Research Centre For Cognitive Development

There are many parents who live with anxiety if they have a teenager in their home or in a close relationship. If their children are studying in another state or if one of their parents is abroad, this worry can turn into a grievance. We are introducing a training program for such people. The Ultra Pro Parent!!!

This program equips participants with the crucial ability to spot and address unhealthy lifestyle patterns, damaging relationships, and emerging anti-social attitudes in others before they escalate. We integrate principles from Forensic Psychology, Investigative Psychology, and Hypnotism to provide you with a powerful, timely intervention toolkit.
 

The one who injured here is really innocent. Because the tools make these wounds are external in nature. Namely family environment, sociocultural factors, media etc.

Are you getting me?

What I am talking about?

Yes, its about the self harming information one possess about events around them. It can be approach towards themselves, towards others, towards other objects or groups and so on.

Since its harming the individual, they have to consult a psychologist to heal those wounds.

If not;

the individual will be dragging their life with low self esteem, low confidence, fear of failure, leading an unproductive life.

the individual will find it very difficult to get along with others stating others are untouchables, illiterate, uncivilized.

the individual will be obsessed with sexual fantasies when seeing a mannequin or experiencing body odor of others.

the individual will discriminate members of other groups and favors members of own group. Sometimes it wont be that much visible to others, still it will hinders the growth of the individual and society.

Hope you had a thought provoking time while reading a small part of my book titled “SELF HARM”

CASE HISTORY REPORT 01

Name of supervisor : Dr. Emarson VP
Name of Examiner : Cdr. P. Kumar
Name of the client : Smt. M.
FN : 7120

Socio demographic details:-

The index client is 44 years old, female, married, educated up to 10th class, first born among
two siblings, belonging to middle socio-economic status, Hindu by religion and belongs to
rural area of Ernakulam district of Kerala state. She came to OPD along with her husband.

Informant’s Report

Name : Mr. JH
Relationship : Husband
Duration of stay : Since marriage
Reliability : Fair and adequate

Chief complaints:-

 Fatigued feeling
 Decreased interests in pleasurable activities
 Pain at back of head and near eyes
 Pain in joints and shoulders Duration of one months
 Pain in chest
 Disturbed appetite
 Unrefreshed sleep

Precipitating factors : Death of aunty
Mode of onset : Insidious
Course : Continuous

Progress : Deteriorating

History of present illness:-

The index client was apparently all right before one month. After the death of her aunty, her
sleep decreased gradually and she began to feel fatigued most f the time. Her interest in
talking to others and engaging in pleasurable activities decreased. Along with these, she
began to feel pain at back of her head, joints, shoulders and at chest. Later on these
complaints affected on her routine activities also.

No history suggestive of MR / Epilepsy / head injury / substance use / neuroinfectious
diseases.

Past medical history:-

No significant past medical history.
Past psychiatric history:-
No past psychiatric illness was reported.

Personal history:-

Birth and development : Husband is not able to provide adequate information

Educational history : Literate, educated up to 10th standard

Occupational history : Housewife

Psychosexual history :
Adolescent sexual behaviour : Since husband is the informant he is not able to provide adequate information

Any changes after illness : No
Any sexual deviance : No
Any history of HIV/STD : No

Marital history : Applicable
Age at marriage : 28 years old

Age of spouse at marriage : 23 years old
Nature of marriage : Arranged
Consent
Client’s
Spouse’s Yes
Parents’
Consanguineous : No
Marital adjustment : Good
Sexual adjustment : Satisfactory
Family planning measures : No

Pre-morbid personality:-

She was well-adjusted person and fulfilled her duties as a mother and wife. She had few
friends. Her hobbies were gardening, watching T.V. and cooking.

Details about family members:-

Client’s father was a daily wage labourer and died before 3 years due to complications in
liver function. Client’s mother is 69 years of age resides with her younger son. She is
illiterate and is now taking care of grand children. Client’s younger sister is 40 years old. She
is literate and her husband is a tailor by profession. She has 4 children and lives separately.
client’s first younger brother is 36 years old. He is educated up to higher secondary. He is
working in a private company and living separately.

Family relationship : Cordial
Attitude of family members about client’s illness : Concerned
Present living condition ;
Client lives in a concrete house with two bedrooms, 5 people live together. Children are
studying in various classes. Husband is a daily wage labourer and she works with
MGNREGA.

Family history of mental illness:-
There is no family history of mental illness.

Mental Status Examination (MSE)

General appearance:-

Index client was well kempt and tidy, well combed hair, wearing neat cloths, age appropriate
dressing. She was of lean body built, looking of her age, appearing tiresome and her eyes
were teary. She maintained partial eye contact with the examiner. Touch with surroundings
was present. Her attitude towards the examiner was cooperative. Psychomotor activity was
normal.

Attention and concentration : Attention was aroused and well sustained.

Memory : Immediate, recent, and remote memory was intact

Intelligence : Average level of intellectual functioning
Abstract thinking : Functional level
Orientation : Oriented to time place and person
Voice of speech : Voice was soft but audible, with normal fluctuations. Speech was relevant,
coherent and goal directed. Answers only on questioning.

Perceptual disturbances : No perceptual disturbances.
Thought process : Stream, possession, and form of thought were normal. Ideas of worthlessness,
death wishes, and complaints of pain at different parts of the body were present in content of thought

Volition : There was no abnormalities in volition
Judgement : Personal, social, and test judgements were intact.
Mood : Depressed.
Affect : Depressed.
Insight : Level 3

Diagnostic formulation:-

Index client is a 44 years old female, married, housewife, educated up to 10 th standard, Hindu
by religion, belonging to middle socioeconomic status and hails from Ernakulam district of
Kerala, came to OPD with her husband with chief complaints of depressed mood, loss of
interest, increased fatigability, decreased sleep and appetite, pain at chest, pain at back of
head, pain of joint and shoulders and pain at her eyes for a duration of one month. On the
mental status examination (MSE) ideas of worthlessness, death wishes, complaints of pain at
different parts of the body was present in the content of thought along with depressed mood.

Provisional diagnosis

F 32 . 0 Mild depressive episode with somatic symptoms.

Points in favour:-

 Depressed mood
 Loss of interest and enjoyment
 Increased fatigability
 Ideas of worthlessness
 Death wishes
 Disturbed sleep
 Diminished appetite
 Pain at chest, joints, and shoulders, eyes, back of head.

Supervised by, Reported by,

(Dr. Emarson VP) (Cdr. P. Kumar)