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SALIENT FEATURES

SALIENT FEATURES. 16 y/o, F CC: Patient: “Hindi ko alam .” Mother: “ Naninira ng gamit at naninigaw .”. Personality Profile: from quiet, shy, studious irritable, impatient, violent, anxious. School performance. Liked less stressful environment better

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SALIENT FEATURES

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  1. SALIENT FEATURES 16 y/o, F CC: Patient: “Hindi koalam.” Mother: “Naniniranggamit at naninigaw.” Personality Profile: from quiet, shy, studious irritable, impatient, violent, anxious School performance • Liked less stressful environment better • Playful, obedient, sociable in daycareschool • Average student in primaryschool • Studious, obedient in intermediate school • Hard time coping with pressure and demands in school • Frequent absences from school • Impairment in academic functioning

  2. Self and Relation to Others • Feeling out of place • Lack of friends • Tantrums with violent behavior • Weapon-seeking conduct • Always angry • (+) temper outbursts • Easily annoyed by others • Deliberately annoys others • Fixation on material objects • Frequently asks for gifts • Easily frustrated • Miserable when grandmother left Previous Illness and Medication • Hallucinations: 2 claimed episodes of exorcisms • Diagnosed with psychosis at CGH • Improved with Quetiapine • Noncompliant and discontinued medication

  3. Family history and relation to family members • FH of (?) Pyschosis – maternal uncle • Not close to father and elder brother • Close to mother (sole caretaker) • (+) Father figure – uncle-in-law • Other caretakers – grandmother, maternal aunt • Several confidants – 2 cousins, mother Physical Examination and Neurological Exam - NORMAL Mental Status Exam • Clean, slightly dishevelled hair • Wore appropriate clothing • Answers correctly • (-) Hallucinations, delusions, suicidal ideations • Oriented to time, place, person • Intact recent, remote memories • Intact judgment • Soft, monotonous voice • Poor eye contact • Answers only questions being asked • Initially guarded • Fidgets with fingers • Depressed mood • Constricted affect • Poor insight

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