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Schizophrenia: Symptoms, Treatment, and Stigma

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Published: Feb 7, 2024

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Symptoms and diagnosis, risk factors, treatment options, misconceptions and stigma, coping strategies.

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Association, A. P. (2013). American Psychiatric Associaiton. Retrieved from www.psychiatry.org: file:///C:/Users/RAUHATH/AppData/Local/Temp/APA_DSM-5-Schizophrenia.pdfHavard Health Publishing. (2019, 2). Retrieved from HAvard [...]

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Decoding the Enigma: a Journey through the DSM-5 Labyrinth of Schizophrenia

This essay about decoding the DSM-5 criteria for schizophrenia navigates the complexities of diagnosing and understanding this enigmatic disorder. It explores the challenges clinicians face in capturing its diverse manifestations and emphasizes the importance of a nuanced approach. By examining the dimensional assessments, differential diagnosis, and prognostic factors outlined in DSM-5, the essay underscores the need for a comprehensive understanding of schizophrenia to provide accurate diagnosis and effective treatment.

How it works

Schizophrenia, a labyrinthine puzzle of the mind, has captured the intrigue of both scholars and practitioners for generations. Within the intricate tapestry of psychiatric literature, the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), stands as a guiding compass for understanding this enigmatic condition. Yet, delving into its depths requires more than mere academic prowess; it demands a voyage through the complexities of human experience and perception.

At the heart of the DSM-5 criteria for schizophrenia lies the challenge of capturing the essence of a disorder that defies easy categorization.

Like a chameleon, schizophrenia manifests in myriad forms, each as unique as the individual experiencing it. The manual’s delineation of positive symptoms such as hallucinations and negative symptoms like emotional blunting attempts to distill this kaleidoscope of experiences into diagnostic criteria. However, in doing so, it confronts the inherent limitations of language in encapsulating the richness of human consciousness.

Yet, within this sea of complexity, DSM-5 offers a beacon of hope through its dimensional approach to assessment. By recognizing the spectrum of symptom severity and functional impairment, clinicians can navigate the murky waters of schizophrenia with greater clarity. No longer confined to rigid diagnostic categories, patients are seen as dynamic beings existing along a continuum of experiences. This shift from a binary to a dimensional framework reflects a deeper understanding of the fluidity of mental illness and paves the way for more personalized interventions.

Moreover, DSM-5 serves as a roadmap for the arduous journey of differential diagnosis in schizophrenia. Like a detective unraveling clues in a mystery novel, clinicians must piece together fragments of clinical presentation to discern the true nature of the disorder. Bipolar disorder, schizoaffective disorder, and substance-induced psychosis lurk in the shadows, masquerading as schizophrenia in disguise. Only through meticulous assessment and keen observation can the true diagnosis be uncovered, ensuring that patients receive the appropriate treatment and support they need.

Yet, amidst the complexities of diagnostic criteria and differential diagnosis, DSM-5 offers a glimmer of clarity in its discussion of prognosis. Like a weather vane pointing towards the future, specifiers such as the presence of catatonia or the predominant symptomatology provide valuable insights into the course of the illness. Armed with this knowledge, clinicians can chart a course for treatment that takes into account not only the present symptoms but also the potential trajectory of the disorder.

In the end, deciphering the DSM-5 criteria for schizophrenia is not merely an academic exercise; it is a journey of discovery through the labyrinth of the human mind. It requires courage to confront the unknown, empathy to understand the experiences of those living with schizophrenia, and humility to acknowledge the limitations of our understanding. Yet, by embracing the complexities of the disorder and navigating the DSM-5 criteria with care and compassion, we can shine a light into the darkness and offer hope to those in need.

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Decoding the Enigma: A Journey through the DSM-5 Labyrinth of Schizophrenia. (2024, May 12). Retrieved from https://papersowl.com/examples/decoding-the-enigma-a-journey-through-the-dsm-5-labyrinth-of-schizophrenia/

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PapersOwl.com. (2024). Decoding the Enigma: A Journey through the DSM-5 Labyrinth of Schizophrenia . [Online]. Available at: https://papersowl.com/examples/decoding-the-enigma-a-journey-through-the-dsm-5-labyrinth-of-schizophrenia/ [Accessed: 16 May. 2024]

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"Decoding the Enigma: A Journey through the DSM-5 Labyrinth of Schizophrenia," PapersOwl.com , 12-May-2024. [Online]. Available: https://papersowl.com/examples/decoding-the-enigma-a-journey-through-the-dsm-5-labyrinth-of-schizophrenia/. [Accessed: 16-May-2024]

PapersOwl.com. (2024). Decoding the Enigma: A Journey through the DSM-5 Labyrinth of Schizophrenia . [Online]. Available at: https://papersowl.com/examples/decoding-the-enigma-a-journey-through-the-dsm-5-labyrinth-of-schizophrenia/ [Accessed: 16-May-2024]

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Schizophrenia

What is schizophrenia.

Schizophrenia is a serious mental illness that affects how a person thinks, feels, and behaves. People with schizophrenia may seem like they have lost touch with reality, which can be distressing for them and for their family and friends. The symptoms of schizophrenia can make it difficult to participate in usual, everyday activities, but effective treatments are available. Many people who receive treatment can engage in school or work, achieve independence, and enjoy personal relationships.

What are the signs and symptoms of schizophrenia?

It’s important to recognize the symptoms of schizophrenia and seek help as early as possible. People with schizophrenia are usually diagnosed between the ages of 16 and 30, after the first episode of psychosis . Starting treatment as soon as possible following the first episode of psychosis is an important step toward recovery. However, research shows that gradual changes in thinking, mood, and social functioning often appear before the first episode of psychosis. Schizophrenia is rare in younger children.

Schizophrenia symptoms can differ from person to person, but they generally fall into three main categories: psychotic, negative, and cognitive.

Psychotic symptoms include changes in the way a person thinks, acts, and experiences the world. A person experiencing psychotic symptoms often has disrupted thoughts and perceptions, and they may have difficulty recognizing what is real and what is not. Psychotic symptoms include:

• Hallucinations : When a person sees, hears, smells, tastes, or feels things that are not actually there. Hearing voices is common for people with schizophrenia. People who hear voices may hear them for a long time before family or friends notice a problem.
• Delusions : When a person has strong beliefs that are not true and may seem irrational to others. For example, individuals experiencing delusions may believe that people on the radio and television are sending special messages that require a certain response, or they may believe that they are in danger or that others are trying to hurt them.
• Thought disorder : When a person has ways of thinking that are unusual or illogical. People with thought disorder may have trouble organizing their thoughts and speech. Sometimes a person will stop talking in the middle of a thought, jump from topic to topic, or make up words that have no meaning.

