Chapter VII DIAGNOSIS

Axis 1

Clinical Disorder Schizophrenia, Undifferentiated Personality Disorder Introvert personality with low self-esteem and self-confidence; she wants to be alone Defense Mechanism Regression resorting to an earlier, more comfortable level of functioning that is characteristically less demanding and responsible.

Axis 2

Isolation always wanting to be alone rather than mingle with larger group of people. Displacement (alcohol abuse, cigarette smoking, substance abuse- some prohibited drugs like Marijuana) transferring or discharging of emotional reactions from one object or person to another object or person. Suppression unable to express feelings or problem to a significant other and keeps the problem to himself.

General Medical Condition Axis 3 Normal Physiologic Evaluation

Psychosocial and Environmental Problems Separation of parents Axis 4 Abandonment by her father to go abroad with the mistress Joining gang sessions including smoking cigarette, drinking alcoholic beverages, and taking prohibited drug like marijuana

Global Assessment of Functioning Score: 55 Axis 5 Upon interaction, Ms. MB manifested flat affect and disorganized and poverty of speech. She has difficulty in social functioning with only few friends in the hospital and without conflicts with fellow patients.

Diagnosis

Schizophrenia, Undifferentiated

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