he was a service user of ours 4 years ago due to MDD & PTSD diagnosed by doc cheng triggered by "bullying" acts by a teacher. the case reached the division & regional offices of DepEd & the court but they lost there, for one reason or another.
this time, my impression is F41.0.
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2022 June 28
15F F41.0 Panic Disorder
Fears: 1. being rushed to the hospital due to panic attacks c/o inability to stop negative overthinking 2. parents with sickness (father with diabetes & mom with ongoing colon biopsy -- used to faint; fear of their death) 3. death c/o grandma died just this june.
excerpt: "Palagi po ako nag-iisp ng mga NEGATIBO sa utalk ko at minsan po di ko na kayang LABANAN. Gusto ko na lang po MAWALAN NG UTAK para hindi na po ako mag-isip." (lack of control over anxious thoughts -- symptom # 2 of Generalized Anxiety Disorder)
06/23/2022
F36S RN rated unfit for work abroad, manly in hairstyle & attire, attempted suicide when application for work in Singapore was rejected; in SSCT, admitted regretting entering into a relationship (not specified)
F17S banged head on wall when elder brother found out about her secret boyfriend
remark: symptom # 6. "Affective instability due to a marked reactivity of mood (e.g. intense episodic dysphoria, irritability, or anxiety usually lasting a FEW HOURS & only rarely more than a few days)."
06/24/2022 37FS RN F41.0
HPI: attacks (1) 2021 march -- on duty, (2) nov -- watching Netflix, (3) 2022 april, (4) may; (-) x-ray, ECG & blood sugar
in childhood: "malakas akong tao, di ako sanay sa ganito."
remark: possible denial, suppression, repression, modeling by adults; but with underlying predisposition (thought about the yin-yang principle)
06/24/2022 F33S 4/4 F33.2, F41.0
HPI: had third eye since childhood; onset 2009 maternal grandma who took care of her died; same year diagnosed with depression & anxiety; continued psychiatric consultation moving from one hospital to another due to transfer of doctor & financial considerations; 2021 latest of many suicidal attempts by slashing wrist; once overdosed on rivotril 10 tabs
FmHx: (+) cousin (psych grad)
self-identified origin of current problem: financial difficulties c/o continued profession of mom as real estate broker but due to pandemic, clients had difficulty paying
