Marital Status: Unmarried SES: Lower middle Self: Self Domicile: ....
Reliable and adequate: The obtained information is reliable and adequate
Chief complaints:• Low mood
• Death wishes
• Anxious thoughts about future
• Restlessness Current duration: 1 month
• Loss of interest
• Disturbed sleep
The patient was brought to the hospital with the above mentioned complaints with an insidious onset, fluctuating course and deteriorating progress. On 6th of March he went to Dr. ...
History of present illness:
He was tired of watching T.V until late night because he
He was asymptomatic till 2000. He owned a
Past psychiatric and medical history:
He went to a psychiatrist named Dr. ....
In 2009 he was given 6 ECTs because he started having death wishes. He reported that he was taking his medications
Due to all these difficulties, he could not stay in the hospital for a long time to take care of his mother; his brother used to stay in the hospital and the patient used to go back home. In 2013 his mother passed away and he started having difficulty in sleeping, low mood and loss of interest. He did not feel like watching T.V or listening to music which he used to like doing before. At that time he went to
In 2015 he started having sleep problems again. He used to be awake until late night while others used to sleep. At times he would not sleep for the entire night so he went to
• No history of head injury
• No history of alcohol use or tobacco use
• No history of hearing voices, feeling that people are talking about him or that other people are trying to steal his thoughts
• No history of big talks, increased speed and amount of mental and physical activity
• No history of excessive fear of crowded places, travelling alone or being away from home
• No history of headaches, dizziness, becoming unconscious after stressful events/situations
• No history of repeated symptoms despite negative findings
• No history of low intelligence
The patient stays in a nuclear family with his father and younger brother. His mother passed away in 2013 due to ill health. His younger brother is unmarried and runs the garment shop along with his father. The patient has cordial relations with his father and his brother. No consanguinity was present
Birth and early development:
The history could not be elicited.
The patient was good in academics and used to like going to school. He did not participate in extracurricular activities in school and he
Work history:The patient started working after he completed his schooling. He used to work as a helper in a garment shop. He worked there for about two years and he liked his job and the owner used to treat him well. After a few years he started to buy garments and sell them from home. Along with that he had started a business of dairy products along with his friend. He used to sell milk and butter. He made a lot of profit in the dairy
The patient is unmarried. He liked a girl whom he wanted to
General appearance and
Attitude towards the examiner
He was co-operative.
Stream: Nil significant
Possession: Nil significant
Content: Nil significant
Form: Nil significant
No perceptual disturbances were observed.
Attention and concentration:
On the digits forward and
Immediate: Intact; he repeated the digits forward correctly.
Recent: Intact; he was able to tell what he had for dinner the previous night and what he had for breakfast. The information was confirmed from other people in the ward.
Remote: Intact; he was able to tell his date of birth and his residential address.
General information: Good; he was able to name the current chief minister of Gujarat and the Prime Minister of India.
Intelligence: Average; he was able to solve simple word problems of addition, subtraction and multiplication accurately.
Present at conceptual level; when asked to explain the meaning of the proverb ‘
Level 5: Intellectual insight
...., 50 years, male, studied till 10th, unmarried, belonging to middle SES, was presented with the chief complaints of low mood, death wishes, loss of interest, anxious thoughts about the future, feeling restless and disturbed
He was co-operative towards the examiner. His attention and concentration was
F.32.4 Severe depressive episode
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