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, FCLPP,FPA3MI
PSYCHIATRIST
Sino Ang Dakila Sino Ang Tunay Na Baliw Medical Clinic
(SADSATNB Medical Clinic)
Suite 333 The Medical City
Ortigas Ave., Ortigas Center, Pasig City
========================================================================
June 10, 2015
PSYCHIATRIC EVALUATION
GENERAL DATA: Edward Cullen, is __ years old, male, Filipino, married, Roman Catholic. He
is a call center agent. He is residing at 1234 Tiktik Street, Barangay Seattle, Makati City. He
first came for psychiatric consultation and examination April 3, 2015 and came in regularly until
mid-June 2015.
CHIEF COMPLAINTS:
Pinayagan ko na syang tuluyang umalis sa bahay because she always leaves the house
without saying a word
Nasiraand cellphone ko dahil binato to sa sobrang galit. Paulit ulit ko syang tinatawagan pero di
nya sinasagot
Kahit anong gawin ko, hindi naman siya masaya. Parang laging kulang ang mga ginagawa ko.
Nawawala na ang pagiging lalake ko kapag nagaaway kami hanggang dumating sa point na
siguro nagkasawaan na at unti unti na kami hindi nagusap hanggang tuluyan nang nasira.
Yung isa pa niyang palaging problema sa akin yung pagcocosplay ko. Ano ba ang masama
kung dun ko nararamdaman na tanggap ako at may point naman ang buhay ko. Kahit anak
namin kapag sinasama ko sa mga cosplay event ko natutuwa naman.
Sa pagkakaalam ko wala namang ibang lalake. Sa akin naman, walang ibang babae. Kaya
mas masakit yung mga nangyari sa amin kasi wala kami ibang masisisi kung hindi ang isat isa.
according to client.
Informants:
1. Edward Cullen, Petitioner
2. ____, Petitioners mother
Reliability:
Fair
Previous Illnesses:
Medical: He has no medical history such as Cardiac disease, Hypertension, Asthma, nor
Diabetes
Psychiatric History: Consult was done with a Psychiatrist, but he did not take any medications
as prescribed
(+) self mutilating behavior
(+) history of poly-substance abuse (alcoholic beverages, marijuana, benzodiazepines
downers)
(+) history of child abuse (physical)
(+) history of broken family
Alcohol and Drug history: He has smoked cigarettes and abused alcoholic beverages
PERSONAL HISTORY:
Prenatal and Perinatal
Edward is the third of five (5) siblings, he was born via normal spontaneous delivery in
Makati City. There were no known complications, after his birth. The pregnancy was planned
and wanted.
Edward grew up with his father but his parents separated when he was only 5 years old.
He witnessed how his father battered his mother. His father left their home. His mother raised
him and his other siblings. Later on, she had another relationship.
Despite the busy schedule in school and work, he had time to indulge in drinking and
using marijuana with his friends.
Edward helped support his family, through his part time job.
At 18 years old, he had a relationship with his co-worker but it did not last long. They
always argue due to the formers jealousy caused by his fear of losing her as his girlfriend.
Adulthood
There were times Edward stayed in his room contemplating on hurting himself, for no
apparent reason. He felt hopeless and worthless. He failed to take care of himself and even
grown his beard. He resigned from work without any reason. He consulted with a Psychiatrist
through a phone interview. He was given medications Lexotan. Edward was not compliant.
He frequently experience mood swings.
He recalls being unable to finish most of the tasks he started, and his thoughts racing
with different new ideas. He enjoys those times when he is euphoric.
There are times when his life is a plateau. He made things happen so that he could
experience something unusual. He is not used to a harmonious environment, which he
considers boring.
Since college, he has a strong interest in Costume Play (Cosplay). It made him feel like
he was in a different, better world. He felt accepted and appreciated by his peers.
Edward proposed to Bella on their 5th Anniversary and got married the year after on
August 19, 2006.
After the wedding they lived together in Edwards family home as they did not have
enough savings yet to purchase their own house.
.
Their marriage was never perfect nor ideal, not even from the start. But Edward always
hoped that something would change along the way.
After they got married, they had difficulty in conceiving largely due to their schedule
conflicts, stress, and fatigue. When they finally had Renesmee in 2012, Edward thought she
would be their saving grace, the solution he has been praying for. Unfortunately, Renesmees
birth did nothing to change the carefree and whimsical attitude of Bella. Hence, Edward was left
with the responsibility to take care of Renesmee. Edward felt unwanted and abandoned but
despite of this, found meaning and direction with the birth of his daughter.
PHYSICAL EXAMINATION
No pertinent findings on examination
AXIS II -
AXIS III -
AXIS IV -
AXIS V -
a. Example:
6. Shows self-dramatization, theatrically, and exaggerated expression of emotions.
a. Example:
7. Is suggestible (Easily influenced by others or circumstances.
a. Example:
8. Considers relationships to be more intimate than they actually are.
a. Example:
Final Diagnosis
DSM-5: Personality Disorder HISTRIONIC
REMARKS:
Based on the interview and examination of Edward Cullen and interview of ________,
the petitioner is suffering from a HISTRIONIC PERSONALITY DISORDER, this is characterized
by a pervasive pattern of attention seeking, dramatic and inappropriate behavior, impressionistic
speech, overly concerned with physical attractiveness, uncomfortable in situations where he is
not the center of attention, perceives relationship to be more serious than they really are.
Poly-Substance abuse diagnosed.
Edward did not grow up in a nurturing environment.
His father left them while he is still young. His mother rarely communicates with him.
From childhood, it was him who took care of his mother who was known to be alcoholic.
Parenting was inconsistent.
He was not motivated by role models. His father beats his mother when they are having
heated arguments.
He was very interested in school but he was also influenced by his friends and even
invited to have drinking sprees and use marijuana.
He was physically abused when he joined a group of boys whom he taught would be his
good friends and would always be there for him. He was unable to inform his mother about this
due to fear of being grounded.
RECOMMENDATIONS:
Based on the above findings, it is therefore recommended that Edward Cullens
marriage to Bella Swan be declared null and void, on the basis of his psychological incapacity to
handle essential marital obligations manifested during early adulthood. The root cause is her
dysfunctional family and environment. His personality disorder is GRAVE and INCURABLE.
The defenses and coping skills were learned as the petitioner was growing up, which
means this cannot be undone, since the personality disorder is ego-syntonic. The psychological
incapacity, having been anchored on his personality, is incurable.
A personality disorder is developed over a long period of time, typically from early
childhood. It is deeply entrenched in a person, such that the person feels very comfortable with
it that she does not think that it is a problem. A person with such personality disorder is unable
to acknowledge the existence of the problem therefore professional help is of no avail. Being a
Medical Doctor, there is no drug or form of therapy, to date, nor has there been any controlled
studies reported which found an effective treatment for the Histrionic Personality Disorder.
The petitioner is genetically predisposed.
personality disorder.