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 Habiba Sadky, 22yo, 8/3/2004 She has a bachelors in social economics from Germany and is currently studying her masters in consumer science She has lived in Germany since 2017 Her father is 60yo, Tour guide in Egypt. She describes him as kind, occasionally aggressive, irritable she has good relationship with him (From mother he smokes weed 5x daily at least and drinks a bottle of wine daily) Mother is 50yo, artist and worked various jobs to support the family, (she is my patient). Habiba describes the relationship as irritable for the past year since "I changed and started noting things in her that are similar to me and started blaming her for them" Past Psych: in 2014 counseling after a breakup for 1 year on & off. No PMH FH: mother depression Complaint: "Mother asked me to be here. I am ok." Schema: paternal critic dominating the conversation throughout. childhood schema of trust vs mistrust due to unstable home environment leading to adaptive behavior of unrelenting standards. Personality traits: Black and white thinking. Feeling of inadequacy No depressive sx, normal mood and reactive affect. No SI, No HI. No psychosis. No obsessions. Patient was guarded with the interview due to me being her mother's psychiatrist Plan Supportive psychotherapy with Ms. Haya with focus on errors of thinking and DBT skills for emotional regulation (she says she gets angry easily with her mother) Follow up in 6 weeks Diagnosis/Notes Social Allergy Family History Family History No Yes Follow Up Session 1: Discussed that the main complaint for coming to therapy is realizing (2 years ago) that the communication among her and her family is not right (described as passive aggressive, belittling, and exaggerated emotional responses). We set SMART goals for therapy regarding regulating the intensity of her emotional responses which will reflect in less conflicts between specially her and her mother. We worked on identifying the physical and situational anger triggers, relaxation by breathing and PMR, and taking a time out. Habiba: Session 2: She is anxious due to exams, end of work contract, and having to decide on whether to move to another place. Her thinking was rational, but we explored pros and cons for the decision until she reached one. It was affecting her sleep, so we agreed on sleep hygiene/routine tips. We explored her anger triggers and started working on knowing the functions of emotions and challenging thoughts that her emotions are reasons people (may not) love her. Rest of skill will be continued next. Session 3: Mood was fine. She took the decision to move and is comfortable with it. We continued the anger trigger hierarchy. We learned describing emotions and checking the facts for emotional regulation; she will practice it to change her interpretation too. Session 4: her mood was good. We discussed not always being convinced of the new interpretations she thinks of when checking the facts of anger triggering situations and we tested the primary thoughts and agreed on doing this and mentally practicing the new thoughts regularly. We learned and will practice opposite action for emotional regulation. 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
