Minju, K A (2007) Psychological Case Record. Other thesis, Christian Medical College,Vellore.
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Abstract
DIAGNOSTIC CLARIFICATION: PARANOID SCHIZOPHRENIA, CONTINUOUS COURSE: SCHIZOID PERSONALITY DISORDER: He was apparently normal until two years back when his mother noted that he was becoming more aloof, distant, withdrawn and preoccupied. His academic performance gradually declined. He would not socialize with his family members as well as his friends. He would not take any interest in doing any sort of work. She also noticed some peculiar mannerisms like grinding his teeth and twisting his hands. Over the last four months mother has observed him smiling and talking to self. There was no history suggestive of organicity, substance abuse, first rank symptoms, mood symptoms, obsessive-compulsive symptoms or anxiety symptoms. DIAGNOSTIC CLARIFICATION: DELUSIONAL DISORDER: PARANOID PERSONALITY DISORDER: He was apparently well until 6 years back when he got married. According to the patient there were severe problems since the beginning of their marital life; and once he found his wife along with his friend in their house at odd time. He also was suspecting that she is having relationship with other males at different times. He even compelled his wife to abort their first child believing that the child may not be his. Because of these reasons, his wife separated from him last year. Since then he became suspicious of each and every woman who is talking to males. He often reports about their behaviour to the girl’s parents or goes and advice them. Because of this those girls are angry and accuses of being simply suspicious. But according to him he is just being cautious to prevent any future difficulties. He does not believe that those girls are truly in love. He would be feeling sad occasionally about not being settled in life. There was no history suggestive of organicity, substance abuse, first rank symptoms, mood or OC symptoms. NEUROPSYCHOLOGICAL ASSESSMENT: ORGANIC AMNESTIC DISORDER: Patient met with a road traffic accident in 2004.He had closed head injury and was admitted in a hospital in Chennai. At that time he had weakness of lower limbs and difficulty of speech, which gradually improved significantly. He was on tracheotomy and later weaned off. There was no history of seizures. There is no history of substance abuse, psychotic symptoms and mood or OC symptoms. He was searching for a job to lead an independent life and wanted to know how much he could function. Therefore he came for a psychiatric evaluation and was subsequently referred for neuropsychological assessment. PERSONALITY ASSESSMENT: Patient was premorbidly described to be very sensitive and emotional, used to get angry even for trivial matters. Following marriage four months back she has difficulties in coping with day-to-day problems. She also reports feeling of loneliness and chronic feeling of emptiness. She is noted by her husband as very sensitive and describes her as a short-tempered lady. She used to quarrel with her husband very often and following that she would loss her consciousness for some brief period of time. There is no history of any seizure phenomena during this episode. I.Q. ASSESSMENT: LOW AVERAGE INTELLIGENCE: Parents gave a history of progressively deteriorating scholastic performance after the 2nd standard. They reported decrease in the marks and having decreased attention and concentration. They also reported impairment in her memory. She was able to do all the activities of daily living independently. There was no history suggestive of organicity, substance abuse, psychotic, mood symptoms or obsessive-compulsive symptoms.
| Item Type: | Thesis (Other) |
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| Uncontrolled Keywords: | Diagnostic Clarification, Paranoid schizophrenia, continuous course, Schizoid Personality Disorder, Diagnostic Clarification, Delusional Disorder, Paranoid Personality Disorder, Neuropsychological Assessment, Organic Amnestic Disorder, Personality Assessment, I.Q. Assessment: Low Average Intelligence. |
| Subjects: | MEDICAL > Psychiatry |
| Depositing User: | Subramani R |
| Date Deposited: | 14 Jan 2020 15:46 |
| Last Modified: | 04 Dec 2020 02:33 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11823 |
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