CASE REPORTS

CASE HISTORY-1

Name : Master. K

Age : 12 years

Education : 8th grade

Father name : Allen

Mother name : Sofia

Financial status: Middle class

Chief complaints

 Academic decline – unable to concentrate

 Intrusive, unpleasant thoughts
 Repetitive gory images
 Images of people soaked in blood
 Fearfulness
 Putting on switches repeatedly

Duration

 Total duration - 2 years

 Age of onset - At the age of 10
 Course of illness - Occurrence of obsession images

History of present illness

Master. K 12 years old boy pursuing his 8th grade reports the of symptoms
characterized by intrusive, unpleasant and repetitive gory images of people engaged in
violence and soaked in blood that interfered him to study .He had distressing palpitations,
tremors and fearfulness when he experiences these images and stated they were contrary to
his “peaceful nature”. He used few techniques to counter them like chanting hymns but did
not provide tangible relief. His scholastic performance was on decline and led to strained
relations with his parents.

Negative History

No history of suicidal thoughts

Socially isolated (solitude)

Biological History

No parental consanguinity
Family History

12 years

Family history of mental illness

No history of family mental illness (psychotic symptoms)

Personal History

Mode of delivery - Normal

Early development - Normal

Behaviour from childhood - Introvert

Pre-morbid Personality

 Interpersonal relations - Poor

 Hobbies and interest - Cycling and sports
 Subjective Mood - Absent
 Objective Mood - Fearful, anxious
 Attitude and work responsibility - Normal
 Energy and initiatives - Average
 Habits
 Eating pattern - Normal
 Sleeping pattern - Abnormal(Experiencing tremors)
 CASE HISTORY-2

Name : Mrs. N

Age : 58 years

Education : Postsecondary education

Occupation : Manager (Telecommunication Company)

Marital Status : Married

Spouse name : John

Financial status: Middle class

Chief complaints

 Memory Loss
 Repetitiveness
 Executive Function loss
 Word findings, literacy skills were deteriorated

Duration

 Total duration - 2 years

 Age of onset - At the age of 56
 Course of illness - Progressive cognitive decline in activities of daily living

History of present illness

Mrs. N 58 years old woman reports that he studied postsecondary education and
presently working in Telecommunication Company as Manager. She reports with a 2-year
history of repetitiveness, memory loss and executive function loss. Progressive cognitive
decline was evident over past 9 months before her consultation in clinic. Laboratory
screening was normal. There was evidence of psychotic symptoms like functional losses were
being slower in processing, carrying out instructions, etc.

Negative History

No history of suicidal thoughts

No history of social isolation

Past psychiatric, Medical History

Consulted in Neo Memory Clinic (2020). Magnetic resonance imaging scan revealed
mild generalized cortical atrophy. Medical history was relevant for hypercholesterolemia and
vitamin D deficiency.
Biological History

No parental consanguinity

Family History

58 years

Family history of mental illness

There was no first-degree family history of presenile dementia. Her paternal

grandmother was living with mild memory loss but without known dementia until age 76 and
her paternal uncle was diagnosed with Parkinson disease in his 40s and died at age 58. She
had no children.

Personal History

Mode of delivery - Normal

Early development - Normal

Behaviour from childhood - Extrovert

Pre-morbid Personality

 Interpersonal relations - Good

 Hobbies and interest - Driving motor vehicle, Boat docking
 Subjective Mood - Absent
 Objective Mood - Good Verbal fluency
 Attitude and work responsibility - Normal
 Energy and initiatives - Average
 Habits
 Eating pattern - Normal
 Sleeping pattern - Normal