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Mental State Examination

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Ms. A appeared not sophisticated but was tidy and established good contact with staff. She was dysthymic with appropriate affect. Her speech was coherent and relevant, with normal tempo and soft voice. She had difficulties in articulating her worries and frustrations. She was preoccupied with her daughter's negative responses. She thought of leaving her daughter as an escape from stress. Somatic complaints were present. She had no active suicidal ideas or psychotic features. Her insight was partial: She actively sought help for mood, sleep, and memory problems.

Physical examination and investigations were unremarkable.

Dynamic Consultations with Psychiatrists

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