Psikiatri Skizofrenia Paranoid

UKMPPD ONESHOT
16 Jul 202412:30

Summary

TLDRIn this detailed interaction, Dr. Marel conducts an interview with Pak Made, a 27-year-old patient experiencing auditory hallucinations of his deceased wife, who blames him for her death. The symptoms began over a month ago following her passing three months prior. The discussion reveals his profound grief, marked by self-harm behaviors. After a thorough physical and mental examination, Dr. Marel diagnoses Pak Made with paranoid schizophrenia and prescribes antipsychotic medication. The session emphasizes the importance of family support and plans for follow-up psychiatric care, highlighting the complexities of grief and mental health management.

Takeaways

  • 😀 The patient, Mr. Made, is 27 years old and lives in Denpasar.
  • 😀 He reports hearing his deceased wife's voice for over a month, which causes him distress.
  • 😀 His wife passed away three months ago, and Mr. Made feels guilty about not caring for her properly during her illness.
  • 😀 The patient exhibits abnormal behavior, such as talking to himself and hitting his head against walls.
  • 😀 The doctor, Dr. Marel, conducts a thorough interview to understand the patient's symptoms and history.
  • 😀 Physical examination reveals normal vital signs but indicates signs of depression and auditory hallucinations.
  • 😀 Dr. Marel diagnoses Mr. Made with paranoid schizophrenia based on his symptoms.
  • 😀 The diagnosis is multi-axial, addressing mental health, personality disorders, and family issues.
  • 😀 A treatment plan is established, which includes medication to manage the patient's symptoms.
  • 😀 The doctor emphasizes the importance of family support and schedules a follow-up appointment for ongoing care.

Q & A

  • What is the primary complaint of Pak Made?

    -Pak Made reports hearing the voice of his deceased wife, which he describes as angry and accusatory, suggesting he did not care for her properly.

  • How long has Pak Made been experiencing these symptoms?

    -He has been experiencing these auditory hallucinations for over a month, shortly after his wife's passing three months ago.

  • What behaviors did Pak Made exhibit that concern his sister?

    -His sister noted that he often talks to himself and has been hitting his head against the wall, indicating distress and potential self-harm.

  • What were the findings of Pak Made's physical examination?

    -The physical examination revealed normal vital signs and no physical abnormalities.

  • What diagnosis did Dr. Marel give Pak Made?

    -Dr. Marel diagnosed Pak Made with paranoid schizophrenia, due to the persistent auditory hallucinations and changes in behavior.

  • What does Dr. Marel suggest for treatment?

    -Dr. Marel prescribed medication to help manage the hallucinations and recommended counseling.

  • What role does the family play in Pak Made's treatment plan?

    -The family is encouraged to provide support to Pak Made, which is crucial for his recovery and well-being.

  • What is the significance of the patient's mental state assessment?

    -The assessment indicates that Pak Made's mood is depressed, with congruent affect and the presence of auditory hallucinations, which are critical for determining his mental health condition.

  • How did Dr. Marel confirm the absence of other mental health conditions?

    -Dr. Marel's assessment showed no delusions, obsessions, or other mental health issues beyond the identified schizophrenia.

  • What follow-up measures did Dr. Marel suggest?

    -Dr. Marel planned follow-up visits with a psychiatrist to monitor Pak Made's condition and adjust treatment as needed.

Outlines

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Transcripts

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الوسوم ذات الصلة
Mental HealthPsychiatric CareGrief CounselingAuditory HallucinationsPatient InterviewFamily SupportPsychosisHealthcareEmotional StruggleDiagnosis
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