Jae translator Chief Complaint • Makulbaan ko og dili ka ginhawa • What brought you here today? Panic and anxiety • What problem has been bothering you the most? Feeling like her heart squishing • When did it started • How is it affecting your daily life? 2. History of Present Illness • When did you first notice these symptoms?in grade 9 it started and continued on july 18 2026 patient got seizure only rigidity and brought to hospital given only meds for gastritis and pain killer. July 28 got second seizure when she felt her fingers stiff and eyes rolled and foaming mouth after 2 seizure patient stopped going to school • On grade 10 patient knee shaking and shoulder pain and cannot breathe when having panic attacks after july 29 to august she was just at home and on august 12 th she went to school 2 weeks after ptc she was waiting her mom to do a check up • Was there any event or stressor before they started? No reason suddenly • How often do you experience them? Every afternoon usually when its hot and every other when she gets tired • How long do they usually last? 5 minutes and uses paper bag to calm herself down • Are the symptoms getting better, worse, or staying the same? July 18 2026 , it got worse and brought to hospital ( Juan dosado sogod cebu) • What makes them better or worse? Using paperbag until 18 july but after that she does need other perosn help to calm down • Have you experienced this before?Grade 10 • Have you sought treatment or taken medication for it? No 3. Anxiety Symptoms Ask: • Do you frequently feel nervous, worried, or tense? No • Do you worry excessively about different things? Yes • Do you find it difficult to control your worrying? Yes • Do you feel restless or unable to relax? Yes • Do you have difficulty concentrating because of worrying? Yes • Do you feel easily irritated? Yes • Do you have muscle tension? Yes • Does anxiety affect your sleep? No • Do you feel that something bad is going to happen even when there is no obvious reason? Yes • Do you avoid certain situations because they make you anxious? No 4. Panic Attack Questions Ask the patient: “Have you ever suddenly experienced an intense feeling of fear or discomfort that came out of nowhere?” Yes If yes: • What were you feeling during the episode? Nervous and anxious • How suddenly did it start? • How long did it last? • Did you feel your heart racing or pounding? Pounding • Did you have difficulty breathing or feel short of breath? Difficulty breathing • Did you feel chest pain or discomfort? Pain • Did you feel dizzy, lightheaded, or like you might faint? Lightheaded, blackout • Did you sweat or tremble? Tremble • Did you feel nauseated or have abdominal discomfort? Abdominal discomfort • Did you experience chills or hot sensations? Chills • Did you feel numbness or tingling? None • Did you feel that things were unreal or that you were disconnected from yourself? Disconnected • Did you feel that you were losing control or going crazy? No control • Did you fear that you were going to die? Yes • How often does this happen? Every other day • Do the attacks occur unexpectedly or only in particular situations?unexpectedly 5. After a Panic Attack • Do you worry about having another attack? No • Do you change your behavior because you’re afraid of another attack? No • Do you avoid places or situations where you previously had an attack? Yes • Are you afraid to go out alone? Yes • Do you need someone with you because you fear having another attack? Yes 6. Phobia / Social Anxiety • Are there particular situations, objects, or places that make you extremely afraid? Yes, crowded places, thunder, • Do you avoid those situations? Yes • Are you afraid of being judged, embarrassed, or humiliated by others? Yes • Do you feel very anxious when speaking or performing in front of people? Yes, she avoids them • Do you worry excessively about what other people think of you? Yes 7. Obsessions and Compulsions • Do you have unwanted or repetitive thoughts that you cannot get out of your mind? • Do you feel compelled to perform certain actions repeatedly? No • What happens if you try to stop yourself from doing them? • How much time do these thoughts or behaviors take? 8. Mood Symptoms • How has your mood been recently? Ok • Have you been feeling sad or hopeless? Yes, cant remember what it was • Have you lost interest in things you normally enjoy? Yes, with volleyball and dancer • How is your energy? Half half • How is your appetite? Good • How is your sleep? Good, sleeps late but not intermittent, she thinks of a lot of things for an hour then falls asleep • Have you ever had periods when you felt unusually happy, energetic, or irritable with very little sleep? 