Chapter III ANAMNESIS

A. Clients Database Name Ward Address Sex Age Civil Status Date of Birth Mother (Alias) Father (Alias) Ordinal position No. of siblings : Ms. MB : Female ward : Cagayan De Oro : Female : 58 years old : Single : May 25, 1952 : Mama Openg : Papa Oting : 2nd :3

Recent Admission Date: June 14, 2005 Attending Physician : Grace Apolinaria S. Gonzales, MD

Type of Admission Social Service Classification Admission Diagnosis Previous Admission Date Discharge Date Diagnosis

: Old : Not Applicable : Schizophrenia, Undifferentiated : August 30, 1985 : March 29, 1995 : Schizophrenia, Disorganized

B. Informant Information Informant No. 1 Name (alias): Tata Address: Davao City Relationship to patient: Close Relative Length of Time Known to Patient: Not Specified Apparent Understanding of the Present Illness of the Patient: Estimated reliability is at 60% (No other pertinent information)

C. Family History

Paternal Grand Lineage The patient can no longer recall her paternal grandfather and grandmother. Maternal Grand lineage She calls her grandmother as yayay and died due to mental illness as verbalized by the patient. Father Her father was a station manager at DXRA a long time ago. Thus, provides the basic needs in her life. However, she and her mother found out that her father has a mistress or another woman besides her mother. Mother Her mother is a professional teacher. According to the patient, her mother is kind, loving and very supportive. But then, her mother became insane due to the discovery of her husband having a mistress. Siblings

She has 3 siblings and ranks 2nd in the family. She is the only girl. She has a good relationship with her siblings. Her older brother named Percy suffered from paroxysmal epilepsy and all the rest are in good condition. D. Personality History

Prenatal stage Since their family is well-provided because the father is a station manager at one radio station and the mother is a professional teacher, they were able to take good care of the baby inside the mothers womb. The health of the mother was watched closely and she was able to provide a loving tender care to the baby inside her. Birth No pertinent information was available and gathered. Infancy stage She was born on May 25, 1952. She was well provided materially and was not deprived of the things she needed. Infancy and childhood Characteristics She was assertive yet dependent with her parents, conformed with the plan of her folks because she respected them. She was an active student during her childhood days. She didnt have any dislikes and she can handle responsibilities well. She hates competitions and frustrations. She is weak and
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can hardly face reality in life, and this was proven when her parents got separated.

Psychosexual History She was still single. She has an excellent ability in taking care of children because she always made mentioned about children and playing with them.

Play Life The patient usually plays domino and cards during her past time. She also loves to watch movies and goes out with her friends for enjoyment. School History She studied her grade school at RMC, Davao. She didnt have any dislikes and she is a n active student during her time. She took up AB major in English in her college education but she only finished 3rd year. After that, she stopped because they were abandoned by their father. She did have a good relationship with her teachers and her classmates. Religious and social Adaptability Her family brought her in a strongly catholic faith and atmosphere. She established a good relationship with her siblings; she had a special interest in the field of singing and dancing.

Occupational History The patient was still a student upon onset of mental illness.

Marital History She had a normal attitude towards peers of same and opposite sexes. She required information about sexuality through magazines and in school. She also experienced having boyfriend, go dating and attending parties and dancing.

E. History of Present Illness The patient was confined because the other members in the family cannot anymore resist the attitude of the patient, because the latter was becoming hysterical and violent, always crying without aggravating factors, talking irrelevantly and incoherent, laughing alone anytime, sleeplessness and refused medications. The patient occasionally with knife and bolo, that makes her relatives apprehensive and anxious.

F. Hospitalization History

Previous Hospitalization History

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She was never been confined/ hospitalized due to some illness and complications. She only experienced fever, cough, and headache during the course of her life but not the reason for any confinement. First admission was on August 30, 1985 with the diagnosis of Schizophrenia, Disorganized. She was then discharged on March 29, 1995. Because of social stigma and noncompliance to her medications, she was readmitted to Southern Philippines Medical Center Psychiatry Department last June 14, 2005 with a diagnosis of Schizophrenia, Undifferentiated.

Present Hospitalization History Prior to admission, she and her mother discovered the truth about mistress of her father. According to the informant, the mother was the first who suffered insanity because she cant accept that she was tricked by her husband. Because of what had happened, she started to join gang sessions, engaged in some prohibited drugs and going home late. She even committed suicide, fortunately, she was rescued. Later on, the family observed unnecessary gestures like talking irrelevantly and incoherent, crying loudly, yelling and smiling. Because of these, her family sought help to medical personalities, and then the patient was confined at Davao Mental Hospital.

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