Name: Prinzhel Mae T.

Asercion Score: __________________

Student No.: 20216338 Program/Year/Section: BSP 2-4

*** Case of Leticia ***

Analyze the case of Leticia and identify the 4Ds of abnormality.

Dysfunction
1 In this case, it stated that "She doesn't know how to cook, like 'yung ginataan na masarapnyangginagawa,
di na nya alam.. kung pano yung ingredients”
2 Sometimes she doesn’t know kung paano gamitin ang kutsara at tinidor. Motor skill dysfuntion
3 Noong panahon na bedridden siya hindi na rin siya nag sasalita at Unable to eat at her own

Distress

1 She would often forget the right word for something, "Hindi na nya maalala, "ano na nga ito?" This was
frustrating for her, and she would often remarkon her own forgetfulness. "Ang patal ko na, " she would say
2 “Nag-aaway sila ng nanay ko. She will explain herself pero minsan mali mga explanations niya”
3 Nakikipag away siya kahit na kanino

Deviance

1 “Leticia went to the province. "Pagbalik nya nagkekwento siya. May aswang daw sa ilalaim ng kabilang
bahay. It's an old house. Meron talagang silong yon. It's like a storage space. Meron daw sa ibaba. [It had]
wide eyes. Parang bata daw
2 "Nagmamadali siya umuwi. 'Alis na tayo, uwi na tayo. ' May sinasabi siyang about something na
nakakatakot or something." Evelyn, telling this story, makes a motion showing how her mother's eyes
darted around. Earliest (Paranoia)
3 Ang talagang weird... sabi nya sakin na ang father ko daw ay may babae, " Evelyn confided. "My father
is a very religious person. once wala syang ganyan. I know my father. He's a very strict guy .... He belongs
to a group of joggers, may kasama din sya dun na matanda.... Apparently pinagselosan

Dangerousness

1. Nagsaing sya once na walang tubig... Dun nagalit ung tatay ko kasi susunugin daw niya ung bahay”

2 One time, nawala ang nanay ko. She had a habit of going out. Nakaligtaan siya ng kanyang yaya..
She had left the house a little before noon. "Pagdating ng hapon, hindi pa rin namin mahanap

3 Once, she was standing on a built-in concrete bench near the wall of the house's perimeter fance,
but couldn't get back down. It started raining. "She was soaked! [She was there] the whole day!

Cognitive Psychology
Write down Leticia's sign/symptom and its corresponding specific diagnostic criteria in the
DSM 5-TR.

Signs/Symptoms Diagnostic Criteria

 Leticia had to be taken to the hospital for a  The criteria are met for major or mild
wound debridement or cleaning of a neurocognitive disorder and advance
wound with dead tissue. "That was the stage of Alzheimer’s disease
time na absolutely hindi na sya
nakakatayo. Hindi na rin nagsasalita,
during the time she was bedridden." Now
unable to eat on her own, Leticia had to
be given a nasogastric tube, where food
could be given straight to her stomach
 "She doesn't know how to cook, like 'yung
ginataan na masarap nyang ginagawa, di
na nya alam.. kung pano yung ingredients

 Paranoia was the first thing that stood out.  One of the criteria for schizophrenia have
One of the earliest incidents in Evelyn's met the criteria as it involve delusions and
memory was when the family took a trip to paranoia
an amusement park outside of Manila. It
was relatively early, and everyone else  Memory loss or episodic memory deficits
was still having fun, when Leticia began is one of the factor of schizophrenia
trying to convince her daughter that they
should go home. "Nagmamadali siya
umuwi. 'Alis na tayo, uwi na tayo.
 Leticia was forgetting a lot of things, even
when she was still running her store. She
would often forget the right word for
something, "Hindi na nya maalala, "ano na
nga ito?" This was frustrating for her, and
she would often remarkon her own
forgetfulness. "Ang patal ko na

 "Na-diagnose sya as predementia The criteria are met for Alzheimer’s Disease which
 Nagsaing sya once na walang tubig... Dun is the most common cause of dementia
nagalit ung tatay ko kasi susunugin daw  Memory loss
niya ung bahay  cognitive impairment
 One time, nawala ang nanay ko. She had
a habit of going out. Nakaligtaan siya ng
kanyang yaya.. She had left the house a
little before noon. "Pagdating ng hapon,
hindi pa rin namin mahanap
 “Leticia went to the province. "Pagbalik nya Alzheimers disease with behavioral and
nagkekwento siya. May aswang daw sa ilalaim Psychological symptoms
ng kabilang bahay. It's an old house. Meron  Hallucinations
 Delusions
talagang silong yon. It's like a storage space.  Paranoid symptoms
Meron daw sa ibaba. [It had] wide eyes. Parang
bata daw
 "Nagmamadali siya umuwi. 'Alis na tayo, uwi na
tayo. ' May sinasabi siyang about something na
nakakatakot or something." Evelyn, telling this
story, makes a motion showing how her mother's
eyes darted around. Earliest (Paranoia)
 Ang talagang weird... sabi nya sakin na ang
father ko daw ay may babae, " Evelyn confided.
"My father is a very religious per once wala
syang ganyan. I know my father. He's a very
strict guy .... He belongs to a group of joggers,
may kasama din sya dun na matanda....
Apparently pinagselosan

Psychology Faculty
What is your diagnosis?

Major Neurocognitive disorder due to Alzheimer’s disease

State at least 2 differential diagnoses.

Schizophrenia and Paranoid Personality Disorder

Reviewed by:

JOMER R. CABALLERO

Cognitive Psychology