Andrian Fajar Kusumadewi
Departemen Psikiatri, Fakultas Kedokteran, Kesehatan Masyarakat, Dan Keperawatan, Universitas Gadjah Mada, Yogyakarta, Indonesia

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Journal : Scientia Psychiatrica

Organic Mental Disorder Accompanied with Anxiety and Depression in Diabetes Mellitus Type 1 Andrian Fajar Kusumadewi; Cecep Sugeng Kristanto; Inu Wicaksana; Edith Humris Pleyte
Scientia Psychiatrica Vol. 1 No. 3 (2020): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v1i3.17

Abstract

Introduction: Diabetes mellitus is a chronic disease that is often accompanied by psychiatric disorders. This mental disorder may be caused by the role of biological factors such as neurotransmitter disturbance, or psychological factors of patients who are less prepared to accept changes in conditions caused by this chronic disease. This case report was aimed to present reported cases of mixed anxiety disorders and depression that accompany organic mental disorders post epilepsy and type 1 diabetes mellitus. Case presentation: A girl, 12 years old, living in a rural area with, low socioeconomic background, was taken by her father to a psychiatric clinic with complaints of frequent seizures and feeling depressed and worried, especially when she was disappointed or there was pressure. Patients were also known to have type 1 diabetes mellitus since the previous year. The patient had been hospitalized and was suspected of suffering from atonic focal epilepsy disorders or periodic paralysis. From psychiatric anamnesis, there were depressive feelings, worrying about her mothers and family, and relevant thought progressions. Pharmacotherapy and psychotherapy were conducted to treat this patient. Conclusion: Anxiety disorders and depression are very common in patients with diabetes mellitus and other organic disorders. So clinicians are expected to detect psychiatric disorders early in patients with chronic diseases.
Case Report: Organic Hallucinosis in Viral Encephalitis Andrian Fajar Kusumadewi
Scientia Psychiatrica Vol. 2 No. 1 (2021): Scientia Psychiatrica
Publisher : HM Publisher

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37275/scipsy.v2i1.31

Abstract

Introduction: Organic mental disorders are diseases we need to put more attention to because they are related to systemic disorders or disorders of the brain and can cause high mortality. Organic mental disorders often manifest in the form of psychiatric symptoms so that they can be treated too late because the physician is not able to recognize the symptoms which can be fatal. Sequelae can be found in organic mental disorders and may affect the patient’s quality of life, so fast and proper management is needed to get a better outcome. Case presentation: A case of organic hallucinosis in viral encephalitis had been reported in an 18-year-old male with a history of sudden changes in behavior. The symptoms appeared after the patient had problems during OSPEK and was threatened by someone. The patient was the only child in the family and was often spoiled by his parents. Laboratory and imaging studies showed that there was a cerebritis in the CT scan result, a decrease in CD4 count, and an increase in anti-Rubella IgG titers in which the patient was finally diagnosed with viral encephalitis. Conclusion: The diagnosis of organic mental disorders can easily be overlooked in daily clinical practice so patients do not receive proper management.