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 Ms. Abeer Saad born on 15 April 1974. Currently unemployed but worked with an international insurance company (Bupa) 15 years ago. Father passed away in 2010s he used to own and run a private business with her mother, he was kind and giving. Her mother is in her 70s, she runs the family business, she is controlling and hypercritical. She has 1 younger sister who is understanding now but was hypercritical before. The sister was able to rebel against mother control unlike her. She was married to a man who lived outside egypt for most of the marriage. She had 2 affairs during their marriage because of his neglect and not caring about her. She wanted a divorce but her parents forced her to continue. She finalized the divorce in 2010. She has 2 boys in their 20s. She had multiple medical surgeries and illness following the divorce. She had ischemic bowel with resection and stoma placed then corrected later. She had a hypoactive bladder causing retrograde urine flow causing chronic kidney disease (cr 2.5). She had breast cancer with mastectomy and chemotherapy and another relapse with chemotherapy. She presented for the first time to a psychiatrist after she developed specific phobia from driving (specially in tunnels) that led her to stop driving for 2-3 years. And another phobia from hospitals after having a panic attack while accompanying her mother on a medical checkup. She has a depressed mood, severe feeling of guilt, reactive and defensive affect (occasionally inappropriate when using humor defense) no suicidal ideation but death wishes for the past several years, extreme isolation except for her mother (lives 2 stores under her apt) her sister (mainly over the phone) and her 2 sons occasionally on weekend visit to her place. No delusions. No hallucinations. Partial insight. Plan: weekly schema - modes techniques psychotherapy Group psychotherapy to reintegrate her in society Diagnosis/Notes Social Allergy Family History Family History No Yes Follow Up ١/٩/٢٠٢٥ Nabil The patient reports that she was engaged at the age of 15. At 16, she initiated a sexual relationship with her fiancé, resulting in three pregnancies that ended in abortion prior to the age of 18. She subsequently married him at 18 years old. Approximately one year into the marriage, she delivered her first child. Soon after, her husband traveled to the United States, where he remained for two years without providing financial support. During his absence, the patient began an extramarital relationship. Upon discovery, the husband confronted her and informed her family. As a consequence, her family confined her to her apartment for approximately four years, during which she reports being subjected to physical violence, forced sexual relations, and pregnancy. Following this period, the patient describes a deterioration in her physical health, including multiple serious illnesses (reported as cancer, lymphoma, and kidney disease). She also engaged in another extramarital relationship, which coincided with further psychosocial decline. The marriage ended in divorce. In subsequent years, custody of her children was transferred to her ex-husband when they reached the ages of 19 and 26. Conclusion: This woman has passed through a profoundly traumatic and distressing life course beginning at the age of 15. Her condition began to show signs of improvement when she started treatment with Dr. Basem, with a particularly significant improvement occurring following her participation in group therapy. 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
