Interpretasi hasil autoanamnesis dan observasi stimutaneous Mrs.
Sorrowati
Examiner
Good morning ma’am, how may
I help you?
(looking at the eyes, offering to
shake hands)
I’m the psychiatrist here, what is
your name ma’am?
How do you feel today?
Why are you crying?
Are you sure it’s that much?
But God’s mercy is above all...
May I know what are they?
Is it right to do so?
Do you love your husband?
Why?
(talking to husband)
Is it right sir?
How many time it happened?
(talking at Mrs.Sorrowati)
Have you any hallucinatios
ma’am?
I mean voices of which you don’t
see the source or something like
Mrs.Sorrowati Interpretasi
 Verbal baik (selamat pagi)
 Kontak mata minimal
Good morning
(memandang mata tapi
(Glanced the eyes brieftly then face
sebentar)
turned down; accepted the hand)
 Kontak fisik (salaman)
 Sikap kooperatif (menjawab
Sorrowati
ketika ditanya)
 Hypothymic Mood appropriate
affect ( dalam keadaan
murung/depressed/suram dan
I feel very bad, doc
sesuai dengan keadaan yang
(suddenly she cried)
dialaminya sekarang 
menjawab pertanyaan sambil
menangis)
I’m sinful, so much sin had I commit
Yes, and i’m very sure that I may not
 Ide berfikir/gagasan yang
be forgiven
berlebihan  perasaan berdosa
...
(bukan termasuk delusi)
I don’t know
I ran away from home, talk to
everyone about the evil of my
husband’s , and I enjoy it so much
 Pernyataan yang benar (merasa
Of course not. Why should I felt
kalo apa yang dilakukannya itu
guilty if it’s right.
salah/tidaklah benar)
No way
 Terjadi pertengkaran dengan
She hit me at my head
suaminya
(husband answering)
Yes, I lost control.
(Husband answering)
Twice, the first was before she turned
mad a year ago.
...
Sorry?
 Tidak ada halusinasi pada
No
keadaan ini
 a shadow only you can see?
Okay, I think it’s enough for our
initial interview. I except to see
you again next week.
Excerpt of the following interview
Good morning Mrs.Sorrowati,
how are you feeling today?
I felt very easy, now that I’ve lost the
Could you explain it?
If I’m not mistaken, you’ve tried
to swallow a large amount of
pills that day. What do you
intend to do?
What made you cancel the act?
How are you doing now?
What about your job?
So, you’re still feeling sinful
Now, do you still feel
unforgivable?
What are your plans afterwards?
And then?
Thank you.
Fine, actually I feel good today.
 Euthymic mood (perasaan yang
normal)
burden on my shoulder
 Dulu punya pemikiran untuk
I was considering suicide. I can’t mengakhiri hidupnya / bunuh
hold on with the burden. diri
My mother caught me before I
commence it. But I also think about
my children.
 Fungsi yang berhubungan
I can do many things normally again.
dengan pekerjaan (misalnya
I can cook again.
memasak masi normal)
... I don’t attend school right now, I
still think I’m a disgrace.  Masih ada sedikit pemikiran
A little, but I think I’ll recover in
bahwa dia berdosa
time
No. I realize my husband’s fault is his
to consider, not mine.
I want to divorce my husband.  Mampu membuat sedikit
... I don’t know next rencana kedepannya

Pemeriksaan fisik Mrs.Sorrowati

 Vital sign : Blood pressure (110/60 mmHg) ; pulse rate ( 62x/mnt);
respiration rate (15x/mnt) ; Axial temperature (36,9 oC)
 Physical examination : Normal
 Neurological examination : Normal

Kesimpulan hasil pemeriksaan psychiatric ( psycopatologic, alloanamnesis, autoanamnesis, dan

observasi)
 Main condition : verbal adekuat, dan ada kontak
fisik, kontak mata minimal, menunjukan sikap kooperatif
  Keadaan affective : hypothymic mood,
appropriate affect (sikap yang tepat)
 Kehidupan emosional : Labile
 Proses berfikir : pemikiran dan merasa berdosa,
berkeinginan untuk bunuh diri, tujuan yang pesimis, sering
bertengkar dengan suaminya
 Persepsi dan sensasi : normal
 Fungsi intelegensi : normal
 Instinctual dan perjalanan hidup :perbuatan ingin
mengakhiri hidup, hypobulia, kehilangan berat badan, sulit
tidur
 Anxiety : tidak ada gejala cemas yang terlihat
 Tes kemampuan realita : perasaan, pemikiran,
tingkah laku mengalami gangguan

Tatalaksana
- perawatan di RS dg indikasi  resiko bunuh diri / membunuh, penurunan kemampuan
mendapatkan makanan / t4 berlindung, riwayat gejala yg berkembang dg cepat &
hancurnya sistem pendukung pasien.
- Terapi psikososial  terapi kognitif, interpersonal, perilaku.
- Terapi keluarga
- Farmakoterapi  antikonvulsan (carbamazepine 200-600 mg/hari & valproate 20 mg/kg
sehari) u/ episode manik, awal terapi (clonazepam 1mg setiap 4-6jam, lorazepam 2mg
setiap 4-6jam & haloperidol 5mg setiap 2-4jam)