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Current Severe Depressive Episode in Bipolar II Disorder with Anxious Distress and Post-traumatic Stress-Disorder with Derealization: a Case Report Jaya, Muhammad Alim; Haris, Andi Jihan Nashila; Syahrir, Andi Karlina
Jurnal Psikiatri Surabaya Vol. 13 No. 2 (2024): November
Publisher : Faculty of Medicine, Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jps.v13i2.44355

Abstract

Introduction: Bipolar II disorder experiences more frequent episodes of depression and is sometimes comorbid with post-traumatic stress disorder (PTSD). However, there is no clear method to distinguish between depression induced by bipolar disorder and PTSD. Through this case, we aim to examine the features of the patient’s bipolar disorder and PTSD from the depressive episodes. Case: A 23-year-old Indonesian woman came with the chief complaint of unexplainable discomfort that had been experienced almost daily for the past two weeks. The patient also complained that she was often lonely. Patients did not get adequate parenting from her parents, so patients have unfavorable relationships with her family. In addition, patients previously experienced sexual harassment that caused severe trauma. She was diagnosed with a current severe depressive episode in bipolar II disorder with anxious distress and PTSD. Discussion: Bipolar disorder is frequently comorbid with PTSD. She was given Sertraline 25 mg once daily, Aripiprazole 5 mg twice a day, Clobazam 5 mg once a day at night, Folic acid 400 mcg once a day, and psychotherapy. After four weeks of treatment, there was an improvement in symptoms by a decrease in the HDRS and the HARS scores. Conclusion: In the case presented, bipolar patients have major complaints related to somatic symptoms accompanied by a history of experiencing severe traumatic events. Thus, bipolar patients do not always come with the chief complaint of mood swings. Furthermore, these complaints improved with the combination of anti-psychotic, anti-depressant, anti-anxiety, and psychotherapy.
Peningkatan Kesadaran dan Deteksi Dini Hipertensi serta Diabetes Melitus pada Lansia Dusun Baruga, Kabupaten Maros melalui Penyuluhan dan Pemeriksaan Kesehatan Febriza, Ami; Nurmila, Nurmila; Sahabuddin, Rosdiana; Ibrahim, Juliani; Faidah, Nur; Khairunnisa, Khairunnisa; Anurogo, Dito; Mappanyompa, Fatimah; Nelly, Nelly; Syahrir, Andi Karlina; Fitria, Anni; Samsani, Samsani; Bahjah, Dzata
Jurnal Pengabdian Masyarakat: Pemberdayaan, Inovasi dan Perubahan Vol 5, No 5 (2025): JPM: Pemberdayaan, Inovasi dan Perubahan
Publisher : Penerbit Widina, Widina Media Utama

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59818/jpm.v5i5.1935

Abstract

The prevalence of hypertension and diabetes mellitus (DM) among the elderly is steadily increasing, particularly in rural areas with limited access to healthcare services. This community-based activity aimed to enhance awareness, knowledge, and self-management skills among elderly residents of Dusun Baruga, Maros Regency, for early detection of hypertension and DM through integrated health education and screening. Methods included educational seminars, health screening using Easy Touch GCU (blood pressure, random blood sugar, cholesterol, uric acid), and waist circumference measurement. Results indicated a high prevalence of hypertension (43%), prediabetes (26%), borderline cholesterol levels (28%), high uric acid (17%), and abdominal obesity risk (70%). In conclusion, culturally-tailored educational interventions combined with routine health screenings effectively improved elderly awareness and self-detection skills for hypertension and DM, with potential applicability to similar community settings.ABSTRAKPrevalensi hipertensi dan diabetes melitus (DM) pada lansia terus meningkat, khususnya di wilayah pedesaan dengan akses terbatas terhadap layanan kesehatan. Kegiatan ini bertujuan meningkatkan kesadaran, pengetahuan, serta keterampilan mandiri lansia Dusun Baruga, Kabupaten Maros dalam mendeteksi dini hipertensi dan DM melalui edukasi dan skrining kesehatan berbasis komunitas. Metode yang digunakan mencakup penyuluhan, seminar edukasi, pemeriksaan kesehatan menggunakan Easy Touch GCU (tekanan darah, gula darah sewaktu, kolesterol, dan asam urat), serta pengukuran lingkar pinggang. Hasil pemeriksaan menunjukkan prevalensi hipertensi sebesar 43%, prediabetes 26%, kolesterol borderline 28%, asam urat tinggi 17%, serta risiko obesitas abdominal 70%. Kesimpulannya, intervensi edukasi yang disesuaikan dengan kondisi sosial-budaya lokal serta skrining rutin efektif meningkatkan kesadaran dan kemampuan deteksi dini lansia terhadap hipertensi dan DM, dengan potensi untuk diaplikasikan pada komunitas serupa lainnya.
Psychodynamic Features of Depressed Patients with Dependent Personality Disorder and Hypokalemia: a Case Report Jaya, Muhammad Alim; Syahrir, Andi Karlina
Action Research Literate Vol. 8 No. 9 (2024): Action Research Literate
Publisher : Ridwan Institute

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/arl.v8i9.1901

Abstract

Depression is one of the most common mental disorders in society. Depression is influenced by several factors, including the personality of the sufferer and the existence of a comorbid disease that aggravates the symptoms. Several previous studies have not clearly reported on the psychodynamic picture of depressed patients with dependent personality disorder accompanied by hypokalemia. The study aims to provide a psychodynamic picture of depressed patients with dependent personality disorder accompanied by hypokalemia. A man, 26 years old, an Indonesian citizen, came with the main complaint of feeling helpless to do anything that has been burdensome for the last 2 months. The complaint was felt to be aggravating after he started working as a private employee. The patient feels insecure in his ability to complete the work assigned to him and feels that he is looked down upon by his peers and superiors. Patients often miss the figure of their deceased father. In addition, the patient has suffered from hypokalemia since he was in high school and has taken potassium supplements until now. The symptoms of depression experienced by patients are aggravated by the presence of dependent personality disorders and hypokalemia suffered by patients. Dependent personality disorder lowers the patient's confidence, and hypokalemia aggravates the vegetative symptoms he experiences, such as body weakness, decreased appetite, and palpitations. Dependent personality disorder and hypokalemia are very influential in aggravating the clinical symptoms experienced by depressed patients