Negative symptoms include loss of motivation, loss of interest or enjoyment in daily activities, withdrawal from social life, difficulty showing emotions, and difficulty functioning normally.

Negative symptoms include:

• Having trouble planning and sticking with activities, such as grocery shopping
• Having trouble anticipating and being motivated by pleasure in everyday life
• Talking in a dull voice and showing limited facial expression
• Avoiding social interaction or interacting in socially awkward ways
• Having very low energy and spending a lot of time in passive activities. In extreme cases, a person might stop moving or talking for a while, which is a rare condition called catatonia .

These symptoms are sometimes mistaken for symptoms of depression or other mental illnesses.

Cognitive symptoms include problems in attention, concentration, and memory. These symptoms can make it hard to follow a conversation, learn new things, or remember appointments. A person’s level of cognitive functioning is one of the best predictors of their day-to-day functioning. Health care providers evaluate cognitive functioning using specific tests.

Cognitive symptoms include:

• Having trouble processing information to make decisions
• Having trouble using information immediately after learning it
• Having trouble focusing or paying attention

The Centers for Disease Control and Prevention (CDC)  has recognized that having certain mental disorders, including depression and schizophrenia, can make people more likely to get severely ill from COVID-19. Learn more about getting help and finding a health care provider .

Risk of violence

Most people with schizophrenia are not violent. Overall, people with schizophrenia are more likely than those without the illness to be harmed by others. For people with schizophrenia, the risk of self-harm and of violence to others is greatest when the illness is untreated or co-occurs with alcohol or substance misuse. It is important to help people who are showing symptoms to get treatment as quickly as possible.

Schizophrenia vs. dissociative identity disorder

Although some of the signs may seem similar on the surface, schizophrenia is not dissociative identity disorder (which used to be called multiple personality disorder or split personality). People with dissociative identity disorder have two or more distinct identities with distinct behaviors and memories.

What are the risk factors for schizophrenia?

Several factors may contribute to a person’s risk of developing schizophrenia.

Genetics: Schizophrenia sometimes runs in families. However, just because one family member has schizophrenia, it does not mean that other members of the family also will have it. Studies suggest that many different genes may increase a person’s chances of developing schizophrenia , but that no single gene causes the disorder by itself.

Environment: Research suggests that a combination of genetic factors and aspects of a person’s environment and life experiences may play a role in the development of schizophrenia. These environmental factors that may include living in poverty, stressful or dangerous surroundings, and exposure to viruses or nutritional problems before birth.

Brain structure and function: Research shows that people with schizophrenia may be more likely to have differences in the size of certain brain areas and in connections between brain areas. Some of these brain differences may develop before birth. Researchers are working to better understand how brain structure and function may relate to schizophrenia.

How is schizophrenia treated?

Current treatments for schizophrenia focus on helping people manage their symptoms, improve day-to-day functioning, and achieve personal life goals, such as completing education, pursuing a career, and having fulfilling relationships.

Antipsychotic medications

Antipsychotic medications can help make psychotic symptoms less intense and less frequent. These medications are usually taken every day in a pill or liquid forms. Some antipsychotic medications are given as injections once or twice a month.

If a person’s symptoms do not improve with usual antipsychotic medications, they may be prescribed clozapine. People who take clozapine must have regular blood tests to check for a potentially dangerous side effect that occurs in 1-2% of patients.

People respond to antipsychotic medications in different ways. It is important to report any side effects to a health care provider. Many people taking antipsychotic medications experience side effects such as weight gain, dry mouth, restlessness, and drowsiness when they start taking these medications. Some of these side effects may go away over time, while others may last.

Shared decision making  between health care providers and patients is the recommended strategy for determining the best type of medication or medication combination and the right dose. To find the latest information about antipsychotic medications, talk to a health care provider and visit the U.S. Food and Drug Administration (FDA) website  .

Psychosocial treatments

Psychosocial treatments help people find solutions to everyday challenges and manage symptoms while attending school, working, and forming relationships. These treatments are often used together with antipsychotic medication. People who participate in regular psychosocial treatment are less likely to have symptoms reoccur or to be hospitalized.

Examples of this kind of treatment include types of psychotherapy such as cognitive behavioral therapy, behavioral skills training, supported employment, and cognitive remediation interventions.

Education and support

Educational programs can help family and friends learn about symptoms of schizophrenia, treatment options, and strategies for helping loved ones with the illness. These programs can help friends and family manage their distress, boost their own coping skills, and strengthen their ability to provide support. The National Alliance on Mental Illness website has more information about support groups and education   .

Coordinated specialty care

Coordinated specialty care (CSC) programs are recovery-focused programs for people with first episode psychosis, an early stage of schizophrenia. Health care providers and specialists work together as a team to provide CSC, which includes psychotherapy, medication, case management, employment and education support, and family education and support. The treatment team works collaboratively with the individual to make treatment decisions, involving family members as much as possible.

Compared with typical care, CSC is more effective at reducing symptoms, improving quality of life, and increasing involvement in work or school.

Assertive community treatment

Assertive community treatment (ACT)  is designed especially for people with schizophrenia who are likely to experience multiple hospitalizations or homelessness. ACT is usually delivered by a team of health care providers who work together to provide care to patients in the community.

Treatment for drug and alcohol misuse

People with schizophrenia may also have problems with drugs and alcohol. A treatment program that includes treatment for both schizophrenia and substance use is important for recovery because substance use can interfere with treatment for schizophrenia.

How can I find help for schizophrenia?

If you have concerns about your mental health, talk to a primary care provider. They can refer you to a qualified mental health professional, such as a psychologist, psychiatrist, or clinical social worker, who can help you figure out the next steps. Find  tips for talking with a health care provider  about your mental health.

You can  learn more about getting help  on the NIMH website. You can also learn about  finding support    and  locating mental health services   in your area on the Substance Abuse and Mental Health Services Administration (SAMHSA) website.

It can be difficult to know how to help someone who is experiencing psychosis.

Here are some things you can do:

• Help them get treatment and encourage them to stay in treatment.
• Remember that their beliefs or hallucinations seem very real to them.
• Be respectful, supportive, and kind without tolerating dangerous or inappropriate behavior.
• Look for support groups and family education programs, such as those offered by the National Alliance on Mental Illness   .

If you or someone you know is struggling or having thoughts of suicide, call or text the 988 Suicide & Crisis Lifeline   at 988 or chat at 988lifeline.org   . In life-threatening situations, call 911 .

How can I find a clinical trial for schizophrenia?

Clinical trials are research studies that look at new ways to prevent, detect, or treat diseases and conditions. The goal of clinical trials is to determine if a new test or treatment works and is safe. Although individuals may benefit from being part of a clinical trial, participants should be aware that the primary purpose of a clinical trial is to gain new scientific knowledge so that others may be better helped in the future.

