Family Psych-Education
Mr. L aged 44 educated MBA was referred by consultant psychiatrist to the Rehabilitation Department, Karwan-e-Hayat for the purpose of psychological assessment, Psychotherapy as well as Occupational therapy. His presenting complaints included; Anger, excited, elated mood, suicidal thought, hyperactivity extrovert, manipulative and verbally aggression.
He came with complaints of low functionality which remained a major barrier in his un successful marital life. Moreover his work productivity was below average and showed lack of interests in his whole life domains such as work and personal relations. This affected him emotionally and made him a target in the family. When he was brought here, he was emotionally and morally broken with poor self-esteem.
To begin with a holistic approach of a multidisciplinary team effort, his Occupational Therapist analyzed his basic occupational needs through formal and informal assessment like Pre and Post activities of daily living (ADL). It was observed he was in great need of getting back to functional independence. After designing the individual plan of the patient, through mutual discussion with other team members implemented some specific OT interventions on the patient such as leisure and lifestyle related activities, Art and & craft, maintaining his physical health with a few exercises, yoga, meditation and gardening etc.
Further, our primary focus was on the patient’s social skills to adjust with other teamwork/members nicely. After some regular individual and group participation of the patient, he was able to show progress. His insight improved and his performance improved significantly in the group and individual sessions. Most importantly a lot of effort and work was done on family psych education. As this was his first time getting diagnosed and treated, the biggest challenge was to work on the stigma and support system of the patient. He also proved to be a functional person much better than before and started showing interests in all assigned activities accordingly. He is also enrolled in a pre- shelter employment training program. He is also enrolled in the second step recovery day care program. After the successful completion and assessment, he will very soon join sheltered employment and will be able to work and earn again.
Due to all above mentioned progress, he was finally discharged and is now a healthy functioning adult. He has insight about his condition, illness, role of medication compliance and adherence to it.He is under the supervision of the stakeholders and informs us regularly about his progress. If his moods shift or he feels any depressive symptoms, he immediately informs the therapists beforehand which is a part6 of his crisis management plan .and is given guidelines as to how to manage his daily lifestyle.