Tanpa disangka2,dlm sekelip mata shj,dh pun abis seminggu kt Psychiatry department..
Hari berjalan lancar dgn lectures yg agak mengantukkan..hihi..sorry prof..Pastu hari Rabu n Khamis g Klinik..rupanya klinik sakai mmg sgt best.
Sbb apa?
Sbb ni la first and last (aku rasa) clinic yg ada sediakan kerusi utk medical students...yeah~~
Klinik agak best sbb 1 hari 2-3 patients ja..Tp cerita yg diceritakan oleh depa tu ssssssssssssggggggggggggggggggggttttttttttttttttttt laaa panjang..sbb tu kot klinik start pkl9 habis pkl1 tp 2 patient ja..sblm2 ni kt klinik patient berderu2 masuk..
Kebanyakan pt ada mslh Depression..dgr x tu?? depression,ok??
Benda ni sgtlah common kan? Suma org pernah merasai depressed mood..tp x suma org kna p follow-up dgn psychiatrist kn?? Sbb apa??
Sbb ada diagnostic criteria utk pt wt Major Depression Disorder(MDD)..
Mengikut DSM-IV-TR (
Diagnostic and Statistical Manual of Mental Disorders,fourth edition),ini adalah symptoms utk org yg ada MDD ni..
Criteria for Major Depressive Episode
(cautionary statement)
A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either
(1) depressed mood or
(2) loss of interest or pleasure.
Note: Do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucinations.
(1) depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: In children and adolescents, can be irritable mood.
(2) markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation made by others)
(3) significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains.
(4) Insomnia or Hypersomnia nearly every day
(5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)
(6) fatigue or loss of energy nearly every day
(7) feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
(8) diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
(9) recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide
B. The symptoms do not meet criteria for a Mixed Episode (see p. 335).
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hypothyroidism).
E. The symptoms are not better accounted for by Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.
So,sapa2 yg ada symptoms mengikut DSM ni,cepat2 la jmpa psychiatrist,ok?
Pastu klu nak exam tu,jgn tension sgt,ok??
Sbb kita nk avoid the worst thing which is SUICIDE~~
Pastu td g clerk patient kt wad..mcm2 prangai ada,yg dok keja senyum pelik la,yg dok mai rapat kat student la,mcm2..hish..takut gak ni..cmna la nk jd psychiatrist 1 day..mmg x jadi la~~ =) Kuar dari pagar wad tu,trus lari lintang-pukang...hahaha..takut pnya pasai~~
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