Researchers at NIMH and around the country conduct many studies with patients and healthy volunteers. We have new and better treatment options today because of what clinical trials uncovered years ago. Talk to your health care provider about clinical trials, their benefits and risks, and whether one is right for you.

To learn more or find a study, visit:

• NIMH’s Clinical Trials webpage : Information about participating in clinical trials
• Clinicaltrials.gov: Current Studies on Schizophrenia  : List of clinical trials funded by the National Institutes of Health (NIH) being conducted across the country
• Join a Study: Schizophrenia : List of studies being conducted on the NIH Campus in Bethesda, MD

Where can I learn more about schizophrenia?

Free brochures and shareable resources.

• Schizophrenia : This brochure on schizophrenia offers basic information on signs and symptoms, treatment, and finding help. Also available en español .
• Understanding Psychosis : This fact sheet presents information on psychosis, including causes, signs and symptoms, treatment, and resources for help. Also available en español .
• Digital Shareables on Schizophrenia : These digital resources, including graphics and messages, can be used to spread the word about schizophrenia and help promote schizophrenia awareness and education in your community.

Research and statistics

• Accelerating Medicines Partnership® Program - Schizophrenia (AMP® SCZ) : This AMP   public-private collaborative effort aims to promote the development of effective, targeted treatments for those at risk of developing schizophrenia. More information about the program is also available on the AMP SCZ website   .
• Early Psychosis Intervention Network (EPINET) : This broad research initiative aims to develop models for the effective delivery of coordinated specialty care services for early psychosis.
• Journal Articles:   This webpage provides information on references and abstracts from MEDLINE/PubMed (National Library of Medicine).
• Psychotic Disorders Research Program : This program supports research into the origins, onset, course, and outcome of schizophrenia spectrum disorders and other psychotic illnesses.
• Risk and Early Onset of Psychosis Spectrum Disorders Program : This program supports research on childhood and adolescent psychosis and thought disorders.
• Recovery After an Initial Schizophrenia Episode (RAISE) : The NIMH RAISE research initiative included two studies examining different aspects of coordinated specialty care treatments for people who were experiencing early psychosis.
• Statistics: Schizophrenia : This webpage provides the statistics currently available on the prevalence and treatment of schizophrenia among people in the United States.
• NIMH Experts Discuss Schizophrenia : Learn the signs and symptoms, risk factors, treatments of schizophrenia, and the latest NIMH-supported research in this area.

Last Reviewed: April 2024

Unless otherwise specified, the information on our website and in our publications is in the public domain and may be reused or copied without permission. However, you may not reuse or copy images. Please cite the National Institute of Mental Health as the source. Read our copyright policy to learn more about our guidelines for reusing NIMH content.

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Essays on Schizophrenia

Have a schizophrenia essay to write? Our schizophrenia essay samples will make this task easier for you – take a look at samples of essays below to find more info on the topic of schizophrenia. Essay-writers describe Schizophrenia is a chronic progressive mental illness, characterized by increasing dissociation (splitting) of mental functions. Many authors of schizophrenia essays miss the opportunity to note which early signs of schizophrenia can help diagnose it, which is an oversight. Untreated schizophrenic patients show a range of symptoms that are pointed out in most essays on schizophrenia, such as hallucinations, delusions, disorganized speech and thinking, motor functions, inability to function normally. Make sure your essay is informative yet easy to read, and you will succeed.

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This paper has been submitted to (Professor’s Name) by (student’s name) on 14th November 2018.SchizophreniaIntroductionSchizophrenia is a mental illness featured by thought disturbances, perception, and behavior, by a loss of emotional responsiveness and extreme apathy, and by massive deterioration in the level of performance in everyday life activities. Schizophrenia symptoms...

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This proposal will present three articles on schizophrenia in homeless persons, influences of homelessness on the living standards of people with schizophrenia and the last article examine about how the risk of homelessness increases in schizophrenia in the presence of three factors. The aim of this study is to find out...

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Professor Eugene Bleuler has immensely contributed to the study and research of schizophrenia. According to him, schizophrenia is a severe disorder which directly affects how an individual thinks, acts, relates to others or even perceives reality. Schizophrenia is the most severe and chronic of all the mental illnesses and hence...

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Schizophrenia is a severe mental illness that affects a person’s thinking, the way of expressing emotions, relating to others as well as how they act and perceive reality (Frith, 2014). Although it is a rare mental disorder, Schizophrenia is the most chronic and most disabling of the major mental illnesses....

Schizophrenia happens to be a prolonged and serious psychological disorder that influences the behavior, feelings and thinking capacity of an individual and it ruins their everyday functioning. Those who undergo this mental condition appear as if they have gone astray from actuality since they understand it strangely. They experience hitches...

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Over the past decades, schizophrenia has affected approximately 21 million people across the world, but few realize what the leading causes, symptoms, and diagnosis are. Schizophrenia is characterized as a severe mental disorder in which people are not able to differentiate the reality of life to abnormality (Weinberger " Harrison...

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My Schizophrenia Heroes: Elyn Saks and John Nash

A personal perspective: after i was diagnosed with schizophrenia, recovery stories inspired me..

Posted May 12, 2024 | Reviewed by Devon Frye

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When I was diagnosed with schizophrenia in 2007, I was adamantly opposed to the diagnosis and convinced it was absolutely wrong. I thought I was too strong and too smart to ever have schizophrenia.

However, several weeks following my diagnosis, slowly, I began to see my need for medication, realizing that the prescribed medicine actually cleared my mind and changed my behavior. At that time, I resolved to learn as much about schizophrenia as I could, and I am always still learning.

The fundamental and important things I learned were that schizophrenia is a brain disorder (not an emotional problem or a sign of weakness) and that schizophrenia is actually treatable. Thanks to some very encouraging conversations with one of my first doctors, I decided that I wanted treatment as much as I wanted the renewed life I was told it would bring.

Ever since then, I have been medication adherent. Treatment adherence brought me to a level of wellness that enabled me to graduate from college magna cum laude. Ten years ago, I published my memoir, and I established a charitable foundation in 2016 with my former psychiatrist.

Looking back, it would have been hard to move forward in my life without role models who had once been profoundly psychotic but had still found the treatment they needed to thrive academically and personally. I remember finding helpful blogs written by a young man living in California who graduated with his physics degree despite schizophrenia, as well as essays by other obscure authors who were doing very well thanks to faithful adherence to treatment.

I am grateful that these young people choose to share their triumphs online. Their stories gave me hope for recovery. In my work today, I often connect with persons who are thriving despite schizophrenia, and share their recovery stories on my foundation’s website (1).

Of these exceptional people I have discovered over the years, there were two who inspired me the most. They helped me confirm my decision to stay on medication and served as the role models I needed while I recovered and prepared to return to college in 2009. I greatly admire University of Southern California Law Professor Elyn Saks and the late mathematician John Nash.

