a condition characterized by unconscious drives and the experience of anxiety. It was originally defined by Freud and is treated through psychoanalytic therapy, aiming to bring aspects of the self into conscious awareness
CASE STUDY
OF
MR. JAYASHANKAR WITH
ANXIETY NEUROSIS
,CLIENT PROFILE
NAME : Mr. Jayashankar
AGE : 31 Years
SEX : Male
QUALIFICATION : Uneducated.
DIAGNOSIS : Anxiety Neurosis
DATE OF CARE STARTED : 05/12/2010
DATE OF CARE ENDED : 11/12/2010
HOSPITAL : NIHMANS,Bangalore
INTRODUCTION
When I was posted in out patient department, I took Mr. Jayashankar for my case study. He
was a case of anxiety neurosis. I met the patient, first he did not respond to my questions but
slowly he answered to all my questions. He was tried and he is a well co-operative person.
IDENTIFICATION DATA
Name : Mr. Jayashankar
Age : 31 years
Sex : Male
Qualification : Uneducated
Occupation : Auto driver
Income : Rs. 1200 per month
Mother tongue : Tamil
Religion : Hindu
Nationality : Indian
Period of care plan : o0/12/2010 to 11/12/2010
Diagnosis : Anxiety Neurosis
Brought to the hospital by : Wife
,Source of referral : Client is a case of anxiety neurosis and he had his first
admission in NIMHANS on 31/12/09 and now he is under
follow-up treatment.
RELIABILITY OF THE INFORMANT
Client had admission with his wife because of her request. He has good relationship with his
wife. She was uneducated and her observation was good. She has not much intelligent. At
present she is with her husband for the past 10 years. Mrs. Manju was very loving with her
husband. She gave reliable information of the client.
CHIEF COMPLAINTS DURING ADMISSION
• Anxiety
• Fear
• Hear some voice
• Increased psychomotor activity
• Sleep disturbance
• Loss of appetite
• Feels worried
• Not aware to urinate
• Want to die
• Palpitation, frightened and confused
• Experiencing fear and hopeless.
SYMPTOMS OBSERVED
• Anxiety temperament
• Fear
• Palpitation
• Confusion
• Twisting of ----- frequency.
, PRECIPITATING FACTORS
There is presence of physical illness hypertension which was diagnosed back, no family
history of psychological illness. Patients social factors is affected because of his worries.
PAST MEDICAL AND SURGICAL HISTORY
Patient has the past medical history of hypertension before 10 years and has undergone
treatment. There is no relevant surgical history and no history of blood transfusion.
PAST PSYCHIATRIC HISTORY
There is no relevant past psychiatric history of the patient.
PRESENT PSYCHIATRIC HISTORY
Patient had two episodes of psychiatric illness since the year 1999. At present he is under
follow-up treatment and taking mediations regularly.
FAMILY HISTORY
Mr. Jayashankar belongs to a nuclear family. He has the habit of alcohol intake early. His
grand parents died due to ageing. Mr. Jayashankar’s monthly income is Rs. 1200 per month.
He is head of the family. Mr. Jayashankar had two episodes of psychiatric illness since the
year 1999. He has no properties and the house facilities are adequate and good. Mr.
Jayashankar had the attempts of committing suicide and expressed his ideas to his family
members because he was upset that he got married earlier. He has so wandering behavior.
Patient has good religious belief and he lacks social support. His wife and children was
loving to him. Client is a hypertensive person. He had suicidal ideas before 10 years because
of his dislike of early marriage at the age of 21 years. All are healthy in his family except
Mr. Jayashankar.
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