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Gender	Gender Male Female
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Seconed Interviewer
Date Of First Interview
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Summary	ليلي بنت عمرها 22 سنة، الاولي لأخ، الاب مهندس، الام ست بيت، وهي خريجة فاشون في لندن وتعمل مصممة ازياء في براند وتعيش في مصر الجديدة مع الجدة وقد ولدت في مصر وعاشت في قطر حتي 4 سنوات ثم مصر 3 سنوات، ثم موسكو 3 سنوات ثم دبي 4 سنوات ثم الكويت سنة ثم ماليزيا 3 سنين والسعودية 8 شهور ثم لندن 3 سنين وعادت مصر من 5 شهور للعيش في مصر مع الجدة، وحكت الام انها منذ فترة تعاني من حالة غضب وتقلب مشاعر، وحكت ليلي انها تشعر بعدم التعلق بشكل عام، وكذلك فقدت معالجتها التي بدأت معها في عمر 7 سنوات وماتت بكانسر وعمر ليلي 17 سنة (كانت اقرب للام)، ومع وفاتها تشعر بالضياع (تبكي)، وتشعر بالذنب لأنها بعيدة عن الاسرة، وقد ذهبت الي معالج وشخصها اضطراب الصدمة وعلاجها باللمس وطبعا انزعجت جدا ً، وكانت الاعراض سهولة التوتر والانشغال والقلق تجاة الشغل، والتفكير المفرط مع دقات قلب سريعة، القلق تجاة اي اخبار او تواصل، ارق، وهي بنت ذكية ولطيفة وعاشت في بيت هادي وحامي ولكن عانت من كثرة التنقل بسبب عمل الاب الامر الذي ولد لديها قلق وجودي مستمر حتي الان مع نقص في الاستقرار النفسي والمكاني والاجتماعي ويمكن تشخيصها اضطراب القلق المعمم وتحتاج الي مجموعة ادوات للتعامل معها ولأنها تعاني من اضطراب الصدمة (بنت جدعة فعلا ومهتمه وعندها شغف وعاشت في انجلترا 3 سنوات زي الفل)
Diagnosis/Notes
Social
Allergy
Family History	Family History No Yes
Follow Up	Session 1 with Haya: after continued assessment, she said that she feels disturbed because of living with and caring for her grandmother (feels anger towards her and wants to resolve it) and that she destroys relationships (romantic and friendships) without knowing no why. We set SMART therapy goals of wanting to cope with her anxiety and distress (through thought change and emotional regulation) which will make her able to maintain her relationships and learn skills to maintain them, not to anticipate instability, and to resolve anger feelings towards grandma. We psychoeducated on CBT and gave breathing for relaxation and thought record. Session 2: reported good mood and no anxiety as the week was good. We talked about the loss of her therapist; she doesn't avoid it and accepts it. We analyzed thoughts of some situations and found that she prevents new relationships because she still loves her ex (will do balance sheet to decide whether to talk to him). We explored thinking errors and learned thought evaluation (took as a homework). We took PMR and sleep hygiene tips for better sleep. 11/2/2026 Nabil الام وحدها واشتكت من غضب ليلى تجاهها ولومها لها بسبب التحول المثير مع الاب وحكت ان ذلك كان اضطراريا بسبب تعرض الجد لقضية غسيل أموال وخوف الاب من الملاحقة القضائية وكذلك تعرضهم للسمعة السيئة وان الموضوع انتهى بموت الجد ، ونحتاج إلى تحديد هل فعلا هناك مشكلة مع ليلى بخصوص م ضوع الغربة مع ملاحظة ان ليلى لا تعرف ولا يجب ان تعرف هذا الامر نهاييا، وناقشنا صعوبة الحياة في الخارج والتنقل وصعوبة الانتماء وكانت تلوم نفسها لذلك وسوف تذهب إلى احد الزملاء Session 3: She felt some anxiety this week due to having to decide whether to talk to her ex regarding the current situation of their relationships; she realized that this situation is causing her to be emotionally reacitve recently in general. However, she was able to sleep better and use breathing and PMR; she was able to test her thoughts and come up with new adaptive ones and will continue practicing it. We analyzed thoughts that triggered anger in a conflict with her mom and she realized that they were maladaptive; we agreed to use STOP skill, time out, and thought change for anger management. She will write a letter to express what she wants to tell her grandma to resolve her anger towards her. هل فعلا هناك مشكلة مع ليلى بخصوص م ضوع الغربة الاجابة : ليلى قالت انه عدم الاستقرار كان جزء من اسباب التوتر بس حاليا هي منشغلة باشياء اخرى زي الكوليكشن بتاعها و بنشتغل على عدم توقع و تأهب عدم الاستقرار

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

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