Elyn Saks has worked as a law professor at USC since 1989, against all odds. She graduated from Yale Law School, following multiple very severe psychotic breaks. Before law school, she attended Vanderbilt University, graduating summa cum laude and as valedictorian. However, in her memoir, she describes that early signs of schizophrenia significantly affected her as an undergraduate, and she often neglected her personal hygiene.

During a hospitalization that took place soon after the start of law school, her treatment team contacted Yale to confirm that she would not be returning to school (which would have been illegal, by some standards, today). Elyn Saks struggled to find a medication that would enable her to focus on her studies, as the first antipsychotic medication that helped her mind left her unable to read, or even walk normally.

In her memoir, Elyn Saks describes periodic psychotic episodes throughout the course of her life, even many years after becoming a professor at the University of Southern California. Today, she also holds an honorary Ph.D. for her successful research and advocacy over many years. I wish I could personally thank Professor Saks and let her know that her story allowed me to see that it was possible to thrive at a high level despite schizophrenia.

John Nash was diagnosed with schizophrenia not long after the release of the very first antipsychotic medication in the world. Chlorpromazine (first released in France in 1952) was groundbreaking, but, unfortunately, came with many unwelcome side effects. Many people on the medication improved significantly but experienced involuntary movement disorders, sedation, a feeling of a mental “fog,” and other serious problems.

Like me, when John Nash was diagnosed with schizophrenia, he had no insight, believing that government officials were following him constantly and that he was a part of a complex conspiracy. But in his recovery, John Nash returned to his studies of mathematics. In 1994, he traveled to Norway to accept a Nobel Prize for groundbreaking mathematics work he had done in economics as a young man. Despite struggling with symptoms of schizophrenia for the rest of his life, he continued to remain a part of the elite mathematics community and make a contribution, until he passed away in 2015.

In my opinion, John Nash serves as a beacon of hope to everyone living with schizophrenia. Despite schizophrenia, even the greatest ambitions are still possible.

Grateful for My Treatment

I am grateful to have been diagnosed with schizophrenia in 2007 when newer medications for psychosis were available. I struggled and suffered on my first antipsychotics , but I am certain that if I had taken the medications Elyn Saks and John Nash were mandated to take, my suffering would have been considerably worse.

And I am still deeply grateful to have found an antipsychotic that gives me a great life with very few side effects. I found this medication one year after I began searching for the best schizophrenia treatment tailored to me.

There is hope for schizophrenia. Even those of us who suffer the most can achieve the most unexpected and remarkable things. I have found that you never know what life may bring, but the foundational acceptance of treatment is the key to a recovered life and boundless purpose.

(1) Schizophrenia Survivors. https://curesz.org/survivors/ Retrieved May 12, 2024

Bethany Yeiser is the author of Mind Estranged: My Journey from Schizophrenia and Homelessness to Recovery.

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Sometimes, it seems like coming up with unique psychology essay topics is more challenging than writing an essay itself. Psychology is a broad subject, so choosing a topic that allows you to cover the subject in depth without being stressed with information is important. A good topic not only captures the interest of the readers but also contributes meaningfully to their field of study.

In-depth research for psychology essays is important for the expansion of the understanding of human behaviour and for the treatment of various psychological conditions. Students feel burdened by the pressure of picking something new and important for their work. It leaves them feeling unsure of the approach to adopt for picking the right essay topics on psychology. During such times, you can get timely advice from your teachers, peers or expert essay writers online .

This blog explores the 70 best psychology essay topics that you can use to craft your essay papers. You can dive right in and start working on your homework after choosing a suitable topic for yourself.

A List of Trending Psychology Research Essay Topics

Whether you are a high schooler who is looking for essay topics in psychology or a college student in search of a compelling title for your paper, this piece of writing has got you covered. We have divided this list of essay topics about psychology into 7 different categories. Students at any academic level can benefit from these lists; there is something for everyone to engage with.

All of these topics for psychology essays are research-based and are related to the modern age psychology research problems. Let’s explore them in detail.

Biological Psychology Essay Topics

Sometimes known as behavioural neuroscience, biological psychology focuses on the study of neurotransmitters and the brain. Bio psychologists examine how these transmitters influence the feelings, behaviours, and thoughts of human beings. They also see how different biological processes interact with the cognitive functions of a person. If you are assigned to write an essay on this subject, but you can’t find any suitable topic, some of the best and trending biology psychology essay topics are listed here for your help:

• Explain the functioning of the endocrine system in detail and highlight how the hormones and glands actually work.
• What is the effect of people's multicultural background on their identity?
• Explore in detail the relationships between human beings and the electromagnetic fields.
• What is the impact of young maternal age on the cognitive and psychological effects, and how does it affect the elements of child development?
• Describe in detail the importance of health psychology when it comes to understanding the concept of diseases and health.
• To what extent can education be said to assume the scientific development that has been achieved in the study of biological integrity?
• What exactly is the neuroscience of addiction? Explain the circuitry and reward pathways of the brain.
• Explore the role played by hormones in controlling the social behaviour and aggression of individuals.
• What are the ethical considerations related to the usage of animal models in the field of biological psychology research?
• How are epigenetics and behaviour related to each other? Highlight the concept of interactions between the environment and genes.

Clinical Psychology Essay Topics

The clinical psychology research is often considered synonymous with counselling psychology. It is a discipline that is focused on the diagnosis, assessment, treatment and prevention of different emotional, mental and psychological disorders in different individuals. Here are the ten best clinical psychology essay topics that you can pick and use for your homework:

• What are the assessment options, diagnosis and treatment methods for anxiety plus other personality disorders in people?
• What is the impact of social media on how people behave and interact with each other?
• Explore the effect of ageing on mental illnesses. What particular challenges are faced by the old people who are diagnosed with mental health problems?
• Enlist the medications, therapy and psychosocial interventions associated with Schizophrenia.
• Explore in detail the impact of violence shown in media and video games on the behaviour of children.
• What kinds of therapy are found to be most suitable for people having behavioural issues since their childhood?
• Highlight the significance of anxiety disorders and their effect on the daily functioning of humans. Are there any new therapies available that can cure this problem?
• What are the ways in which the social and political climates of an environment affect the mental health of an individual?
• How does the substance use disorder impact a family, and how can the family members help with the treatment of the disorder?
• Is online therapy effective? Enlist its pros and cons and explore how people with no technical literacy can navigate it.

