depression

Since 1 month ago the patient complained of difficulty sleeping, the patient takes 4 hours from initial start to fall asleep or not asleep until morning. Sometimes the patient also like awakened early in the morning to around 2 hours or 3 hours, the patient can not sleep again. patients always have their parents, especially her mother's bed the night before, because the patients always feel different opinion with her mother in a variety of things you want done. The skewer with the patient felt since his mother already 3 weeks ago.

One day the patient had to invite his mother to discuss about desire be gazed at directly selling but by his mother, the mother of the patient wanted to work farming patients only. patient said that each case is always one of her mother's eyes. Since that time the patient is rarely necessary to communicate or talk with his mother only. patients more silent.

patients who take medicine to sleep gained from friends who are also difficult to sleep, the patient forgot the name of medicine. With the drugs that patients can sleep until the morning without having awakened in the morning once. After drug treatment the patient is discharged to general practitioners close to home, patients given the drug Alprazolam. Alprazolam patients with medication may sleep, but to start sleeping patient still requires 4 hours to actually sleep with no awakened early in the morning once. Patients consume drugs during this same morning wake up each patient complained of pain, the patient feels heavy. If the patient does not consume drugs is the patient can not sleep again.

This makes the patient feel confused, nervous, sad and tense. Complaints can be reduced if the patient is told about the problem to other people that are considered related patient and understand the situation. patients feel tired easily, difficulty concentrating, and decreased appetite. On inspection we obtain the data: TD: 120 / 80 mm Hg pulse: 80 / min Temperature: Afebris. from the results, we can diagnosis that the patient is anxious interference with symptoms depression. Therefore, we give drugs:
• Anti depressing: Amitriptyline 1x 1
• Anti Anxieties: Alprazolam 1x1
Therapy while the other gives us psicotherapy which include:
- Cognitive-behavior: cognitive approach to directly answer the patients cognitive distortions that hipotesis
- Supportive: Offering comfortable and comfort for patients