ICD-10 Code R45.8 Other Signs & Symptoms involving Emotional States
again, for the 2nd day, got a "first".
"nonsuicidal self-injury disorder" is now a "condition under further study" in DSM-5-TR (2022).
11 May 2022
walk-in. 36M. chief complaint: insomnia & self-injury marks on arms.
HPI (history of present illness): ~ 9 years PTC (prior to consult) wife left for Iloilo together with their 2 kids aged 7 & 5 (bringing them there for the 1st time) & never returned. mother of SU (service user) told him she heard she already married. SU used to work in a candy factory in caloocan, then a messenger in a bank in CSJDM but lost his job due to alleged in-fighting among colleagues.
1 mo PTC SU started to cut his arm with pictures like television & fish in the evening. his daily routine includes going to the river to take a bath around lunch time & then spends the whole day watching tv or the mobile phone.
psychotherapy yielded insignificant gains due to emotional (& physical) numbness. he just went through the motions & needed to be prodded. techniques intended to elicit emotional release were largely ineffective. referred to psychiatry.
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