Cognitive Psychology Essay Topics

As a student of cognitive psychology, you will have to develop a systematic understanding of different cognitive processes. Since writing on such psychology topics is a bit tough, you can buy essay online from cognitive psychologists who write academic papers for students. Here are some of the best and trending cognitive psychology essay topics to consider for your work:

• What is the relationship between the cognitive psychology, positive psychology and the humanist psychology?
• Describe in detail some of the crucial cognitive aspects that are vital for decision-making in medical ethics.
• What is the relationship between memory consolidation and sleep? Provide a detailed meta-analysis.
• Investigate the effect of bilingualism on the executive functioning and cognitive flexibility of humans.
• What are the cognitive mechanisms that are associated with the placebo effects? Explain in detail.
• Analyse in detail the impact of socio-economic status on the cognitive performance of British students in the modern age.
• Are there any cognitive differences in the decision-making skills of non-entrepreneurs and entrepreneurs? If yes, what are those?
• Does sleep deprivation affect the cognitive performance of the students? Explain the reasons in further depth.
• What is the reason behind the premature ageing of some people? Present a perspective from cognitive psychology.
• How have the attention spans of children changed for the last 100 years? Support your answer with examples.

Compare and Contrast Essay Topics Psychology

How about plunging into some exciting argumentative essay topics psychology for your homework? In such compare and contrast essays, you provide a comparison of similarities and dissimilarities for both sides of the subject. The key points of both sides should be strong enough to convince the readers. Here are some of the psychology essay topics which you can use for the contrast essays:

• Behaviourism versus Gestalt psychology
• Cognitive behavioural therapy versus Freudian psychoanalysis
• Self-determination theory versus self-efficacy theory
• Biomedical model of health and illness versus biopsychosocial model
• Self-perception theory versus cognitive dissonance theory
• Milgram experiment versus Stanford Prison experiment
• Environmental versus biological factors in mental health disorders
• Social cognitive theory versus social learning theory
• The effect of nurture versus nature on the development of human personality
• Operant conditioning versus classical conditioning

Criminal Psychology Essay Topics

This branch of psychology refers to the observation of the intentions, thoughts, and actions of criminals. Criminal psychology students strive to understand the motives of criminals for committing crimes and attempt to study their minds. Here are some of the latest trending criminal psychology essay topics for you to review and use for your college and university papers:

• Explore the basic determinants of the incidents where a murder is committed. Provide sufficient examples and the investigative study of the serial killers.
• What are the social factors which change the naïve people into criminals? Explain in depth.
• Are there any loopholes in the criminal justice system that actively promote crime in our society? Discuss the social disparities between the rich and the poor.
• What is the impact of natural disasters on the increase in social crimes? Provide a case study of criminal behaviour psychology during the period of Corona.
• Analyse the role played by social media in inciting crimes. Provide case studies of hate speeches that were made in public and support your stance.
• What are the general sentiments of the serial rapists? Highlight and support with examples.
• Does pornography and vulgarity promote the rape culture in a society?
• Provide a qualitative analysis of the different development stages of criminal mindset in a society.
• How can you control or trickle down the harmful effects of crimes taking place in a community?
• Is poverty a driving force behind the increasing crime rate in a country, especially in the impoverished societies of developing countries?

Developmental Psychology Essay Topics

Topics in this field of study range from prenatal development of childhood life to the final stages of the life of a person. It is a broad field that involves the study of how people change throughout their lives. Some of the developmental psychology essay topics that you can use for writing your academic papers are listed here:

• What is the effect of different parenting styles on the personality development and the behaviour of children?
• Do factors like peer influence and socialisation impact the process of identity formation in the human mind?
• What are the developmental trajectories related to the mental health problems, chronic pain, and other disorders faced by people in their adolescence?
• Explore in detail the diagnosis and intervention strategies related to the diagnosis of neurodevelopmental disorders in the kids.
• Describe in detail the impact of early childhood education on the academic achievements and problem-solving skills of young kids.
• Explain in detail the concept of cognitive development in infancy from the Vygotskian and Piagetian perspectives.
• Do the students who eat breakfast daily perform better in their classes than the students who do not have breakfast regularly?
• What is the impact of bullying on the achievements of students? Are bullied students more likely to get bad grades than students who are not bullied in school?
• How can technology be used for the social and emotional development of humans in the period of their adolescence?
• What is the impact of social media on forming body image in the minds of teenagers?

Educational Psychology Essay Topics

Educational psychology covers topics related to children staying in educational settings. It covers topics like aptitude assessment, self-motivation, parental involvement, technology, teaching methods and more. A good essay on such topics informs the readers about learning styles, cognitive development, and impactful teaching strategies. Here are some psychological topics for essays in the field of psychology:

• Is it beneficial for children to use different educational and high-quality teaching methods at different times of the day?
• Does the duration and quality of sleep really impact the academic performance of students?
• Can daily medication at school influence the mental health and academic performance of students?
• What is the impact of regularly listening to classical music on the test scores of a student?
• What is the connection between knowledge retention and sugar consumption ratios among students?
• Explore the effectiveness of the interventions encompassing positive behaviours for the reduction of disruptions in the classroom.
• Assess the effect of Brexit on the educational experiences of international students in the United Kingdom.
• What is the relationship between the educational outcomes and the socio-economic disparities in the UK? Discuss in detail.
• Analyse the role of cultural diversity in shaping the classroom dynamics in the schools of 3 rd world countries.
• Provide a critical analysis of the impact of literature on parental involvement and student success.

You can choose from a diverse range of psychology essay topics that we have added in this article. You can also overlap and intersect various specialities and craft research questions for your next assignment. From clinical studies to cognitive psychology, each detailed essay focuses on a deeper understanding of human behaviour. It is important to understand the relevance of these research questions and give the readers insight across different areas of study.

If you want personalised help with the fulfilment of your homework requirements, you should hire psychology essay writing services in the UK from The Academic Papers UK. Their seasoned writing experts are best suited to cater to the needs of clients across the globe, and they can craft essay assignments tailored to your needs.

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Diagnosis and Treatment of the Schizophrenia Essay

Schizophrenia is among many psychiatric disorders that have been identified my medical professionals. It is a disorder which is characterized by hallucinations, loss of reality, improper reasoning as well as poor social and occupation functioning. A person’s emotions are also affected as it is a psychiatric disorder.

Although research has been conducted, the exact cause of the problem is not actually known. However, the available research illustrates that there is enough evidence to suggest that genetics may have a great role to play in the whole issue.

It manifests mostly in the adolescence stage and it affects men and women equally. The prevalence rate of the disease is around 1% in the whole world and despite the fact that its rate is higher among the poor; there is no much difference from one culture to another (Bustillo, 2008). There is a lot of information on schizophrenia and this essay shall narrow down to signs and symptoms as well as to the main methods of treatment. In addition, the essay shall also focus on the roles of a biopsychologist and neuroscientist in the research.

In the View of the fact that schizophrenia is a chronic illness, it progresses in different phases. In many instances, patients seek treatment after experiencing symptoms for a period of one or two years. The first phase is referred as premorbid phase and is characterized by symptoms such as coping difficulties, anhedonia as well as different perception problems. However, it is important to note that in many cases, such symptoms are too mild to be noticed.

