.
OFF CAMERA: [00:01:03] A snake.
MRS. WARREN: [00:01:08] In my stomach.
OFF CAMERA: [00:01:10] You think you have a snake in your stomach.
MRS. WARREN: [00:01:15] Yes.
OFF CAMERA: [00:01:15] How do you think the snake got there.
MRS. WARREN: [00:01:22] Me and mom and Lindsay saw it in the water while you were at the lake yet it crawled up into the grass.
OFF CAMERA: [00:01:41] How did this snake get from the grass into your stomach.
MRS. WARREN: [00:01:48] I fell asleep.
OFF CAMERA: [00:01:50] On the ground.
OFF CAMERA: [00:01:53] And a snake is making hurt.
MRS. WARREN: [00:01:57] It’s chewing on me inside me.
OFF CAMERA: [00:02:04] You think any thing else could be causing the pain like a virus or maybe something you ate.
MRS. WARREN: [00:02:09] No, just the snake.