CASE NO.

DEMOGRAPHIC DETAILS

Name Mr. SS

Age 47 Age Gender Male

Marital Status Married Offsprings 3 (two daughters and one son)

Education 12th pass Occupation Taxi driver

Religion Hindu Ethnicity Indian

Urbanicity Rural
Type of Family Nuclear Housing Owned
Ownership
5 (three elder sister,
Siblings two younger brother) No. of Family 5
Members
Kotputli village
Permanent (Raj.) Currently Family
Address staying at/with

Source of referral: Self came

Reason for referral: Hallucinations

Sources of Wife
Information:

CHIEF COMPLAINTS

According to Client:-

S. No. Complaint Duration Severity

1. Hallucinations Since 7-8 months Most often

2. Dizziness Since 1 year Always

According to Informants:-

S. No. Complaint Duration Severity

1. Aggression Since 1 year Most often

2. Craving for alcohol Since 1 month Always x

Onset of illness/symptoms Incidious

Course of Illness/symptoms Fluctuate

Precipitating Factors none

Predisposing Factors none

Perpetuating Factors none

HISTORY OF PRESENT ILLNESS

The patient came with his wife. when he starts listening some abnormal
voices . He is a cancer patient from last 5 years (throat cancer). And he is
consuming tobacoo from last 10-15 years and recently he have started
consuming alcohol from last month and he is smoking B D from last 10-15
years
PAST PSYCHIATRIC HISTORY

------------No history of past psychiatric illness is given--------------

PSYCHIATRIC TREATMENT HISTORY

-----------none--------------------

MEDICAL HISTORY

Cancer patient

FAMILY HISTORY:

Father consumes tobacoo

GENOGRAM:

PRE-NATAL HISTORY: normal

POST-NATAL HISTORY: normal

DEVELOPMENTAL MILESTONES

----------------not reported --------------

CHILDHOOD HISTORY:

----------------not reported --------------

ADOLESCENT HISTORY:

----------------not reported --------------

ADULTHOOD HISTORY:

----------------not reported --------------

EDUCATIONAL HISTORY:

The patient is 12th qualified

PUBERTY / MENSTRUAL HISTORY:

----------------not reported --------------

OCCUPATIONAL HISTORY:

The patient is a taxi driver

MARITAL AND SEXUAL HISTORY:

----------------not reported --------------

RELIGIOUS HISTORY:

----------------not reported --------------

LEGAL HISTORY:

---------------------------NOT ANY--------------------------------
PRE-MORBID PERSONALITY (PMP):
Interpersonal
Relationships

Predominant Mood

Attitude to Self and Others

Attitude to Work and

Responsibilities

Religious Beliefs and

Moral Attitudes

Use of Leisure time

Fantasy Life

Habits

PRESENT LIVING CONDITIONS: