Summer Internship

Vartika Jain (2239358)

MPCL-A

MISSION VISION CORE VALUES

CHRIST is a nurturing ground for an individual’s holistic development to Excellence and Service Faith in God | Moral Uprightness
make effective contribution to the society in a dynamic environment Love of Fellow Beings
Social Responsibility | Pursuit of Excellence
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Deemed to be University

● About the Institution

● Supervisors
Topics Included
● Case Presentation

● My Experience

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Deemed to be University

People Tree Maarga

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Deemed to be University

Supervisors

Dr Satish Ramaiah Mrs. Latha B.H

Consulting Doctor, Sleep Child Psychologist
Disorder Specialist

Ms. Sucheta Mishra Mr. Sachin I.K.

Clinical Psychologist Psychologist

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Deemed to be University

Case Presentation – Nithin B

Demographic Information

•28-year-old male

•Residing in Bangalore

•Diagnosed with Limb-Girdle Muscular Dystrophy

•Has 2 elder sisters

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Deemed to be University

Case Presentation – Nithin B

Chief Complaints
•Suspiciousness
•Hearing voices
•Withdrawal
•Aggressiveness
•Folding of hands and fingers
•Crying spells
•Stopped talking
•Stopped eating

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Deemed to be University

Case Presentation – Nithin B

History of Presenting Illness

The patient had suspiciousness towards others for a year. He would also think that someone is standing in
front of him and then he would beat him up. While watching a serial he liked an actress and repeatedly
asked his family members to get the actress’ number. Since 6 months, the patient started withdrawing and
stopped eating and talking. He would also perform certain violent actions while watching TV.

He would also keep his hands folded in a fist or keep his fingers folded for long periods of time also resulting
in a fungal infection in his hands in the past. He also drastically reduced weight and had reduced sleep. His
hygiene also deteriorated along with his physical strength. It was also reported that the patient stopped
speaking after his father scolded him a few months back.

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Case Presentation – Nithin B

Family History

The patient has 2 elder sisters. One of them is

married and the other lives with the patient’s

family. It was also noted that the patient’s

grandfather had a history of psychiatric illness

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Deemed to be University

Case Presentation – Nithin B

Past History

In 2008 he was diagnosed with limb-girdle muscular dystrophy

In 2015-16 he was diagnosed with tuberculosis which was treated in KIIM Hospital

In 2016 he also consulted NIMHANS for muscular dystrophy

In 2022 he consulted Cadabams Hospital

In 2023 he consulted Binding Mind Care

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Deemed to be University

Case Presentation – Nithin B

Personal History

Birth and Childhood – Normal

Education – 9th standard

Occupation – Not Working

Substance - Nil

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Case Presentation – Nithin B

Premorbid Personality

Social relations were maintained. Good hygiene standards were maintained, sleep was normal,

he believes in God, and there was no history of alcohol use.

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Deemed to be University

Case Presentation – Nithin B

Mental Status Examination

Appearance and Behaviour - Reduced psychomotor activity, wheelchair bound

Rapport - Not Established

Consciousness - Conscious

Attention and concentration - aroused and ill sustained

Language - mute

Memory - intact

Mood - low mood, irritable

Insight - Poor

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Deemed to be University

Case Presentation – Nithin B

Mental Status Examination

Spontaneous Acts - no physical activities, Ryle's tube feeding, apathetic towards the examiner

Voluntary postures – maintained a rigid posture with the right upper limb flexed at the elbow while lying in

bed. No facial movement and expressions, drooling of saliva

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Case Presentation – Nithin B

Bush Francis Catatonia Scale

Stupor - 1

Mutism - 3

Staring - 1

Posturing - 1

Withdrawal - 3

Rigidity - 1

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Deemed to be University

Case Presentation – Nithin B

Diagnosis and Treatment Plan

Although selective mutism was suspected, Nithin was diagnosed with muscular dystrophy with catatonic

behaviour. Nithin was initially suggested Olimet, Nexito, and Venlafaxine tablets along with Cremaffin

syrup. However, since he did not show significant improvement in symptoms with the medicine, ECT was

planned after the consultation with the Cardiologist, Neurologist, and Pulmonologist. 7 sessions of the ECT

treatment were planned.

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Deemed to be University

Personal Reflections

In-Patient Ward Out-Patient Ward

Interacting, convincing the patients While observing the sessions I learnt how

to join the activities, and thinking of to focus on the client and not wander in my

interesting activities were really fun thoughts

and challenging and also taught me I observed a couple of assessments of

how to practically build some sort of ADHD and SLD and sessions with a

rapport and connection with speech therapist.

patients. I also gained a little I also understood that while listening, it is

knowledge about the psychiatry side not always necessary to mention every

of treatment. little aspect of what the client is saying.

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Deemed to be University

THANK YOU

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