Читать книгу Dynamic Consultations with Psychiatrists - Jason Maratos - Страница 60

Mrs. C had been advised to accept inpatient admission, but she strongly refused. She was referred to a clinical psychologist for grief therapy and to a community psychiatric nurse for community supervision; she was started on fluoxetine 30 mg daily. She was referred to PGDH for daytime engagement and support. Mrs. C is sensitive to the side effects of antidepressants and she often complained of fatigue.

Mrs. C had started attending PGDH in July 2017 with the aid of transportation service. She had been reluctant to attend at first, but after joining, she started to enjoy the activities (including physiotherapy and occupational therapy) and liked chatting with other patients. Mrs. C claimed that she had made friends and liked listening to other's problems She is receiving meals on wheels at home and would also do volunteer work at the city society for the aged around once a week whenever her knee and hip pain is better. She had continued receiving cognitive behavioral therapy (CBT) from a clinical psychologist and felt that she had ruminated less about her husband and had resolved some of her anger regarding his death. Mrs. C was not keen to have further psychiatric medication because she was concerned about their side effects. Mrs. C felt that her primary difficulty was her mobility. She had also been referred to the district elderly community center for further support. She also applied for medical fee waivers because she is financially dependent on her daughter only and old aged allowance.