9. Psychotic Symptoms • Do you hear voices when nobody is around? No • Do you see things that other people don’t see? Yes, her friend asked why she kept smiling for no reason but she said she saw her neighbor smiling at her and carrying a stainless bowl but she died already • Do you ever feel that someone is watching or following you? No • Do you feel that people are talking about you? Yes, when ppl look at her she feels judged • Do you feel that someone is controlling your thoughts or actions? No 10. Risk Assessment — Always Ask • Have you had thoughts of hurting yourself? Yes, feels like hanging and cutting wrist only when she was grade 8 to 10 just • Have you ever wished you were dead? Yes • Have you thought about ending your life?yes • Do you have a specific plan? No plan but thinking thoughts as do it • Do you have access to the means to carry it out? Yes • Have you ever attempted suicide before?yes • Have you had thoughts of hurting someone else?no 11. Substance and Medical History • Do you drink alcohol? Yes when she feels heavyness everyday drinking started at grade 8 7 bottles of 500ml • Do you smoke or vape?she started vape in grade 9 and stopped this april • Do you use recreational drugs?no • How much caffeine or energy drinks do you consume? 1 once everyday in grade 9 to grade 10 3 bottles a day • What medications are you currently taking?no • Do you have any medical conditions? • Have you recently started or stopped any medication?no 12. Personal and Social History • Who do you live with? • How is your relationship with your family? • How are things at work/school? • How is your social life? • Any recent relationship, financial, occupational, or family stress? • Who do you usually turn to for support? • PAST MEDICAL HISTORY Childhood illnesses: dengue 3, CHICKENPOX garde 4, MEASLES GRADE 5 Hypertension : no Diabetes no Asthma no  Tuberculosis no Seizures : no  Stroke no Head injury  : no Motor vehicle accident no  Heart disease  Kidney disease Liver disease Operations Blood transfusion Allergies  : no  Maintenance medications: no  Hospitalizations  : YES ONLYNFOR SEIZURE   VII. FAMILY HISTORY Family composition: 8 lives with sister sheena Husband Compañero Gilmer child : LUKE AARON “ merlin moi Birth order: 8 children she is the youngest Parents Alive? Yes Age? Mother  Occupation? Housewife Father : unknown Mother :   Medical illnesses? None Father : unknown Mother : HTN , DIABETIC Psychiatric illness?  None Substance abuse? None Suicide?none Siblings :8 Relationship: No good relationship with mother and other siblings except the sister she lives with also has fights with her mom no good relationship between them Medical illnesses : no Psychiatric illnesses : no   VIII. DEVELOPMENTAL HISTORY Nsvd G8P8(8008) Prenatal: complete Mother's age :58 Pregnancy planned?no Maternal illness: Smoking: Alcohol Drugs Stress Prenatal care : complete Natal : NSVD/CS : nsvd Hospital/home : home Term/preterm : term  Birth complications : none  Birth weight- 3.8 kg NICU admission: none    Postnatal Breastfeeding : 7 months  Illnesses : none  Developmental milestones : all are normal  Speech Walking Toilet training   Childhood  Patient was topper in schooling and obedient she was top 2 in class bullied in grade 6 for being fat   Friends : have friends with good relationship  Behavior : good   Bullying : yes at grade 6 to 7 cause she was fat and classmates pulled her hair and had a fight Abuse: none Medical illnesses:  Adolescence: she a good student and has good relationships with peers   Puberty Friends: yes Romantic : yes Behavior problems :  no School: grade 10 Employment : none  Legal problems : none    Adulthoodnone   Occupation:  Relationships: no  Marriage no Children none  Stressors - unknown  Financial problem: none  Coping - not stated by patient    IX. PERSONAL AND SOCIAL HISTORY Educational attainment: Grade 10 Employment : none  Income :  Living arrangement lives with sister famiky and mother Relationship status : single Religion Roman catholic  Hobbies : making posters Support system: Legal history Violence history :  none Abuse history : yes the sisters husband molested when she was grade 6 , neighbour watches her when she bathing through a sliding window Sexual history (if appropriate): none Active sexual history  : none Contraceptive: none   BP : 120/60 HR : 80 RR: 18 Temperature: 35.4 SpO₂ : 99% Height 159 Weight: 53 BMI: 21.0 Make it for ppt