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Patient Reflection Essay

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Reflections
“Patient: I love you doctor.
Doctor: I love all of you!”

Working as a resident doctor in Psychiatry is exciting and in my opinion it is the most beautiful medical specialty. Everyday I must examine about 8 to10 patients who are new hospitalised, so I have to complete their medical records, history and anamnesis, the psychiatric interview and the general medical exam. Every case is unique, despite the disease which may be the same (ex: schizophrenia), the patients are human beings and they are completely different, therefore the cases are different. There is not time to get bored. In my 8 hour program I examine the new patients and make the visit to all who are hospitalised in the department, and there are plenty of souls: 45-50 …show more content…

A.C. - male 43 years old - Antisocial Personality Disorder with decompensation in a Depressive Episode

I was on 24 hours ward and I saw the Ambulance escorted by the Police car. I was wondering what am I going to receive: a patient with schizophrenia in psychomotor agitation, a bipolar one in a sever manic episode, a histrionic suicide attempt? The answer was NO,…it was a depressive episode with a failed suicide attempt. When I saw the patient and took his file from the Ambulance doctor I read the name and I remembered his figure and name from TV, the news from 1 month ago. It was a person who committed murder. He killed his 4 years old stepson because he cried too much, 3 years ago, and boiled him in NaOH solution and made him soap, a fight with his wife made her to declare to the police what happened with the boy. I proceeded to examination and psychiatric interview and it was evident that he had the attempt because of the pressure of the detention condition, in fact he was sorry that he was caught, not for his murder; even he blamed his wife. With this he tried to dissimulate a severe mental illness, hoping to a more convenable penalty. He was in a depressive episode because of acute stress and due his basal personality disorder; and maybe because the other criminals imprisoned maltreated

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