Читать книгу Dynamic Consultations with Psychiatrists - Jason Maratos - Страница 30

Ms. B was born in the city; she felt that she was deprived of love from her parents. Her mother died when she was 2 years old, and she has no recollection of her. She felt that there was lack of emotional caring and love from her father who otherwise provided the patient with enough money and other material goods. Ms. B was brought up by her maternal grandmother. Ms. B felt that she was spoiled by her maternal grandmother and felt loved by maternal grandparents, uncle, aunt, and cousin. Ms. B described her primary school life as happy and had a good relationship with her teachers. Ms. B's academic results were below average.

When she was in higher forms in primary school, she was betrayed by one of her best friends in the class who had hacked into her internet account and spread a rumor about her relationship with some classmates. Ms. B was promoted to a local band three secondary school (not for high achievers). Ms. B felt isolated and picked on by classmates; she played truant. Her school attendance was around 80%. Ms. B maintained good relationship with her teachers.

Ms. B achieved a pass grade on four subjects in the city diploma of secondary education examination. Ms. B then stayed in abroad for 1 year with her boyfriend who studied while there. She came back to the city and worked in her father's logistic company as a clerk for 1 year. She also worked in sales in a computer company for few months. Ms. B is currently employed as part‐time basketball match referee assistant. She is financially supported by her father.

Ms. B has had many short‐lived courtships since Form 2. She started a relationship with the current boyfriend while in Form 3. They broke up and reconciled many times. Ms. B agreed that she was manipulative in the relationship and not loyal to her boyfriend; she initiated breakups on a few occasions. She had threatened her boyfriend with self‐harm behaviors and made suicidal threats during conflicts and when she was worried that she would be abandoned.

Ms. B has no forensic record. She had made regular use of “ice” (an amphetamine) under peer influence at the age of 17. She stopped taking ice for 1 year when she lived abroad. She restarted taking ice at the age of 20 for 1 year after she came back to the city. Ms. B denies having used ice in the last year but believed that “amphetamines” gave her increased energy, euphoria, and weight loss. Ms. B experienced transient auditory hallucinations after taking ice. Ms. B made less frequent but regular use of cannabis at the age of 17; the last use of cannabis was a few days before admission. Ms. B also took slimming pills prescribed by her general practitioner from January to June 2017.

Ms. B had a personality of being “hot tempered,” impulsive, outgoing, and willful. Her hobbies were outdoor activities, basketball, hiking, swimming, and badminton. Ms. B is not religious and enjoyed good past health. She is a smoker of about seven cigarettes per day and a social drinker.