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Alcohol Dependence

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Alcohol Dependence
Introduction:
As a part of my clinical experience in psychiatry, I was posted in valankini ward. I came across a client by name Mr. Shankappa is admitted with complaints of alcoholism, grandeous ideas and aggressive behavior. As I was interested in him I took his for my case study.

Baseline data: Name of the Head of the Family | Mr Shankappa. H. P | Age | 23 years | Sex | Male | Educational status ` | 9 th standard | Marital status | Unmarried | Address | Sediyapu house, kodiyadi village post, puttur | Religion | Hindu | Ward | Vailankani | Date of admission | 10/09/09 | Diagnosis | Alcoholic dependence with intoxication | Informant | Wife | Infomant reliability | 80% |

Presenting cheif complaints:
Psychotic complaints: Associative complaints
Frequent lying- 1 month Physical injuries-
Stealing- 1 month - near left eye Involvement in anti-social activities – 1 month -bridge of the nose
Increased talk- 1month
High self esteem- 1month
Grandiosal ideas- 15 days
Assaultive & irritable behaviour- 1 week
Pre-disposing factors: Sudden onset & progressing gradually
Precipitating factors: Pleasure seeking & craving
Aggravating factors: -Love failure -Frequent accidents

INFORMANTS’ VERBATIM:
Accorsing to the patient: Mr Shankappa has studied up to 9th standard ( incomlete) after which he had lost interest in studies & joined in his father’s business because of which his girlfreind left him. After this incidence patient started to consume alcohol, felt betrayed & could not stay in his hometown. So he ran away to Mumbai & worked their for an year, Came back & joined in a travel agency for 6 months. He was working as an autodriver during which he met with an accident,
According to the informant:
He
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