Rachel’s father has severe schizophrenia; he has experienced several episodes of psychosis, but is unaware of his disorder. As her father does not know he has a disorder, he does not see the necessity for treatment. Rachel wants to respect his autonomy but feels that treatment is the best option and that he is unfit to make an objective decision about it. Is there a treatment that would be least compromising of his autonomy?

The first treatment option I believe a physiatrist would start with is simply talking with this perPsychological Treatments. Attempting to guide them through cognitive thinking to help them realize where they are even if the patient doesn’t understand the severity of the situation. At this point even if the patient believes he has a less serious condition he would be more inclined to take some type of medication to assist, by not tricking him into taking a medication and saying its for something else altogether you don’t ruin the trust as well as take away that full autonomy. Hoping in the end the right medication will lead to a clearer thought behavior so the patient can better understand the reality of the situation. That is the ideal situations.  

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glass wants to live in a world of super heroes and villains. he have lived all his life trying to be responsible for the creating the origin story of a super hero; he schemed and caused many incidents (many of them fatal) hoping that someday someone with superpowers would show up and save the day.

he knew himself very much. he saw himself as a villain of a real-life super hero story. he was aware of his strengths (more than smart enough for being manipulative and scheming) and weaknesses (having fragile bones and having to rely on his mind to succeed).