Psikiatri Skizofrenia Paranoid

Summary

In 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.