PBL 2 Informasi 1 Mrs. S, a forty five years old teacher who lived in the rural area.

About three months ago, she started a fight with her husband like they always did before. Acouple of days after the fight, she started to look gloomy. At times, she would be found in her roomweeping. She often woke up late in the morning, and more often sleep lately after usual bedtime. Sheusually lay still while observing the ceiling during her not sleeping period. She withdrew her hobbyof singing and dancing at the local wedding party. Instead, she locked herself in her room during theoccurrence of the party. She refused to communicate the problem of her concern. In fact, she was very uite at any time during the day. At work, she always gave her students an assignment instead of teaching them.About two months ago, it was noticeable that her weight had decreased. !uring a silentobservation, her mother caught her dispose her dishes which she brought to her room. "hen askedabout this, she stated that she no longer had the appetite and refused to eat further. She failed to fulfillher #ob to cook for the household. $er mother then took her role in the kitchen. She also failed toattend to her #ob location, and was given a warning note from her superior. About one month ago, she looked more an%ious. &or every #ob she failed to do, she blamedherself for being guilty. At morning, she would complain her fatigue and stated that she won't makeanything out of the day. At noon, she would complain her inability to do things straight. And atevening, she would complain her failure to anything useful that day. (nce, her mother caught her trying to swallow a large uantity of headache pills.After a family discussion, it was agreed that she would be taken to see an herbalist, but after seeing no progression towards remission, she was brought to the )sychiatric *linic by her mother andher husband. A psychiatric e%amination was then performed by the attending psychiatrist. Premorbid History +irth, spontaneous birth delivery, lead by a doctor *hildhood, adolescence - adult, she was generally considered a nice, cheerful, andcommunicable person)revious Mental !isorder and (rganobiologic !evelopment $istory About a year ago, she e%hibited an odd behavior. +ack then, she would talk to everybodyabout her intimate activity and laughed out loud at each story. She also spent most of her wage on charity. She almost never rested without feeling e%hausted. .his condition wasaccounted for at least a month, after which she returned normal gradually. .here was no organobiologic developmental history attributable to present illness. Family Hitory She was the third of seven siblings. $er parents treat their children as fair as possible, andtheir children were generally happy with their parents. /o mental disorder was noted in her family. $er relationship with her siblings was good, although at sometimes she would fightfor her parents' affection.

Educational History She was uite a reasonable student during her school age. She collected her friends who werelesser academic performer than her. She would then teacah them, and in turn receive admiration from them. She graduate from Senior $igh School and started her college at 0niversity at her own decision and finished her study after five years. Occupational history Shortly after her graduation, she applied to former Senior $igh School and was accepted as a honorary teacher for three years. At fourth year, she followed the staff e%amination and was grantedthe position of permanent teacher. She taught with her heart and never complained about her work. +ut her history was marred by several scandals involving Mrs. S and her student in some kind love affair. Marital history She was married to her husband during her study at college. She admitted that the marriagewas not based upon love and devotion, and it was only an accident. $er husband was only agraduate of 1lementary School and never had permanent #ob 2rather opposite from her ideal husband figure3,and she regardes as a Mister 4now5It5All. $er husband was regarded as a supicious personburnt in #ealously. Most of their daily life, they fought each other either orally and sometimesphysically. +efore marrying her husband, Mrs. Sorrowati had numerous, but once at a time boyfriend. Economical status .he family economi wa supported by Mrs. S. .hey lived a rather deficient life.Social relationship - activity. At her adolescense, Mrs. S was known to be active in most committee of any event,especially celebrating .he Independence !ay. She was also known to be fond of singging atmany parties and as a generous girl who lend her clothing to other in charity show, althoughshe herself was not in an e%cess condition. She had many friends, most of them were sub#ect for her boastings.