PBL 9 session 1

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PBL 9 session 1 by Mind Map: PBL 9 session 1

1. Step 4

1.1. Hypothesis organization (tentative solution)

1.1.1. psychological causes

1.1.1.1. stress and change in life

1.1.1.1.1. depression

1.1.2. organic causes

1.1.2.1. toxicity from restructuring in work?

1.1.3. elicit drug use

1.1.3.1. alcohol can cause difficulty falling asleep

1.1.3.2. amphetamines

1.1.3.3. cocaine

1.2. 20 minutes

2. Step 1

2.1. Identify terms and cues

2.2. New terms

2.2.1. churning

2.2.1.1. shaking

2.2.2. restructuring

2.2.3. "she should pull herself together"

2.3. cues

2.3.1. 40 yo female

2.3.2. secretery

2.3.3. presents to her GP for sleeping deficulties

2.3.4. difficulty in sleeping and early awakening

2.3.5. churning in her stomach and palpatations , particularly in the morning

2.3.6. feeling anxious and irritable

2.3.7. unable to concentrate and make decisions

2.3.8. symptoms started 9 months ago

2.3.8.1. when the company underwent restructuring

2.3.9. losing confidence

2.3.10. cannot cope

2.3.11. her husband feels "she should pull herself together"

2.3.12. her symptoms are affecting her on both work and home

2.4. 10 minutes

3. Step 5

3.1. Formulate learning objectives

3.1.1. anxiety

3.1.1.1. causes

3.1.1.2. mechanism and pathophysiology

3.1.1.3. clinical manifestation

3.1.1.4. diagnosis

3.1.2. depression

3.1.2.1. causes

3.1.2.2. mechanism and pathophysiology

3.1.2.3. clinical manifestation

3.1.2.4. diagnosis

3.2. 10 minutes

4. Step 2

4.1. Problem formulation (put it in a senates)

4.1.1. 40 yo female complaining of sleeping difficulties, anxiety, churning stomach and palpitations after having work stresses 9 m ago

4.2. 10 minutes

5. Step 3

5.1. Hypothesis generation (brainstorming)

5.1.1. psychological changes

5.1.1.1. sleeping difficulty

5.1.1.1.1. decresead sleeping time or disturbance in pattern

5.1.1.1.2. S

5.1.1.2. anxiety

5.1.1.2.1. A

5.1.1.3. irritability

5.1.1.3.1. M

5.1.1.4. cannot cope with work and home

5.1.1.5. cannot make decisions

5.1.1.6. losing confidence

5.1.1.7. cannot concentrate

5.1.1.7.1. C

5.1.2. other

5.1.2.1. stomach churning

5.1.2.1.1. vague term?

5.1.2.1.2. irritable bowel syndrome

5.1.2.1.3. caffeine overuse

5.1.2.2. palpitation

5.1.2.2.1. having anxiety increase adrenalin = cause palpitations

5.1.2.2.2. panic attack

5.1.3. organic causes

5.1.3.1. hypothyroidism

5.1.3.2. other symptoms could be suggestive of organic cause

5.1.3.3. anemia

5.1.3.4. toxicity from restructuring in work?

5.1.4. psychological causes

5.1.4.1. mid life crisis

5.1.5. elicit drug use

5.1.5.1. alcohol can cause difficulty falling asleep

5.1.5.2. amphetamines

5.1.5.3. cocaine

5.2. 40 minutes