The next phase is known as the prodromal phase and is characterized by subclinical symptoms like disorganization, irritability, disorganization and perceptual distortions, to mention just a few. The middle phase is characterized by the same symptoms but they are usually more severe. In the last phase, the disease may stabilize or start all over again (Bustillo, 2008).

Upon diagnosis, there are several ways that can be used to treat the disorder which are inclusive of antipsychotic drugs, rehabilitation and psychotherapy. The main aim of treatment is to reduce not only the symptoms, but also to enable the patient to continue functioning normally.

The antipsychotic drugs are divided in to two categories; conventional antipsychotics and second generation antipsychotics. The second generation antipsychotics are more advantageous in relation to their efficacy and also due to the fact that they contain less adverse effects.

Nonetheless, it is important to note that they are also associated with a greater risk of a metabolic disorder like hypertension and insulin resistance. The choice of drugs depends on patient’s response to drugs, effects and administration requirement. Even the conventional antipsychotics have effects which are inclusive but not limited to, stiffness of the muscles, weight gain and sedation (Bustillo, 2008).

According to American Psychiatric Association (2006), behavioral therapy is very effective in treatment of the disorder especially due to the fact that it is a chronic illness. In this type of a treatment, the disorder is viewed as a problem behavior which may be influenced by environmental factors like the relationships in the family of origin.

Behavioral family therapy is therefore an effective method of treatment and is usually aimed at reducing or eliminating severity of the disorder. This is due to the fact that research has indicated that negative behaviors that are directed to the victims by their family members contribute greatly to the severity of the symptoms. It is therefore clear that if such behaviors can be dealt with, the problem can be solved.

Neuroscientist and biopsychologists are very significant in the research of various psychiatric disorders like the Schizophrenia. Neural scientists conduct research on psychiatric diseases in human beings at either molecular or cellular level.

In addition, they study the neural psychopathology of various diseases and also conduct genetic studies to investigate their interaction with environmental and other factors related to psychiatric disorders. On the other hand, biopsychologist conducts study of the behaviour of the brain in relation to perception, cognition and feelings to name just a few.

Therefore, it is clear that both a neural scientist and a biopsychologist need to work together not only during treatment procedures but also in research. This is due to the fact that it is through research that better methods of treatment are discovered. More research is required on schizophrenia especially due to the fact that the medications available contain a lot of negative effects.

American Psychiatric Association. (2006). American Psychiatric Association practice guidelines for the treatment of psychiatric disorders: Compendium 2006. Washington: American Psychiatric Pub.

Bustillo, J. R. (2008). Schizophrenia . Web.

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When Prison and Mental Illness Amount to a Death Sentence

The downward spiral of one inmate, Markus Johnson, shows the larger failures of the nation’s prisons to care for the mentally ill.

Supported by

By Glenn Thrush

Photographs by Carlos Javier Ortiz

Glenn Thrush spent more than a year reporting this article, interviewing close to 50 people and reviewing court-obtained body-camera footage and more than 1,500 pages of documents.

• Published May 5, 2024 Updated May 7, 2024

Markus Johnson slumped naked against the wall of his cell, skin flecked with pepper spray, his face a mask of puzzlement, exhaustion and resignation. Four men in black tactical gear pinned him, his face to the concrete, to cuff his hands behind his back.

He did not resist. He couldn’t. He was so gravely dehydrated he would be dead by their next shift change.

Listen to this article with reporter commentary

“I didn’t do anything,” Mr. Johnson moaned as they pressed a shield between his shoulders.

It was 1:19 p.m. on Sept. 6, 2019, in the Danville Correctional Center, a medium-security prison a few hours south of Chicago. Mr. Johnson, 21 and serving a short sentence for gun possession, was in the throes of a mental collapse that had gone largely untreated, but hardly unwatched.

He had entered in good health, with hopes of using the time to gain work skills. But for the previous three weeks, Mr. Johnson, who suffered from bipolar disorder and schizophrenia, had refused to eat or take his medication. Most dangerous of all, he had stealthily stopped drinking water, hastening the physical collapse that often accompanies full-scale mental crises.

Mr. Johnson’s horrific downward spiral, which has not been previously reported, represents the larger failures of the nation’s prisons to care for the mentally ill. Many seriously ill people receive no treatment . For those who do, the outcome is often determined by the vigilance and commitment of individual supervisors and frontline staff, which vary greatly from system to system, prison to prison, and even shift to shift.

The country’s jails and prisons have become its largest provider of inpatient mental health treatment, with 10 times as many seriously mentally ill people now held behind bars as in hospitals. Estimating the population of incarcerated people with major psychological problems is difficult, but the number is likely 200,000 to 300,000, experts say.

Many of these institutions remain ill-equipped to handle such a task, and the burden often falls on prison staff and health care personnel who struggle with the dual roles of jailer and caregiver in a high-stress, dangerous, often dehumanizing environment.

In 2021, Joshua McLemore , a 29-year-old with schizophrenia held for weeks in an isolation cell in Jackson County, Ind., died of organ failure resulting from a “refusal to eat or drink,” according to an autopsy. In April, New York City agreed to pay $28 million to settle a lawsuit filed by the family of Nicholas Feliciano, a young man with a history of mental illness who suffered severe brain damage after attempting to hang himself on Rikers Island — as correctional officers stood by.

Mr. Johnson’s mother has filed a wrongful-death suit against the state and Wexford Health Sources, a for-profit health care contractor in Illinois prisons. The New York Times reviewed more than 1,500 pages of reports, along with depositions taken from those involved. Together, they reveal a cascade of missteps, missed opportunities, potential breaches of protocol and, at times, lapses in common sense.

Prison officials and Wexford staff took few steps to intervene even after it became clear that Mr. Johnson, who had been hospitalized repeatedly for similar episodes and recovered, had refused to take medication. Most notably, they did not transfer him to a state prison facility that provides more intensive mental health treatment than is available at regular prisons, records show.

The quality of medical care was also questionable, said Mr. Johnson’s lawyers, Sarah Grady and Howard Kaplan, a married legal team in Chicago. Mr. Johnson lost 50 to 60 pounds during three weeks in solitary confinement, but officials did not initiate interventions like intravenous feedings or transfer him to a non-prison hospital.

And they did not take the most basic step — dialing 911 — until it was too late.

There have been many attempts to improve the quality of mental health treatment in jails and prisons by putting care on par with punishment — including a major effort in Chicago . But improvements have proved difficult to enact and harder to sustain, hampered by funding and staffing shortages.

Lawyers representing the state corrections department, Wexford and staff members who worked at Danville declined to comment on Mr. Johnson’s death, citing the unresolved litigation. In their interviews with state police investigators, and in depositions, employees defended their professionalism and adherence to procedure, while citing problems with high staff turnover, difficult work conditions, limited resources and shortcomings of co-workers.

