Master Vijay is a 9 year old male child was apparently before one year. Since
last one year he is not performing well in school and not interested to play with
3
peer group. Usually he like to seat alone and anxious. He is continuous pulling
his scalp hair and having significant hair loss from ...
CASE STUDY
On (hair-pulling disorder)
TRICHOTILLOMANIA TTM
(CLIENT-MASTER VIJAY)
, Client’s Profile
I. Identification data
Client name : Master. Vijay
Age : 9 Years
Sex : Male
Father / Spouse name : Mr. Shridhar
Address : H: no 10/a govt lines
Distt Hoshairpur.
Ward : Family Unit
Education : III standard
Occupation : Student
Income : -
Marital status : Unmarried
Religion : Hindu
Date of admission : 12/05/2012
Provisional diagnosis : Habit disorder
Final diagnosis : Trichotillomania
Informant : Father (Reliable)
Mr. Shridhar Kumar (father) is staying with
Master Vijay from 9 years. He is very
much worried about client’s health and
Showing concern about him. The
Information is adequate and reliable.
II. Presenting Chief Complaints
o Pulling scalp hair
o Loss of hair from scalp in small areas 1 year
o Anxious mood
o Not interested in playing with peer group
III. History of Present Illness
Master Vijay is a 9 year old male child was apparently before one year. Since
last one year he is not performing well in school and not interested to play with
2
, peer group. Usually he like to seat alone and anxious. He is continuous pulling
his scalp hair and having significant hair loss from scalp and eating the hair
also. He usually complains regarding stomach ache. He got admitted in
Dr.Vidya Sagar Institute Of Mental Health Amritsar on 12/05/2012 for further
investigation and treatment. He diagnosed as habit disorder. The final diagnosis
is trichotillomania.
IV. Family History
(a) Family Characteristics
Relationship Age Age &
S. Name of the Educational Health
with the (yr.)/ Occupation mode of
No. family members Status Status
Patient Sex death
died at
the age
Shopkeeper of 75
1. Mr.Kailash kumar Grandfather - Illiterate at grocery - years
shop with
natural
death
Died at
the age
of 70
2. Mrs.Krishna Grandmother - Illiterate Housewife -
years wih
heart
attack
3. Mr. Shridhar Father 37/M MBA Manager Healthy -
4. Mrs. Kavery Mother 35/F B.A. House wife Healthy -
5 Mr. Kamal Brother 13/M 8th Student Healthy -
Trichotillo
6 Mr.Vijay Patient 9/M 3Th Student -
mania
7 Ms.Gouri Sister 7/F 2nd Student Healthy -
3
, (b) Genogram:
Key:-
- Male
- Female
(Mr.kailash,died at (Mrs.Krishna, died at the
the age of 75 years) age of 70 years with heart attack) - Patient
There is no family history of psychiatric illness, alcoholism, suicide, epilepsy,
or endocrinological problems.
V. Socio-economic history
Master. Vijay is living in his own house. He is having nuclear family. His father
is earning member in his family working as a manager in private company.
Monthly income is 8000/- and belongs to middle income group. He is having
electricity and water facilities in his house. Ventilation is adequate. Drainage
facility is also hygienic. The living space is adequate.
VI. Treatment History
• Tab. Chlorpromazine – 25mg B.D.
• Tab. Diazepam – 1mg B.D.
• Tab.Imipramine – 25mg B.D.
VII. Past Psychiatric History
No significant past psychiatric history
4
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