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Group 3

Name : Mr. A Gender : Man Age : 32 y.o Religion : Moslem Ethnic : Sunda Latest education :Senior High school Job : not working Marriage status : Not yet Address : Jalan Gang Masjid, jalan raya Munjul, Cibubur Hospitalized entry date : Nov 2nd 2012 Patient hospitalized accompanied by his mother

An information is taken by autoanamnesis and alloanamnesis from his mother in december 11th and 12th 2012 Chief complain A patient came with his mother to RSKO, with chief complain was got angry easily and frequently and defeated another people since 3 months ago before hospitalized

Reason : all his wants didnt give since 5months ago after didnt work and used ganja again 2 weekes ago

Brought because want to do rehabilitation

Assumption his family didnt care & love to him because his mother never allow him to married with the woman which he choosed

often went out with his friend and stayed at home rarely. got angry easily and frequently, fought with other people if all wants didnt give. Ever brought by his neighbourhood to the police station because made a trouble.

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Psychiatry History Got medication from psychiatry doctor at Polri hospital when 1st grade of SHS brought by his family because he often seen depressed and laughed by himself when he alone got a medication for 3 years. Sent to Marzuki Mahdi Hospital after heard whisper sounds (never order him to hurt somebody else or did something that he never want to do, just talked) and it disturbed him. Felt his body inserted by a woman with long hair (till now) and saw hallusination several times ( a woman )

2. History of psycoactive drugs used


BK tablet (1st grade of junior high school till 3rd ) 2 tablets in one day. According the patient. He also consumed alcohol

Putau since 2005 (1st grade of senior high school) According his family

Ganja (3rd grade of junior high school). Consumed everyday, 1 stick in 1 day

According the patient, he used putau at that year. He used 1 syringe pump together with his friends. 1 syringe pump for 8 till 10 people.

got a medication from RSKO post hospitalized at TNI hospital 1 year ago, patient didnt use putau or other drugs anymore. According laboratory examination result, showed he didnt use it, it was negative.

Used again 2 weeks before rehabilitat ion

3. History of medical illness Ever seizure and unconciousness 1 year ago, got dhiarre also brought to RSKO but there wasnt any ICU room there sent to Pasar Rebo hospital, patient got a treatment at IGD room for 3days (better condition) sent to TNI hospital because the ICU room at Pasar Rebo hospital was fully.

Did VCT at TNI hospital (doctor saw a tatoo in both his arms and the track needles) HIV positive CD4 459 Hospitalized for 1 week unconciousness because his HIV ( TE ) sent to RSKO to did intensive treatment. The latest medication (RSKO) did urin examination 3 times (all were negative)

5 months ago did a laboratory examination again CD4 411

Prenatal and perinatal Patient is a second children from 3 siblings. He was born normally, 9 months. Helped by midwife, cried directly, born weight 4200 gr

Beginning of childhood life (0-3 y.o) He grew up as well. An immunization didnt complete. Patient lives with his family.
Middle of childhood life ( 3-11 y.o) He had lots of friend. He also got an achivement when he was at elementary school. Patient went out rarely. After school, he stayed at home and took a nap. Patient just went out, played with his friends didnt far from his house and came back before magrib.

The end of childhood and adolesence life Hes a socialized typical person who most of the time waste with his friends. He often invited by his friends to used alcohol and other drugs. He was being dependence and gathered along with his friends became his habit till adult. Since that, patient often went out when night came, his education was ruined esp when he was at 2nd grade of junior high school.

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Adulthood life Education history Didnt continue a next grade when he was at 2nd grade of junior high school. Moved to boarding school and didnt finish it when he was senior higj school Work History Patient ever worked for 3 weeks at bekasi but got a fired from his job. He didnt know what the reason, he only knew that not only him who got a fired but others also Marriage history Not yet Religion History Moslem Psycosexual History He attracted by a woman when he was adolesence, had a relationship 1 time when senior high school and had a wanted to married her but his family didnt allow him Social activity He prefer socialized with friends who introduced him with alcohol and drugs and almost never followed religion and other social activities History of law infraction Patient ever caught by police because made a mess

Patient feel his life is better than before. He admit that he cant interact with other patient easily, just several which close with him.

= Patient

Perception patient about himself and his life Pasien always think that himself is a kind person, dont have a grudge easily, socialized and share with others happily
Dream, fantasy and value Patient want to get married like his sister and brother, want to have one small happy family. He also want to get a job due to help his parent.

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