Assistant Professor, Amity Institute of Behavioural and Allied Sciences, Amity University, Rajasthan
Online published on 12 February, 2015.
Ms. S.G. is 29 yrs old unmarried female educated up to B.A. II yr. came with the complaints of aggression, violence, intolerance, withdrawal, disobedience, laziness and increased self muttering. The patient was well till about 12 years back. In 1996 for the first time she complained that someone is taking her photographs and whistling on her. That time she also became very suspicious and reported some unclear fears also. When the problem increased, her parents took her to the psychiatrist who prescribed some medicines that she took for a period of 3 years and after that she made some manipulations by herself and the symptoms were relapsed. After that she again made manipulations in her medicine because of the side effects like- laziness and increased appetite. Since 2002 she is taking medicine with no manipulations. On MSE she showed less cooperation with the examiner. Her psychomotor activities were decreased with inappropriate social manner and non-verbal behaviour. Eye to eye contact was inadequate. Her tone of speech was decreased with rapid rate and verbigeration. Reaction time was decreased and mood was subjectively reported sad and objectively observed irritable. Second person auditory hallucinations were present. The patient was not oriented towards time and place but oriented towards person. Attention and concentration could be less sustained. Immediate, recent and remote memory was impaired. Abstract thinking was inappropriate with poor judgment. Grade 1 insight was present.
