VII.

ANAMNESIS

Maternal and Paternal Grand Lineages

The patient’s grandparents had a history of hypertension. They lived away

from B.C.S. because her parents lived separately when they got married, though they

sometimes visited them from time to time. They were strict in disciplining their

children and grandchildren as far as the eldest sister of the patient remembered.

Their grandparents died of old age.

Father

The patient’s late father was a farmer. They owned a land where they grew

coconut trees. Copra production was their main source of income. He was the only

male among the three siblings. He also had other step siblings from his father’s first

wife. He attained sixth grade of his elementary education. He was a strict father and

an uptight disciplinarian when it came to his family.

According to the eldest daughter, the father was once involved in killing a

certain thief who broke into their house. He was not imprisoned as the act was done

for self-defense. He had an eye injury because of the incident. He was a smoker and

he was hypertensive. His death in 2017 had caused the patient to become extremely

sad as she was said to be close to her father.

Some relatives related to her paternal side were known to have problems

with their psychological aspect as well. On her father’s side, certain members of

their family are known to be mentally ill.

Mother

The deceased mother had a brother whose offspring was also affected with

mental illness. When she was still alive, she was a housewife and a Catechist and

known to be very caring towards her children. She was very supportive when it

came to the patient’s education. She never missed a school event that involved a

parent’s attendance. She also trained her daughters to be good at household chores

which was known to be a woman’s duty.

As she was an important member of their church, she was a devoted Roman

Catholic. She was the one who taught her children to be active in their religious

activities. She sometimes helped her husband with their copra business, but since

she was known to be asthmatic, she usually stayed at home and spent most of her

time doing household chores, serving at church, and taking care of the children. She

died of asthma at an old age.

Siblings

The patient was the fourth child of the nine children. Five of them are female

and four are male. Their mother had a miscarriage twice. All of her other eight

siblings are still living. All her male siblings are smokers and they occasionally drink

alcohol. The eldest sibling was the one supporting the patient’s needs through their

copra business. Among the nine of them, B.C.S. was the only who was admitted to

the facility and to be considered as chronically Schizophrenic.

 VIII. PERSONAL HISTORY

Prenatal

Prior to conceiving Patient B.C.S., her mother had experienced her first

miscarriage (the second miscarriage was the supposedly eighth child). When she

knew that she was pregnant with B.C.S., she made sure to be compliant with her

prenatal. She completed all the check-ups and adhered to interventions and her

schedule. While she was pregnant, she was with her husband who was already a

smoker at that time.

Birth

Patient B.C.S. was delivered at home, at Cateel, Davao Oriental on March 1,

1969. She was delivered as a full-term baby. During that time, the hospital was too

far, and transportation from their place to the nearest birthing center or hospital

was not easily accessible. They had a traditional birth attendant or hilot assist the

mother in labor and in giving birth.

Infancy and Childhood

The patient as an infant was breast-fed by her mother and weaned when she

was 8 months old. She was not fully immunized. Her mother took great effort in

directly nursing her. Using diaper was not a common thing during their time, so they

used clothes or lampin instead. She started walking when she was more than one

year old. She was raised by her strict parents, especially by her mother. She was

trained to be responsible at a young age.

Psychosocial

The patient was very close with her father though it was her mother who

took care of her at home. She underwent her puberty stage when she was in high

school. Currently, the patient is already menopaused.

Play Life

She rarely played outside the school and within the neighborhood. She was

not allowed to go outside by her parents, so she played inside their house most of

the time, together with her siblings. She played any sorts of games with her brothers

and sisters. She had more female playmates when she was a child. She did not have

much opportunity to play with the neighbor’s kids unless they were her

schoolmates or classmates.

School History

When she was in elementary, her academic activities were monitored by her

mother who was really active in the school’s activities. She was good at mathematics

subject. She was an achiever and had excellent remarks even when she reached high

school.

On her high school days at Maryknoll Highschool of Cateel (now known as

Maryknoll Academy of Cateel), she got along with her classmates. She was not

summoned to the guidance counsellor for violations of school rules. But she had 4

other friends in her circle of peers. Because of their curiosity, they tried taking in

marijuana. They had it mixed with their food. Her eldest sister said that among the

five of them, two of them are in the state of manifesting psychological problems in

their later life, one was patient B.C.S., and her other female friend whose
manifestation of symptoms was milder and more manageable than the patient’s

symptoms.

She was also able to go to college and took Commerce. Being a lawyer was

originally her dream. She took the civil service exam and passed. She was planning

to take the CPA exam, but that time they had to go to Manila to take the licensure

examination, and it would have cost them a lot. So, she was not able to do so. She

decided to land a job and help the family instead.

Religious and Social Adaptability

As she grew up in a family where her mother was deeply devoted to Roman

Catholicism, she was a very religious person. She was really active in their church.

She was also a member of the Charismatic and Singles for Christ communities.

Occupational History

Marital History

Onset of Present Illness