Patient case study report: June 06

The patient is a 21 year old male who is presenting with symptoms of severe emotional distress, recurrent heart pains and acute confusion and depression. He complains of regular shortness of breath upon rest, retrosternal chest pain, general fatigue, lack of emotional well-being, and lack of motivation. The current episode started two weeks ago.

Symptoms began two months ago, and was most severe at the start. Attacks occur frequently, mainly at night, but in the day time as well. There was an incubation period lasting two weeks prior to that, when minor symptoms were observed.
He has been on detachment and distraction therapy two weeks after the onset of the illness, but they have not been working effectively.

His past history is unremarkable. He had a similar but much less severe episode about a year ago.
His family history is unremarkable.
His social history is consistent; he has not been doing anything out of ordinary routine that might have precipitated the symptoms. He is currently a student who does not smoke and drinks only occassionally. However, his social life has been severely impacted by the illness.
Systems review has revealed that he has been sending daily emails beginning two weeks ago, which coincides with the onset of the most recent episode. Patient claims that he was only trying to keep to a commitment he made.

A physical examination of emotional and mental state has revealed the following:

Examination report:

Pain, loss, longing, jealousy, possessiveness,
selfishness, anger, frustration, depression, sadness, confusion present.

This illness seems to be self-limiting, but recovery times vary from person to person. In certain cases, it might develop into a chronic condition that has major impacts on the person's social life and emotional and mental well-being.

Patient is advised to continue on distraction therapy. He will be prescribed 5mg support-from-friends, to be taken 3 times a day, 2mg be-positive pills 3 times a day, and advised to concentrate on his studies, which will complement the distraction therapy. (He is also recommended to play his piano more often, because music sooths the soul.)

A follow-up has been scheduled in three and a half weeks time.