Last
week we studied about SGS. Today we will into the case study of the syndrome
depending upon the severity of the extent of pathology from mild to moderate
and finally terminal cases.
CASE STUDY - 1
SUBJECT
- Twenty four years old female working in an IT firm.
PRESENTING
COMPLAINT- Had fallen for a looser.
HISTORY
OF PRESENTING COMPLAINT- The boy started as the crying shoulder when she was
first ditched by her boyfriend. His sweet talks and so called unconditional
support lured her into his love trap. They went strong for a while till the boy
shifted back to his native town. The long distance relationships brings problem
with them. The patent problems but the girl held the fort strong to prove the
above statement wrong, but was astonished by the sudden change of his tone. He
only picked her call when he was melancholic or absorbed in self-loathing. More
often leave aside, calling her, he would not answer her calls or message her
back, even for months, keeping his girl wondering what went wrong between them
and drawing a big question mark to their relationship.
SIGNS- Acne Roscoe (whenever stressed, face filled with pustuler, red
eruptions)
SYMPTOMS
-
Confusion
-
Self-talking
-
Melancholy
-
Bruised ego
-
Feeling of insecurity that she screwed up
-
Still after all this, she still considers him the knight in the
shining armor.
SCALE OF SEVERITY
Though mild in nature, but recurrence of the attack
could worsen the prognosis of the case.
PREVENTION AND TREATMENT
-
Move on with life
-
Set a goal
-
Kicking a looser out of her life
-
Temporarily abstaining for falling again for a while
-
Learning and mastering the game of courtship (for help can refer
my courtship series)
PROGNOSIS
Good
CASE STUDY 2
SUBJECT - Thirty six years old married
women and mother of two kids.
PRESENTING COMPLAINTS – Married a
jerk.
HISTORY OF PRESENTING COMPLAINTS – She
belonged to a very rich and influential family, but ended up doing a rookie
mistake that girls of age eighteen do. Finally in with the “RICKSHAW VALLA”
[Note = Rickshaw valla is a broad term
relating to socially unsuitable match, at same time meaning no offense to
actual rickshaw valla]
In this case the man was 10 years elder to
her and worked on the meager salary on the post of accountant in her father’s
shop. She ran away with the man taking away all her jewellery and married him
in the temple. When they were caught, they took the help of cops, claiming to
be above legal age to take her decision and marry. All the strings with her patriarchal
family were disconnected. The sunshine
in their life existed till they had the girl’s money. After that her life has
been hell with frequent abuses and domestic violence.
SIGNS
Stress related early OA changes [osteo-
arthritis] of lower back.
SYMPTOMS
-
Self loathing
-
Weeping
-
Feeling of aloneness
-
No backup plan
-
Finding difficult to tolerate low thresh-hold of husband’s ego
SCALE OF SEVEARITY = Oscillate
between MODERATE TO SEVEAR
TREATMENT AND MANAGEMENT
-
To have good friends
-
Look for a job to be self dependent
-
Get attach with NGO
-
Hunt out possibilities to reach back to her parents
-
Counseling
PROGNOSIS- Only to prevent progression of
pathology.
Case study 3
SUBJECT= Twenty three old female of a
very financially compromised family, but by grace of god, got a solid lift in
the job market due to strong academic front, in a very high paying job.
PRESENTING COMPLAINT = Trusting a
monster
HISTORY OF PRESENTING COMPLAINT =She fell flat
lined for a guy in her office who lured her with her sweet talks. He kept on
pursuing her to take the relationship to the next level. First she avoided but
later on she feared to loose the love of her life, she summed to his demands
and lost her V-CARD [virginity] to him. Later on she came to know that the guy
was married and he already had played the same game with many girls. She ever
took a further step confronting his wife and her all about her dealings. But to
her utter surprise, his wife already knew about his mistress and gave damn
about them, till he is taking care of her and her kid’s expenses. She even said
that only she is entitled as his wife and other women are just like use and
throw toilet papers.
SIGN- Served hymen. Running extra shifts to save
money for re-construction of hymen, cosmetic surgery to get her V-Card back.
SYMPTOMATOLOGY
-
Self guilt
-
Self loathing
-
Confusion
-
Anger, frustration and irritation
-
Loss of concentration towards her job
-
Suicidal thoughts
SCALE OF SEVERITY = SEVERE
TREATMENT AND MANAGEMENT
-
Counseling
-
To hold back together
-
Set a goal
-
Revenge by living her life perfectly fine
-
Learning the game of courtship
-
Learning from past mistake and not to fall in vicious circle of
Love, Sex and Dhoka.
-
Finding her a Right guy may be through matrimonial services.
PROGNOSIS- Totally dependent on the
management of the case. Though a well managed case could give a good life
expectancy or if not taken care with cautiousness, it can turn lethal.
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