But some expressed a sense of resignation about the fate of Mr. Johnson and others like him.

Prisoners have “much better chances in a hospital, but that’s not their situation,” said a senior member of Wexford’s health care team in a deposition.

“I didn’t put them in prison,” he added. “They are in there for a reason.”

Markus Mison Johnson was born on March 1, 1998, to a mother who believed she was not capable of caring for him.

Days after his birth, he was taken in by Lisa Barker Johnson, a foster mother in her 30s who lived in Zion, Ill., a working-class city halfway between Chicago and Milwaukee. Markus eventually became one of four children she adopted from different families.

The Johnson house is a lively split level, with nieces, nephews, grandchildren and neighbors’ children, family keepsakes, video screens and juice boxes. Ms. Johnson sits at its center on a kitchen chair, chin resting on her hand as children wander over to share their thoughts, or to tug on her T-shirt to ask her to be their bathroom buddy.

From the start, her bond with Markus was particularly powerful, in part because the two looked so much alike, with distinctive dimpled smiles. Many neighbors assumed he was her biological son. The middle name she chose for him was intended to convey that message.

“Mison is short for ‘my son,’” she said standing over his modest footstone grave last summer.

He was happy at home. School was different. His grades were good, but he was intensely shy and was diagnosed with attention deficit hyperactivity disorder in elementary school.

That was around the time the bullying began. His sisters were fierce defenders, but they could only do so much. He did the best he could, developing a quick, taunting tongue.

These experiences filled him with a powerful yearning to fit in.

It was not to be.

When he was around 15, he called 911 in a panic, telling the dispatcher he saw two men standing near the small park next to his house threatening to abduct children playing there. The officers who responded found nothing out of the ordinary, and rang the Johnsons’ doorbell.

He later told his mother he had heard a voice telling him to “protect the kids.”

He was hospitalized for the first time at 16, and given medications that stabilized him for stretches of time. But the crises would strike every six months or so, often triggered by his decision to stop taking his medication.

His family became adept at reading signs he was “getting sick.” He would put on his tan Timberlands and a heavy winter coat, no matter the season, and perch on the edge of his bed as if bracing for battle. Sometimes, he would cook his own food, paranoid that someone might poison him.

He graduated six months early, on the dean’s list, but was rudderless, and hanging out with younger boys, often paying their way.

His mother pointed out the perils of buying friendship.

“I don’t care,” he said. “At least I’ll be popular for a minute.”

Zion’s inviting green grid of Bible-named streets belies the reality that it is a rough, unforgiving place to grow up. Family members say Markus wanted desperately to prove he was tough, and emulated his younger, reckless group of friends.

Like many of them, he obtained a pistol. He used it to hold up a convenience store clerk for $425 in January 2017, according to police records. He cut a plea deal for two years of probation, and never explained to his family what had made him do it.

But he kept getting into violent confrontations. In late July 2018, he was arrested in a neighbor’s garage with a handgun he later admitted was his. He was still on probation for the robbery, and his public defender negotiated a plea deal that would send him to state prison until January 2020.

An inpatient mental health system

Around 40 percent of the about 1.8 million people in local, state and federal jails and prison suffer from at least one mental illness, and many of these people have concurrent issues with substance abuse, according to recent Justice Department estimates.

Psychological problems, often exacerbated by drug use, often lead to significant medical problems resulting from a lack of hygiene or access to good health care.

“When you suffer depression in the outside world, it’s hard to concentrate, you have reduced energy, your sleep is disrupted, you have a very gloomy outlook, so you stop taking care of yourself,” said Robert L. Trestman , a Virginia Tech medical school professor who has worked on state prison mental health reforms.

The paradox is that prison is often the only place where sick people have access to even minimal care.

But the harsh work environment, remote location of many prisons, and low pay have led to severe shortages of corrections staff and the unwillingness of doctors, nurses and counselors to work with the incarcerated mentally ill.

In the early 2000s, prisoners’ rights lawyers filed a class-action lawsuit against Illinois claiming “deliberate indifference” to the plight of about 5,000 mentally ill prisoners locked in segregated units and denied treatment and medication.

In 2014, the parties reached a settlement that included minimum staffing mandates, revamped screening protocols, restrictions on the use of solitary confinement and the allocation of about $100 million to double capacity in the system’s specialized mental health units.

Yet within six months of the deal, Pablo Stewart, an independent monitor chosen to oversee its enforcement, declared the system to be in a state of emergency.

Over the years, some significant improvements have been made. But Dr. Stewart’s final report , drafted in 2022, gave the system failing marks for its medication and staffing policies and reliance on solitary confinement “crisis watch” cells.

Ms. Grady, one of Mr. Johnson’s lawyers, cited an additional problem: a lack of coordination between corrections staff and Wexford’s professionals, beyond dutifully filling out dozens of mandated status reports.

“Markus Johnson was basically documented to death,” she said.

‘I’m just trying to keep my head up’

Mr. Johnson was not exactly looking forward to prison. But he saw it as an opportunity to learn a trade so he could start a family when he got out.

On Dec. 18, 2018, he arrived at a processing center in Joliet, where he sat for an intake interview. He was coherent and cooperative, well-groomed and maintained eye contact. He was taking his medication, not suicidal and had a hearty appetite. He was listed as 5 feet 6 inches tall and 256 pounds.

Mr. Johnson described his mood as “go with the flow.”

A few days later, after arriving in Danville, he offered a less settled assessment during a telehealth visit with a Wexford psychiatrist, Dr. Nitin Thapar. Mr. Johnson admitted to being plagued by feelings of worthlessness, hopelessness and “constant uncontrollable worrying” that affected his sleep.

He told Dr. Thapar he had heard voices in the past — but not now — telling him he was a failure, and warning that people were out to get him.

At the time he was incarcerated, the basic options for mentally ill people in Illinois prisons included placement in the general population or transfer to a special residential treatment program at the Dixon Correctional Center, west of Chicago. Mr. Johnson seemed out of immediate danger, so he was assigned to a standard two-man cell in the prison’s general population, with regular mental health counseling and medication.

Things started off well enough. “I’m just trying to keep my head up,” he wrote to his mother. “Every day I learn to be stronger & stronger.”

But his daily phone calls back home hinted at friction with other inmates. And there was not much for him to do after being turned down for a janitorial training program.

Then, in the spring of 2019, his grandmother died, sending him into a deep hole.

Dr. Thapar prescribed a new drug used to treat major depressive disorders. Its most common side effect is weight gain. Mr. Johnson stopped taking it.

On July 4, he told Dr. Thapar matter-of-factly during a telehealth check-in that he was no longer taking any of his medications. “I’ve been feeling normal, I guess,” he said. “I feel like I don’t need the medication anymore.”

