Personality, Anxiety- Panic Disorder

N: Sorry for interrupting you, paano mo nalalaman na

PHASE: Working Phase nagkaka anxiety ka?
HISTORY:
Ms. S a 25-year-old single female, a high school teacher, N: So you had difficulty breathing–
enters the emergency room on Sunday morning at
10:00am, after experiencing an episode of extreme chest N: Ano pang ibang nararamdaman mo?
pain, difficulty breathing, and numbness in her arms. She
was admitted to the hospital and had a consultation to N: Nangyari ulit?
the physician about her symptoms. Ms. S verbalized,
“Pinapasyal ko yung aso ko kanina tas bigla nalang N: Tumuloy ka ba sa work nung araw na yon?
akong pinagpawisan kahit hindi naman mainit sa labas.
Tas bigla nalang akong nahirapang huminga at biglang N: Anong nangyari nung sinabi niyang ayoko na?
natakot. Napakalakas ng tibok ng aking puso parang
sasabog, nanghina ang aking mga tuhod at nanginig ang N: Sorry kung naaapektuhan nito yung buhay mo…
aking katawan, di ko na rin maramdaman ang aking mga N: Anong ginagawa mo para madistract ka, para di mo
kamay. Tumagal ito ng ilang minuto, akala ko na maisip yung scenario na yon?
mamamatay na ako.” Ms. S was given an EKG, but the
test comes back in normal range, indicating that she did N: Kamusta naman yung pagtulog mo?
not have a heart attack. Her physician believes she may
have had a panic attack and refers her to a clinical N: Lumalabas ka pa ba ng bahay?
psychologist. The mother of Ms. S was diagnosed with
Psychotic behavior, while her father was diagnosed with N: How was your mood for the past few days?
Bipolar disorder.
N: How is it starting affecting you? Sumagi ba sa isip mo
PRESENT SITUATION: na life is not worth living or anything?
After 2 weeks, Ms. S visits the clinic and reports that she
has experienced over a dozen panic attacks with similar N: Kailangan ka naming tulungan, para bumalik ka sa
symptoms since her time in the emergency room. At this dating ikaw, at magawa mon a ulit ang mga gusto mo.
point, her day-to-day functioning is significantly impaired;
she avoids work, time with family and friends, and N: Sa tingin mo anong nangyayari sayo?
walking her dog because she thinks it might trigger
another attack. There is a concrete source of anxiety or N: Mabuti naman kung ganon. Thanks for talking to me,
fear in the life of Ms. S, whenever she will have an and thank you very much for your time. See you next
encounter with her ex-fiance. week Sunday for our next session, same time po
10:00am.
SCRIPT
N: Good morning ma’am ako po si Nurse R, ano pong
pangalan ninyo?

N: Okay lang po naiintindihan ko. Looks like you’ve been

not feeling yourself po.

N: Thank you for coming here, kahit na ganyan yung

nararamdaman mo. Nasabi niyo po na para kayong
mababaliw, sa anong paraan po? What do you mean by
that?

N: Anong nararamdaman mo kung nakikita mo yung ex-

fiance mo? Paano nakakaapekto ito sa buhay mo?

N: I can see you become across as feeling restless.

N: Nabanggit mo yung ex-fiance mo, ano bang

nangyari?

N: So what happened?

N: Don't apologize, pero anong nangyari sa ex-fiance

mo?

N: Natatakot kang mawala siya sayo?