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 نعمة سيدة، عمرها 37 سنة (تبكي) الوسطي لثمان بنات وولدين، الاب توفي منذ 3 سنوات وكان ميكانيكي، والام ست بيت (وكانت عاملة مشروع طبخ)، ماتت من 16 سنة، وكانت تعمل مع الخال علاقات عامة وتعرفت علي موظف هناك وتزوجته وكبر واصبح مقاول كبير ولكنه من البداية شخص جاف وبعيد وبخيل عليها جدا ً، لدرجة عايشة في بيت ايجار ومعه سيارتين بملاين وتعيش في زايد ومعها 3 اولاد (11 سنة- 15 سنة)، وطول الوقت يقضي الاجازة في البلد مع الاهل ولو غضب يترك البيت بالشهور دون فلوس ولكن يغرق علي الاولاد ....... ولا يلبي احتياجاتها العاطفية او الجنسية رغم انها شايلاه تماما ً، ومنذ سنتين جالة فشل في القلب ووقفت جنبة وبعدها قالها لو مت انتي هتتجوزي من فلوسي، ومنذ 5 شهور عايرته بموضوع الجنس وضربها بعنف شديد لدرجة تدخل الابناء، وكل شوية يطلقها، وكل شوية تكتشف انه ماشي مع واحدة ومنذ شهر اختلفا وضربها وساب البيت ويتعامل معها بجفاء شديد (عايزه تحكي فقط)، وبالفحص اتضح ان الزوج بارانوية وسواس (غالبا ً هذا مصدر المشاكل)، وهي تعاني من سرعة انفعال، اعياء، خمول، رعشة، بكاء، اوجاع جسدية، ارق، واري انها ست قوية وجدعة ولكن تزوجت رجل بارانوية وعنيف ومتعالي ونصحتها لا تترك البيت ولكن تأخذ سيبرالكس وتهتم بشكل متعادل (هددها لو سابته هيقتلها)، وتبدأ تصالحة وتراضية حتي يهدأ وربما يوافق يجيلي ؟ Diagnosis/Notes Social Allergy Family History Family History No Yes Follow Up 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
