A 28 years old clerk was brought to hospital by her friends after being unable to function at place of work for the past 6 months. she had accused some of her office mate of spreading malicious rumors about her having an affair with the head of department. she claimed that the head of department had fallen in love with her, despite her having little interest in him. This was strongly denied by the head as well as other worker. She complained that her lover would send secret messages to her through sound wave which disturb her concentration. She also claimed that, as result of his affair, she was six month pregnant and cold feel active fetal movement. She also felt that her emotion were no longer under her control, making her moody and aggressive. At times, she felt that all her thought could be heard by others, as farway as China
1) describe 5 type of psychopathology seen in this patient
- persecutory delusion
- erotomanic delusion
- thought insertion
- somatic hallucination
- somatic delusion
- thought broadcasting
- passivity phenomena
schneider's first rank symptoms
- 3rd person halucination
- running commentary hallucination
- somatic hallucination
- thought eco
- delusional perception
- thought insertion,broadcasting,withdrawal
- passivity phenomena
2) what is your provisional diagnosis
- paranoid schizophrenia
3) what other information would you like to have which will be useful in making your diagnosis
- asked about hearing thought spoken aloud
- asked about hearing any voice and how many voice she heard
- asked her it is voice in the form of commentary
- asked about is it her take any medication or subtance
- asked about is it she have any medical illness
4) 2 type of medication useful in the treatment of this patient
- typical and atypical antipsychotic medication to treat her psychotic symptoms
5) give 2 diffrential diagnosis
- substance induce psychotic disorder
- psychotic disorder due to general medical condition
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