Saturday, March 26, 2022

down syndrome with autism et al.

 


27 March 2022 laetare sunday (4th sunday of lent)

jeff 9M, my newfound friend i saw with mom on the street side outside the church. stricken by conscience, I went back & gave 100 pesos to mom which jeff immediately threw away. i decided to invite him to come with me which he readily did & we all ate breakfast at the nearby eatery I usually go to. then, I decided to invite both to come with me to the hospital since there are no out-patients today. we passed by my favorite fruit shake stand & I ordered 2 small glasses & 2 banana cakes from the store nearby. while waiting jeff was banging the tricycle side which made the driver impatient. 
upon reaching the building where I stay, I asked mom to give him a bath. i gave him my kamisa tsino as new clothes. then he started to manifest his stereotypic behavior, unusually so, by pumping the throw pillow in my room. then, he "played" with the toys by repeatedly pouring them out & putting them back in. he was curious about the rocking chair (his first time to see one, it seems) & wanted to turn in around and upside down. however, when put on my lap, he would struggle to free himself (typical of those with autism but uncharacteristic of down syndrome, i.e., not wanting to be touched; however, occasionally, he would spontaneously kiss his mom on the cheeks). 
when in attempted to restrain him, he would get back by throwing my toys & was successfully in destroying one of the plastic containers by constant banging on the floor. 
on the street, I gave mom my name & title & hospital name & asked her to bring jeff to me for certificate of disability. however, while in my room, I thought, what the heck, why do I need to ask mom to still bring him back since he's already here! & so, I conducted a quick assessment of what he's capable of drawing. he just threw away the pencil given to him despite my instruction to imitate what I wrote. i was able to write a report after conducting the needed social maturity scale interview. i was also able to get this photo of his above for the PWD ID required. i had to do EVERYTHING since I don't want to add any further burden to the mother who just lives by selling salt to stores for 10 pesos per pack! she said she bore jeff at age 40, with no family history of developmental disorders. 
she said her husband is ill, with cardiovascular problem I think. however, with the small income he earns, he gives it to his own mother instead of them & just gives them food, no money. she tells it like it is -- no rancour or hurt feelings, it seems.

lessons:
1. NO TSISMIS. jeff gets upset when people talk about him. i think he knows he is abnormal & talking about him OBJECTIFIES him! (thank you, Lord, for this great LESSON from one of your special children).
2. MOM'S PATIENCE. grabe! i thought the mom was too simple-minded & was somewhat looking for signs of neglect of the child. well, she has not much choice but to bring her son with her on the street to sell given the unruly, "uncontrollable" hyperactivity of jeff. nevertheless, mom constantly picked up the toys & put them back. 

DX: Autism Spectrum Disorder
       T/C Severe Intellectual Disability
        Speech Sound Disorder
        ADHD Combined Type
(this is what we call "kumpletos rekados"!)


phenomenological experience of anxiety

 


Wednesday, March 23, 2022

24 march 2022 trichotillomania

 finally, got a SU with F63.2 referred by derma 15F SHS: alopecia (loss of hair( c/o trichotillomania

HPI: onset with COVID-19 lockdowns around april 2019 trigger: parental fights c/o alcoholic  unemployed physically abusive father over finances; current primary stressor: personal pressure on self to perform academically  

Friday, March 11, 2022

interrupted vs aborted suicide

 the former is external (by others). the latter is internal (by self). 

cf: online suicide severity scale

Saturday, March 5, 2022