A 65-year-old male was admitted to a medical ward with a history of chest pain, low mood, and weight loss. No medical cause was found. He said that about 12 days ago, his house was burgled and he lost his belongings. He progressed well in the ward and appeared cheerful, but as his discharge date approached, he complained of feeling ‘not right’ and refused to go back home.
2. A 47-year-old female and her son were involved in a car accident while she was driving. Her son unfortunately died in the accident, and she spent 2 weeks in hospital for a head injury. Although she made an uneventful recovery, 4 months after the accident, she started experiencing intrusive thoughts about the accident. She has been unable to get into a car and has avoided visiting the accident site. She complains of poor concentration, anxiety, and low mood.
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3. A 22-year-old college student found out that her previously well father was killed in a car accident unexpectedly. She returns home and prepares for her father’s funeral, but finds it very difficult. She is tearful, agitated, and unable to concentrate. Two years later, she is still mourning her father’s death and has dropped out of college. She has avoided visiting the site of the accident, and also seems to deny the incident. Her father’s room is left untouched since the day of the accident, and she pretends that he is still alive. 26 Chapter 2
4. A 24-year-old medical student travels abroad for his elective. While going back to his residence late at night, he is held to a gunpoint by two masked figures asking for his money. He promptly hands his wallet and the assailants run away. He returns home but upon arrival, he feels numb and becomes tearful. The following day, he has recollections of the events but is no longer troubled by it. 5. A 32-year-old female is unable to walk following her sudden separation from her husband. She is now unable to walk unaided and requires a wheelchair, and her husband had agreed to visit her once a week to help her out. Neurological examination is inconsistent with her symptoms and investigations are all normal.
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