Mental Disorders

Joe is 25-years-old. Six months ago, he was doing well in the university and holding down a part-time job in the bar of a local fast food outlet. But then he began to change, becoming increasingly paranoid and acting out in bizarre ways. First, he became convinced that his lecturers were “out to get him” since they didn’t appreciate his confusing, off-topic classroom rants. Then he told his roommate that the other students were “in on the conspiracy.” Soon after, he dropped out of school. From there, things just got worse. Joe stopped bathing, shaving, and washing his clothes. At work, he became convinced that his boss was watching him through surveillance cameras planted in the bar's television sets.

Mental Disorders

EDDIE:30-year old male, police officer, single. “the main problem I have with myself is that I have periods of great fear for just no reason. This happens mostly in the presence of crowd or a few people. It becomes very difficult for me to concentrate on what I am doing and is usually followed by increased heart rate and perspiration which I find very embarrassing. This has resulted in my trying to avoid public places or chatting in the presence of a few friends. I avoid going to places like church because I feel people will be looking at me. The problem has really affected me both socially and professionally.

Mental Disorders

SANDY, 29, female, married. No more doing her teaching work effectively e. g. not writing her lesson notes. Sits in class doing nothing and not concerned with her students making noise and fighting. The classroom is untidy and she seems to forget a lot. Husband says when she is asked questions, it takes a long time for her to reply. She does household chores with tremendous difficulty and lacks initiative. She complains of “being lost and dizzy spells". Further inquiry -sleeps well, eats well, clumsy with dates, psychomotor retardation, diminished self esteem, admits suicidal feelings but not attempted.

LIVY, 42-year old Businessman, married. 4-year history of illness. Had a sexually transmitted disease just prior to illness and he now links the illness to the sexually transmitted disease. Complains of waist pain, internal heat, general body pains diminished libido, abdominal discomfort and indigestion, pinching in the buttocks and general weakness. Physical examination and laboratory investigations revealed nothing abnormal.

Psychiatry

Pain

Ophthalmology

Oncology

Infections

Gastroenterology

Cardiovascular