Dr. Thapar said he thought that was a mistake, but accepted the decision and removed Mr. Johnson from his regular mental health caseload — instructing him to “reach out” if he needed help, records show.

The pace of calls back home slackened. Mr. Johnson spent more time in bed, and became more surly. At a group-therapy session, he sat stone silent, after showing up late.

By early August, he was telling guards he had stopped eating.

At some point, no one knows when, he had intermittently stopped drinking fluids.

‘I’m having a breakdown’

Then came the crash.

On Aug. 12, Mr. Johnson got into a fight with his older cellmate.

He was taken to a one-man disciplinary cell. A few hours later, Wexford’s on-site mental health counselor, Melanie Easton, was shocked by his disoriented condition. Mr. Johnson stared blankly, then burst into tears when asked if he had “suffered a loss in the previous six months.”

He was so unresponsive to her questions she could not finish the evaluation.

Ms. Easton ordered that he be moved to a 9-foot by 8-foot crisis cell — solitary confinement with enhanced monitoring. At this moment, a supervisor could have ticked the box for “residential treatment” on a form to transfer him to Dixon. That did not happen, according to records and depositions.

Around this time, he asked to be placed back on his medication but nothing seems to have come of it, records show.

By mid-August, he said he was visualizing “people that were not there,” according to case notes. At first, he was acting more aggressively, once flicking water at a guard through a hole in his cell door. But his energy ebbed, and he gradually migrated downward — from standing to bunk to floor.

“I’m having a breakdown,” he confided to a Wexford employee.

At the time, inmates in Illinois were required to declare an official hunger strike before prison officials would initiate protocols, including blood testing or forced feedings. But when a guard asked Mr. Johnson why he would not eat, he said he was “fasting,” as opposed to starving himself, and no action seems to have been taken.

‘Tell me this is OK!’

Lt. Matthew Morrison, one of the few people at Danville to take a personal interest in Mr. Johnson, reported seeing a white rind around his mouth in early September. He told other staff members the cell gave off “a death smell,” according to a deposition.

On Sept. 5, they moved Mr. Johnson to one of six cells adjacent to the prison’s small, bare-bones infirmary. Prison officials finally placed him on the official hunger strike protocol without his consent.

Mr. Morrison, in his deposition, said he was troubled by the inaction of the Wexford staff, and the lack of urgency exhibited by the medical director, Dr. Justin Young.

On Sept. 5, Mr. Morrison approached Dr. Young to express his concerns, and the doctor agreed to order blood and urine tests. But Dr. Young lived in Chicago, and was on site at the prison about four times a week, according to Mr. Kaplan. Friday, Sept. 6, 2019, was not one of those days.

Mr. Morrison arrived at work that morning, expecting to find Mr. Johnson’s testing underway. A Wexford nurse told him Dr. Young believed the tests could wait.

Mr. Morrison, stunned, asked her to call Dr. Young.

“He’s good till Monday,” Dr. Young responded, according to Mr. Morrison.

“Come on, come on, look at this guy! You tell me this is OK!” the officer responded.

Eventually, Justin Duprey, a licensed nurse practitioner and the most senior Wexford employee on duty that day, authorized the test himself.

Mr. Morrison, thinking he had averted a disaster, entered the cell and implored Mr. Johnson into taking the tests. He refused.

So prison officials obtained approval to remove him forcibly from his cell.

‘Oh, my God’

What happened next is documented in video taken from cameras held by officers on the extraction team and obtained by The Times through a court order.

Mr. Johnson is scarcely recognizable as the neatly groomed 21-year-old captured in a cellphone picture a few months earlier. His skin is ashen, eyes fixed on the middle distance. He might be 40. Or 60.

At first, he places his hands forward through the hole in his cell door to be cuffed. This is against procedure, the officers shout. His hands must be in back.

He will not, or cannot, comply. He wanders to the rear of his cell and falls hard. Two blasts of pepper spray barely elicit a reaction. The leader of the tactical team later said he found it unusual and unnerving.

The next video is in the medical unit. A shield is pressed to his chest. He is in agony, begging for them to stop, as two nurses attempt to insert a catheter.

Then they move him, half-conscious and limp, onto a wheelchair for the blood draw.

For the next 20 minutes, the Wexford nurse performing the procedure, Angelica Wachtor, jabs hands and arms to find a vessel that will hold shape. She winces with each puncture, tries to comfort him, and grows increasingly rattled.

“Oh, my God,” she mutters, and asks why help is not on the way.

She did not request assistance or discuss calling 911, records indicate.

“Can you please stop — it’s burning real bad,” Mr. Johnson said.

Soon after, a member of the tactical team reminds Ms. Wachtor to take Mr. Johnson’s vitals before taking him back to his cell. She would later tell Dr. Young she had been unable to able to obtain his blood pressure.

“You good?” one of the team members asks as they are preparing to leave.

“Yeah, I’ll have to be,” she replies in the recording.

Officers lifted him back onto his bunk, leaving him unconscious and naked except for a covering draped over his groin. His expressionless face is visible through the window on the cell door as it closes.

‘Cardiac arrest.’

Mr. Duprey, the nurse practitioner, had been sitting inside his office after corrections staff ordered him to shelter for his own protection, he said. When he emerged, he found Ms. Wachtor sobbing, and after a delay, he was let into the cell. Finding no pulse, Mr. Duprey asked a prison employee to call 911 so Mr. Johnson could be taken to a local emergency room.

The Wexford staff initiated CPR. It did not work.

At 3:38 p.m., the paramedics declared Markus Mison Johnson dead.

Afterward, a senior official at Danville called the Johnson family to say he had died of “cardiac arrest.”

Lisa Johnson pressed for more information, but none was initially forthcoming. She would soon receive a box hastily crammed with his possessions: uneaten snacks, notebooks, an inspirational memoir by a man who had served 20 years at Leavenworth.

Later, Shiping Bao, the coroner who examined his body, determined Mr. Johnson had died of severe dehydration. He told the state police it “was one of the driest bodies he had ever seen.”

For a long time, Ms. Johnson blamed herself. She says that her biggest mistake was assuming that the state, with all its resources, would provide a level of care comparable to what she had been able to provide her son.

She had stopped accepting foster care children while she was raising Markus and his siblings. But as the months dragged on, she decided her once-boisterous house had become oppressively still, and let local agencies know she was available again.

“It is good to have children around,” she said. “It was too quiet around here.”

Read by Glenn Thrush

Audio produced by Jack D’Isidoro .

Glenn Thrush covers the Department of Justice. He joined The Times in 2017 after working for Politico, Newsday, Bloomberg News, The New York Daily News, The Birmingham Post-Herald and City Limits. More about Glenn Thrush

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