PROCESS RECORDING

IDENTIFICATION DATA

NAME OF PATIENT : Mr. Rashid

AGE : 28years

EDUCATIONAL STATUS : 4thclass

RELIGION : Muslim

OCCUPATION : Unemployed

ADDRESS : Aligarh, Uttar Pradesh

MARRITAL STATUS : Unmarried

DATE OF ADMISSION : 27-12-2019

DIAGNOSIS : Schizophrenia

DOCTOR INCHARGE : Dr. Sandeep singh.

INFORMANT

NAME : Mrs. Sehnaaz

AGE : 60years

RELATION : Mother

RELIABLITY : Reliable

Informant lives with the client since 29 years and she is fully reliable for the patient’s history.
PRESENT COMPLAINTS-

CHIEF COMPLAINTS (according to Patient):

 Mujhe kuch karne ka mann nhi krta h. x 9 months

 Mere khud ko maarne ka mann karta hai x 9 months.

 Mujhe lagta hai ki kisi ne mujhe vash ke karke rakha h x 7 months.

 Mujhe kisi ki awazein sunai deti jo mujhe maarne chata hai x7 months.

CHIEF COMPLAINTS (according to Informant):

 Irrational fear from unknown objects and persons x 7 months.

 Muttering x 7 months.

 Isolation from relatives x 7 months.

 Rapid speaking x 7 months.

AIMS AND OBJECTIVES OF INTERVIEW-

a) Patient’s point of view:-

 To help the patient to come out of his problems.

 To help the patient to conceptualize his problems.

 To help the patient choose alternatives and try them out.

 To help the patient to communicate.

 To help the patient to socialize.

 To help to change his attitude towards family members and life.

 To provide the patient with corrective interpersonal experience.

 To help the patient develop insight.

b) Student’s point of view:-

 To gain the patient ’s confidence and get his cooperation.

  To establish rapport with the patient.

 To identity the role of the socio-cultural background on the patient ,s behavior.

 To help the patient help himself.

 To gain skill in taking interview.

INTERVIEW

DATE: 12th January, 2020

TIME: 10:30 A.M.

DURATION: 20 minutes

NAME OF THE INTERVIEWER: Mr. Prashant Kumar Singh

NAME OF THE INTERVIEWEE: Mr. Rashid.

SPECIFIC OBJECTIVES:

a. To gain the confidence of the patient.

b. To assess the condition of the patient.

c. To collect the psychiatric history of the patient.

d. To identify the patient ’s problems.

 Participants Conversation Therapeutic Inference
Interview
technique

Nurse Good morning, Rashid Observation Patient

greeted with
Patient Good Morning, sir smile.

Nurse Rashid, Kese ho aap? Patient is

Patient Main thik sir ji. Listening listening to
the nurse.

Nurse Aap yhan kab admit hue the?

Patient Main yha thode din phle admit hua

tha. Mujhe yaad nhi m kab admit hua
tha.

Nurse Aapse milne koi aaya tha aaj hospital Patient is

mein. replying the
Nhi mujhse koi milne nhi aata. Mere questions.
Patient General leads
sath bas yhi log rhte hai. (pointing
towards hospital’s Patient).

Immediate
Nurse Aaj morning mein breakfast kiya memory was
aapne? intact in
Haan, diya tha unhone mujhe. patient.
Patient

General leads
Kya khaya tha.
Nurse
Patient Mene egg, aaloo prantha aur dahi Immediate
khaya tha. memory was
intact.
Nurse Listening.
Acha aapne subh medicines li thi?
Patient
Haan, wo to main roj hi khata hu.

Nurse Observation. Remote

Aapko yaad hai aap yha kab admit memory was
hue the? not intact.
Patient Main sayd …….mujhe yaad nhi aa
rha h abhi.
Patient is
Nurse Focusing oriented to
Chalo koi nhi. Ye yaad hai ki aap yha person not
abmit kyu hue the? having
Patient insight of
Mere ammi leke aaye the. Mujhe self’
kuch pta nhi par. condition.
Focusing Patient is
only
Nurse
occupied
Patient Acha aapke ghar me kon kon hai. with the
thoughts of
Nurse Mere bhai ko koi le gya hai. his brother.
Patient Kon leke gya hai.

Ek din hum khel rhe the to wha par Giving recognition Patient
koi aaya aur wo uske sath khelne laga explored the
aur phir wo kabhi bhi nhi aaya. facts.
Nurse Broad opening.

Patient
Usko hhua kya tha?

Wo kabhi bhi nhi aaya. Chala gya Patient is

hmesha ke liye……….(patient oriented to
paused). Wo mar gya phir. the time.
Nurse Aapko kisi ne btaya. Exploring. Patient
reflected his
Patient Haan, abbu ne. thoughts.
Par wo abhi bhi aata hai mujhse
milne. Jab bhi main kamre m akela
hota hu.
Nurse Wo aapko kuch karne ko bolta hai.
Patient Haan wo bolta hai ki koi bhi acha nhi. Focusing Patient is
WO ye bhi bolta hai ki kisi ko btana having
nhi aur hmare padosi ko maarne ko delusion of
boltra hai. control,
auditory and
Nurse
visual
Phir aap karte ho jo wo aapko karneko Reflecting. hallucination.
bolte hai?
Patient
Haan, mene bhut baar koshish ki hi. Delusion of
grandeur is
present.

Encouraging
description of
Nurse perceptions. Patient
Aur kuch to nhi bolte wo? detailed the
Patient
asked
Nhi, par ab mujhe lag rha ki main bhut
question.
amir ho jaunga kyuki mere dosti
America ke P.M. se ho gyi hai. Wo
mujhe amir kar denge.

Aapki dosti kese hui?

Nurse Patient felt
irritated so
the
Patient Mujhe unka phone aaya tha. Bas ab Encouraging conversation
amir ho jaunga. description of was stopped.
perceptions.
Nurse
Kisi ne dosti karwayi thi?
Patient
Nhi khud hi ho gyi hai.

Nurse Encouraging
Acha thik hai. Par wo milte hai aapse?
Patient description of
Nhi.. perceptions.

Bas ab baat nhi karni. Ab mujhe

Nurse neend aa rhi hai.

Chalo thik hai. Hum kabhi baad mein

Patient baat krenge. Thik hai!! Aapna khyal
rkhna.

Thik hai sir ji. Offering self.

SUMMARY

Mr. Irshad admitted to the NIMHANS with the chief complaints of insomnia, delusions,
muttering and decreased appetite. He is presently having delusion of control, gradurer and
auditory and visual hallucinations. He is been diagnosed with schizophrenia. He is on
medications and electroconvulsive therapy.

THERAPEUTIC TECHNIQUE USED:-

 Questioning

 Giving Recognition

 Observation

 Broad opening.

 Focusing.

 Encouraging description of perceptions.

 Offering self.

 Reflecting.

 Exploring.