Case -2

Name – Ajay

Gender- male

Marital status- married

Education qualification – m.sc. physic hons.

Occupation- assistant manager in spice jet.

Family type- 4 MEF

Address – live in uttam nagar

Referred by his boss

Presenting complaint :-
1. Bahot overthinking karta hai .(3yr)
2. Tension bahot jaldi ho jati hai.(3yr)
3. Neend kam aa rahi hai (15days)
4. Kahi man nhi lagta (15days)

M S E (mental status examination )

The client Mr. Ajay came in. I greeted him and asked him to take his seat . he was accomplished by his
friend . I offered him also a seat . the client was well dressed, grooming and looked of apparent age. He
looked a bit anxious I made him comfortable through some deep breathing techniques and assured him
that he can share his problems without any hesitation as their conversation will confidential . his friend
was also sent out for some me.

Starting of the session:-

The client started telling that he was his usual self 3yrs back and was doing his work and following his
routine property . A new colleague trainee joined his office, who had a very good command in English.
So the client started conversing with him as he wants to improve his communication skill too and urge to
learn new thing from any source , but then he started noticing that other office mates were making fun
of them then he asked the reason to them and get to know that the trainee is a gay and he started
feeling uneasy that why other people talking ill about that trainee as he is also a human and all such
things hurt him too. he also started thinking that why he is thinking stress more of his semen started
secreting and he felt that there is no feeling left inside him. He was close to his boss so he discussed this
problem with her and she made him feel better by relaxing him and saying that this he becoming little
bit relax and saw again started being happy but around 1 year back these thought s again came into his
mind affecting due to these irrespective , senseless thoughts.

From last 15 days the client conditions is pathetic . he unable to sleep properly .he doesn’t feel like
talking to anyone or making sexual relation with his life .he said that he was in depression from 2days as
when he was sharing again with his boss so she shouts on him and said I am not here he was sharing his
problems you go and visit a psychologist .this behavior of his boss upset him very much as his boss has
never done this before, and that’s why he felt like I am very bad as now no one wants to listern to my
problem and started feeling like committing suicide as all these thought always persist in his mind . he
did not discuss this problem with wife too because he doesn’t want to make her tensed.

Then on calling his friend in the room and asking him about the client. He said that the client gets
annoyed on small-small things.

Ending of session:-
All the problems of the client was listened carefully and the client was made relaxed by offering a glass
of water.

My observation:-
The client looked anxious he as was preoccupied with the above- mentioned issue and was showing
frequent worries above it . he was showing anxious personality traits. His behavior showed that he had
more curiosity to learn about new things and want to achieve great height in life as he was showing his
award, certificates in his mobile which he has achieved till now.

Plan of action:-
The client should take some session of cognitive behavioral therapy (CBT) as it will help him to reduce
his anxiety and can perform some yoga and medication at home to take care of his mental health . he
should include himself more in happy and cheerful environment and should talk to his wife and family
member more.

This purpose with which today sessions was started was achieved.