Edit Patient Info Code Gender Gender Male Female First Interviewer Alaaabdelhady asmaaragab Kareemhafzy Kerolos_Botros Mahmoudsa3d Mervat069 monaelgebaly nabilelkot Olabrakat Rehab.mohammed shaymaamady sohaylasamy Aelsherbiny Doaa Abeer Mahmoud Ibrahim Younis Aya Elsayed Mohammed Elsherbiny Mostafa Mahdi Tommie Van Otterloo Shaimaa Mostafa Omkolthom Hamdy Bassem Zaki Kholod Ali Mariam Shehata Seconed Interviewer Alaaabdelhady asmaaragab Kareemhafzy Kerolos_Botros Mahmoudsa3d Mervat069 monaelgebaly nabilelkot Olabrakat Rehab.mohammed shaymaamady sohaylasamy Aelsherbiny Doaa Abeer Mahmoud Ibrahim Younis Aya Elsayed Mohammed Elsherbiny Mostafa Mahdi Tommie Van Otterloo Shaimaa Mostafa Omkolthom Hamdy Date Of First Interview Attachment Summary فتاة مدينية ريفية عمرها ٣٢ سنة وتبدو في ال ٢٥ ذات ملامح ريفية جميلة وهي أم لولد عمره سنتين وتعيش مع الزوج القاضي والابن في أشمون من فئة وهي كانت تعمل موظفة في محكمة وست بيت حاليا وجاءت تشتكي من الوسواس القهري وبالذات وسواس النظافة ومحاسبة النفس بشكل عنيف والام والاب يعانيان من الوسواس القهري ايضا، وبالفحص هي بنت تربت بشكل تقليدي جدا وتعرضت لتحرشات كثيرة من الاقارب اولا ابناء العم ثم الجار، ومدرسين ودكتور، وزوج الخالة وهي في الكلية، وهي واعية بتاثير ذلك عليها وبتعطيله لمشاعرها فمثلا لا تشعر باي مشاعر جنسية وتعتبر ذلك ثقافي مثل خالاتها وامها وجدتها وتعاني من خوف شديد من التحرش، و من الاعراض الوسواسية والخمول والإرهاق والأرق والمزاج الاكتئابي والأفكار الانتحارية مع القلق الشديد والغثيان والشعور بالذنب وسوف تاخذ سيمبالتا لتجنب الاعراض الجنسية Diagnosis/Notes Social تأنيب الضمير تاعبني جدا ووسواس النضافة مش بنام منه، ورحت لدكتور قبل وانا في الجامعة كده واتحرش بيا وعندي مشكلة كبيرة في التحرش من جوز خالتي اللي كنت بعتبره ابويا ورحت للدكتور عشان تشكيله لقيته هو كمان اتحرش بيا، ومن وقتها بخاف انام، وكمان ولادي عمي اتحرشوا بيا والوسواس بدا من تانية ثانوي ودايما بغسل ايدي Allergy Family History Family History No Yes Follow Up ٢٦/٩/٢٠١٩ اخدت الدوا لمدة شهر ووقفته لانها فهمت كده، ومازالت تعاني من الوسواس والاكتئاب وافكار سلبية كتير وافكار ايذاء ذات وتمني الموت ومازالت مشغولة جدا بموضوع التحرش والبرود الجنسي وسوف تاخذ بروزاك وبعدها تذهب لسالي ، Depressive symptoms Depressive symptoms Depressed mood Anhedonia Decrease concentration Easy fatigability Death wishes Suicidal ideations/plans/attempts Hopelessness / helplessness Sense of suffocation Significant weight loss Insomnia Psychomotor retardation Psychomotor agitation Excessive guilt Manic symptoms Manic symptoms Irritable/elated mood Volubility Flight of ideas Decrease need for sleep Easy distractibility Inflated self-esteem Increase goal directed activities Hyperactivity Involvement in risk activities Delusions Delusions General delusions Bizzare Delusion Acting out No acting out Others Hallucinations Hallucinations Auditory Non auditory Acting out No acting out Perception illusion Others Sleep Sleep Insomnia Interrupted sleep sleepiness Cataplexy Night mares Obstructive apnea/ hypopnea Sleep walking Appetite Appetite Decrease appetite Increase appetite Eating non-food substance Repeated regurgitation of food Restriction of eating Recurrent binge eating Recurrent compensatory behavior Sexual symptoms Sexual symptoms Decrease desire Increase desire Erectile dysfunction Premature ejaculation Anorgasmia Dyspareunia Paraphilia Gender incongruence Agitation Agitation Yes No Aggression Aggression Verbal Physical sexual Destruction Homicide Obsessions/ compulsions Obsessions/ compulsions Obsessions Compulsions Hoarding Body dysmorphia Skin picking Hair bulling Suicide Suicide Death wishes Ideations Plans Attempts current Prior attempts Anxiety symptoms Anxiety symptoms Mental symptoms Physical symptoms Ill-defined fear Specific phobias Panic attacks PTSD Symptoms PTSD Symptoms Intrusive memories (thoughts- feelings- images- nighmares) Hyperarousal Avoiding dissociation Negative thinking Mood changes Somatic symptoms Somatic symptoms Hypochondriasis Conversion Induction of disease or physical symptoms Falsification of physical/psychological symptoms Dissociative symptoms Dissociative symptoms Depersonalization/ derealization Others Neurocognitive symptoms Neurocognitive symptoms Learning / Memory Attention Language Social cognition Self care House keeping Daily activities Ambutaion????? Speech Speech Delay Stuttering Vocal tics Others Intellectual functions Intellectual functions Daily activity Social functions Cognitive ?????? Others Restricted/repetitive behavior Angry/irritable mood Restricted/repetitive behavior Angry/irritable mood loses temper touchy resentful Others Argumentative/defiant behavior: Vindictiveness (Aggression) Argumentative/defiant behavior: Vindictiveness (Aggression) aggressive impulses verbal bullying threatening physical animal People Propities Sixual Stealing Setting fire Others Enuresis Enuresis Primary Secondary Others Encorporesis Encorporesis Primary Secondary Others Attention Attention Attention deficit Forgetfulness Easily distracted Others Activity Activity Hyperactivity Hypoactivity Others Motor Motor Ticks Delayed motor development Soft motor skills Sleep development Gender identity Others Personality-ClusterA Personality-ClusterA Pervasive distrust Detachment from social relationships Odd beliefs / thinking Personality-ClusterB Personality-ClusterB violations of rights Impulsivity Unstable relationships Unstable sense of self DSH Dramatization Ego inflation Personality-ClusterC Personality-ClusterC Social inhibition Difficulty in everyday decisions without help Details oriented Perfectionism Rigidity Anxiety & Cluster C Substance abuse/dependence Substance abuse/dependence Harmfull use Craving Withdrwal symptoms Unable to control use Others Impairement of functioning Impairement of functioning Understanding and communication Getting around Self care Getting along with people Life activities (House hold) Life activities (school /work) Participation in society Others Severity Severity 1 2 3 4 5 6 7 8 9 10 Save Your Changes Back to List
