Case of Schizophrenia

A PERSON WHO EAT ONCE A WEEK | 46YRS OLD LADY CAME WITH THE COMPLAINT OF
1. Auditory Delusions, hears voices which instruct her to do undesirable activity. Taking Anti-psychotic Medicines. 2.Occasionally gets out of control.
3. Appetite is low.
4. No desire to work.
5. No desire to bath.
6. Shrieking at night.
7. Sticky vaginal discharge.
8. Watery discharge from eyes.
9. All these complaint since 1 yr.
10. Fear full as she heard different sound & feels as someone call or pull her since 2 yrs.

HISTORY OF CHIEF COMPLAINT

  • SHE SLEEPS WHOLE DAY & AWAKE WHOLE NIGHT.

Sleep from 5am to 3pm and then her day start and work whole night. Her activity is very slow. She require 6 to 7 days for daily routine work as she is bathing in a one night, worship on the 2nd night and then start cooking on 3rd night and again make chapatti on 4th night, vegetable on 5th night and eat 6th night. Like these her cycle of work continuously going on from 2 yrs.

Always says that someone doing wrong with her (jadu, tona) in outside & in home also and because of that never takes food which is made by other even by her mother, she is cooking for herself only. She shrieking loudly & become fearful as someone call her and heard different voices.

PAST HISTORY

  • Gastroenteritis two time at the age of 30 yrs.
  • Accident in childhood fallen while playing, injury on forehead.

FOLLOW UP AFTER 1 WEEK 18/02/13

  • Wake up early at 11.30 am.
  • Sleep on time.
  • Initially wake whole night & sleep whole day.
  • Prepare food within few hours 3 to 4 hr. Initially 3 days required to made food.

FOLLOW UP AFTER 3 WEEK 04/03/13

  • Take food made by other (mother) as initially not taken due to fear of being poisoned.
  • Bathing 2 times weekly. (Initially once a month).

 FOLLOW UP AFTER 6 WEEK 20/03/13

  • Bathing 4 times weekly.
  • Eating on time daily.
  • Doing all routine work within a day which took 6 days before treatment.

FOLLOW UP AFTER 8 WEEK 29/03/13

  • Wake up at 7.30 am.
  • Eating once daily at night 10.30 pm.
  • Hallucination ameliorated – not hearing any sound or voices.
  • Slight fear present.

SHE GRADUALLY RECOVERED AND NOW IS WITHOUT ANY ALLOPATHIC MEDICINES.