Comprehensive Anxiety Disorder

I. General ConditionAwareness: Composmentis Attention : goodAttitude : CooperativeInisiative: goodMotoric behaviour: active Facial expression : poorSpeech and verbal: speak fluently and clearPhysical contact: could be done, natural, and long-time

II. Spesific conditionNatural State of Feeling 1. Afective condition: hipothym2. Emotion Livinga. Stability : labilb. Control: controlledc. ech unecht : echtd. einfuhlung : adequatee. deep-shallow : deepf. differentiation scale: narrowg. emotion flow: fastB. Intelectual Funnction

Memory (amnesia): goodConcentration: adequatOrientation (time, spatial, personal, situation): undisturbedgeneral knowledge: gooddiscriminative insight: goodalleged level of intelegency: cannot evaluateddiscriminative judgment: goodintelectual deterioration: absent

C. Perseption and sensation anomalya. illution: absentb.halutination- acustic: absent- visual: absent- olfatorik: absent - tactil: absent

D. Way of Thinking 1. Psikomobilitas: fast2. Thingking process a. clear and sharp : clear but not sharpb. Sirkumstansial: absent

Inkoherrent : absentSperrung : absentHemmung : absentFlight of ideas : absentVerbigerasi Persevarative ( Persevaratich ): absent

3. Contents a. Central pattern: absentPhobia : absent Obsess : absentDellusion : absentSuspicion: absentConfabulation : absentAnimosity/revenge: absentInferior feeling: absentMuch/less: less Guilty feeling: absentHippochondria: absentOthers: -E. Instinctual impulse disordersAbulia: absentStupor: absentRaptus / impulsivitas: absentexcitement state: absentsexual deviation: absentEchophraxia: absentVagabondage: absentPiromani: absentMannerisme: absentOthers : -F. Overt anxiety: yes G. Relation to reality : good (behavior, feeling, thinking)

VI. Multiaxial Evaluation

Axis I. Clinical SyndromeGeneral condition: cooperative, active, poor, speaking fluently and clear, psychic contact could be done for long duration of time, attention intact.Specific conditionNatural state of feeling : hypothym, labil, good controlling, echt, adequate einfuhlung, deep, narrow differentiation scale, fast emotion flow.Intellectual condition : memorizing abililty good, concentrarion ability good, orientation undisturbed, general knowledge good, discriminative insight good, allegged level of intelegency cannot evaluated, discriminative judgment good, intellectual deterioration absent.

Sensation and perception disorder: illusion and hallucination absent.Process of Thinking: fast, clear but not sharp, circumstancial, incoherrent, Sperrung, Hemmung, flight of ideas, verbigeration, central pattern, phobia, delusion absent, suspicion absent, confabulation, animosity and revenge, inferior feeling, less, guilty feeling, hypochondria are absent.Instinctual encouragement: abulia absent, stupor absent, raptus absent, excitement state absent, sexual deviation absent, echophraxia absent, vagabondage absent, pyromania absent, mannerisme absent.Anxiety: yesRelation to reality: good (behavior, feeling, thinking)

80-71: Symptoms temporary and can be overcome, mild disability in social, work and school. Axis V. Global Assessment of FunctioningMULTIAXIAL DIAGNOSISAxis I : F 41.1 General Anxiety DisorderAxis II : No diagnosisAxis III : No diagnosisAxis IV : No diagnosisAxis V : GAF 80-71

DIFFERENTIAL DIAGNOSISF 41 Panic disorder

THERAPY Pharmacotherapy :Alprazolam 1 x tab@ 0,5 mgAmitriptyline 1 x tab @ 25 mg

- PatientSupportif psycotherapy Psychoeducation

- Family : Psychoeducation aboutPatient disorderTeraphy

PsychoteraphyPROGNOSISAssesmentGoodBadOnsetAdultRelapsOftenDiagnosisGeneral Anxiety disorderFamily SupportGoodMedicine ResponsBaik MarriageMarriedEconomy ConditionModereteObedience to take medicineDiciplineTriggerOverthinking about childrenGeneticNothingPenyakit lain/ gangguan lainNothingQuo ad vitam: dubia ad bonamQuo ad fungsionam: dubia ad bonamQuo ad sanationam: dubia ad bonamThe thing that can make good prognosis : onset, family support, medicine respons, marriage, economy condition, obedience to take medicine, genetic, and no other disease and disorder.

The thing that can increase bad prognosis : relaps and the trigger.

XII. CASE ANALYSES .

Diagnosys