REVIEW EXAM
◉ When Eddie finished serving in the military, he was described as a
changed person. What were some changes to his behavior?
substance use? odd thoughts. Answer: Drinking more heavy
Suicide threats
Panic attacks while flying
Obsessive odd thoughts - he has worm, he is Dracula
Paranoia thought government was watching him
Agitated hypervigilant behaviors - nail gun, bridge
Suicidal threats and behaviors - grabbed gun
Manic like thoughts/ behaviors
◉ What type of treatment did he receive as a result of these
psychological changes?. Answer: 3 week impatient stay PTSD;
cocktail of meds; again committed after threatening to hurt himself
and other; psychiatric hospitalization; more anitphyschotic dosage
◉ Top-Down Approach
,Bottom-Up Approach. Answer: profiler has experience & uses
evidence at the crime scene to develop a profile of the likely
criminal; profiler uses statistics & research based on similar crimes
in order to develop a profile of the criminal based on previous
convictions
◉ Prior to the murder, Eddie was hospitalized - when was that (how
soon before the murders?) and what type of treatment was it?.
Answer: Involuntary Psychiatric hospitalization - pacing with knife
about gov agents
◉ how did Kyle describe eddie the day of the murders?. Answer:
straight up nuts
◉ what happened when the police approached Eddie in his car
immediately after the murders; what did he tell the police at the
station after he was arrested. Answer: 15 min convo then flee; He
knew what he did was wrong but he needed to take his soul before
his is taken and doesn't want to play chess with his life.
◉ How did the psychiatric evaluation from the defense expert differ
from the prosecution expert?. Answer: Defense: schizophrenia -
cannibals, mafia, pigs
Prosecution: paranoid personality disorder- faking schizophrenia,
mj and alc use
,◉ According to the defense psychiatrist, what did Routh think after
he shot Chris and Chad?. Answer: Routh felt like he was in danger,
thought the guys were pig assassins, he felt remorse
◉ What did the prosecution expert (Arambula) say about Routh's
sanity at the time of the crime?. Answer: Not insane during murder
because he was intoxicated, not schizophrenic because turned back
on kyle
◉ what is substance use disorder. Answer: Recurrent use of a
substance in spite of clinically and functionally significant
impairment. Examples include:
Health Problems
Disability
Failure to meet major responsibilities at work, school, or home
Diagnosis is also based on evidence of impaired control, social
impairment, and risky use.
◉ alcohol use disorders. Answer: Alcohol is the most commonly
used addictive substance in the U.S.
17.6 million people suffer from alcohol abuse or dependence (as
well as several million more who engage in risky binge drinking
patterns that often results in alcohol problems)
, Most alcohol dependent individuals do not seek treatment
Stigma often plays a role
Cost
Don't see it as a problem
◉ how effective is substance use treatment. Answer: The majority of
individuals in treatment improve, but relapse is common
Better outcomes are associated with:
Longer retention in treatment
Addressing multiple problems or stressors (psychiatric, family,
legal, housing, employment)
Aftercare participation
◉ how to help one control his impusive drinking behavior. Answer:
Clinicians would work with Joh to
Develop awareness for his triggers and how to avoid them
Not face his triggers alone
Find alternative, immediate action