cover mutiah

8/19/2019 Cover Mutiah

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BAGIAN PSIKIATRI

FAKULTAS KEDOKTERAN

UNIVERSITAS HASANUDDIN JULI 2015

REFERAT: SINDROM RETT (F84.2)

LAPORAN KASUS : SKIZOFRENIA PARANOID (F20.0)

Disusun ol!:

Annis" O#$o%i"ni & ' 0

P*i*in+:

,-. ui"-ni U"-

Su/-%iso-:

D-.,-. . M. F"is"l I,-us1 S/.K. (K)

DIBAWAKAN DALAM RANGKA TUGAS KEPANITERAAN KLINIK

DEPARTEMEN PSIKIATRI

FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN

MAKASSAR

2015


2/36

LEMAR PEN3ESAAN

Yang b!"an#a "angan #$ ba%a& $n$' (n)a"a*an ba&%a+

Na(a + Ann$,a O*"-.$an$

NIM + /111 11 101

J# R!a"+ Sin,-o R$$ (F84.2)

J# La3-!an Ka,, + S#io5-ni" P"-"noi, (F20.0)

Ta& (n),a$*an "ga, !!a" #aa( !ang*a K3an$"!aan K$n$* 3a#a Bag$an

I( K,&a"an J$%a Fa*"a, K#-*"!an Un$.!,$"a, Ha,an##$n4

Ma*a,,a!' J$ 2015

Mng"a&$

P(b$(b$ng' /-a,,'

,-. ui"-ni U"- ) ( Annis" O#$o%i"ni )

Su/-%iso-

( D-.,-..M.F"is"l I,-us1 S/.K. (K) )


3/36

DAFTAR ISI

HALAMAN SAMPUL

LEMBAR PENGESAHAN

DAFTAR ISI

REFERAT

BAB I PENDAHULUAN 444444444444444444444444444444444444444444444444444444444444444444444444444444 1

BAB II PEMBAHASAN

241 D$n$,$ 44444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 2242 E3$#($--g$ 44444444444444444444444444444444444444444444444444444444444444444444444444444444 2

246 E"$--g$ 44444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 6

247 G8aa K$n$, 4444444444444444444444444444444444444444444444444444444444444444444444444444444444 7

245 D$agn-,$, 4444444444444444444444444444444444444444444444444444444444444444444444444444444444444 9

249 D$!n,$a D$agn-,$, 444444444444444444444444444444444444444444444444444444444444444444 10

24: T!a3$ 4444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 11

24; P!-gn-,$, 444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 12

BAB III KESIMPULAN 4444444444444444444444444444444444444444444444444444444444444444444444444444444 17

DAFTAR PUSTAKA 444444444444444444444444444444444444444444444444444444444444444444444444444444444444 15

SINDROM RETT


4/36

I. PENDAULUAN

S$n#!-( R"" a#aa& ganggan n!--g$," )ang #$"(*an -& D!4

An#!a, R"" #a!$ A,"!$a "a&n 1a!a n$.!,a 3n)a*$" $" ba! #$a*$ 1$a "$(ba @ ba$*'

*(a(3an *-(n$*a,$' a*"$$"a,' 3!&a"$an ($na"' #an (n>n)a 3!$a*

,"!-")34 D$ In#-n,$a 8a!ang #$a**an 3(ba&a,an (ngna$ S$n#!-( R""'

,&$ngga $n-!(a,$ )ang "!,#$a (a,$& ,$" #$#a3a"*an -& (a,)a!a*a"4

II. PEMAASAN

2. DEFENISI


5/36

S$n#!-( R"" a#aa& ,ba& ganggan 3!*(bangan 3!.a,$.

)ang (ngna$ ,b"an,$a g!$>a >!b!$' &an)a "!8a#$ 3a#a %an$"a #an

"$(b ,8a* a&$!C ,$n#!-( $n$ b!,$a" 3!-g!,$ #an #$"an#a$ #ngan

"$ng*a& a* a"$,"$>' a"a$a' #(n"$a' *8ang' #an *&$angan

*gnaan "angan #ngan ng$ "!"n"' #ngan a"!-$ >!b!a'

&)3!a(-n($a !$ngan' #an 3n!nan *a#a! a($n b$-gn$>4 D$,b"

8ga cerebroatrophic hyperammonemia4

S$n#!-( R"" a#aa& ganggan 3!*(bangan n!a ana*=ana*

)ang *a!a*"!$,"$*n)a a#aa& 3!*(bangan a%a )ang n-!(a #$$*"$

-& &$angn)a ng,$ "angan "!"n"' &$angn)a 3!g!a*an "angan'

a(ba"n)a 3!"(b&an -"a* #an *3aa4

2.2 EPIDEMIOLO3I

Ang*a *8a#$an ,$n#!-( R"" "a& #$a3-!*an (n8a#$ ,*$"a! 1 3!

264000 *a&$!an &$#3 3!(3an4 Va!$a,$ #aa( *8a#$an "a&

#$a3-!*an #$ b!baga$ nga!aC "a!$ ,"$ngg$ 1 3! 104000 *a&$!an

&$#3 3!(3an "a& #$a3-!*an4 Sa" ,"#$ #$ J3ang (n(*an

*8a#$an #a!$ 1 3! 754000 ana* 3!(3an b!,$a 9=17 "a&n4 Va!$a,$

*8a#$an (ng*$n ,bag$an #$,bab*an -& (a,*n)a bn"* a"$3$*a

a"a .a!$an #a!$ S$n#!-( R""4 Bn"*=bn"* a"$3$*a "!(a,*


6/36

S$n#!-( R"" ba%aan' bn"* )ang b$& !$ngan #ngan -n,"

*(#$an !g!,$ #an ganggan .a!$an b$>a!a4 S$n#!-( R"" ((n)a

#$*na$ ,>a!a *$n$, 3a#a ,$a 2=7 "a&n4 Na(n' 3ngnaan

3!*(bangan ,a!a )ang (n#a,a!$ (ng*$n #$(a$ 3a#a ana* ,$a

9=1; ban a"a b$& (#a4 Kban)a*an 3a,$n )ang #$$#n"$$*a,$

a#aa& 3!(3an *a!na 3n)a*$" $n$ "!*a$"=4 Ban)a* a*$=a*$

#ngan S$n#!-( R"" #$)a*$n$ (n$ngga #aa( !a&$(4 Na(n'

bb!a3a a3-!an (($$*$ a*$=a*$ !$n>$ #ngan ("a,$ ME/P2 #an

g8aa S$n#!-( R"" ,3!"$ 3a#a 8an$n a*$=a*$ b( #$b*"$*an 3a#a

*a!ga #ngan !$%a)a" S$n#!-( R""4 Dngan #($*$an' 3n8a,an

a"!na"$. n"* #-($na,$ 3!(3an #a3a" #$>a"a"4 T$#a* a#a .a!$a,$

!a, "a& #$a3-!*an4 Daa( ,ba& ,"#$ -& K-$n"' #**' )ang

"!(a,* A(!$*a La"$n' #an A(!$*a=A!$*a #$ Ta,' "$#a* a#a

.a!$a,$ #aa( $n,$#n a"a 3!.an,$ R(a& Sa*$" #$"(*an4

II.6 ETILO3I

Mn!" D$agn-,"$> an# S"a"$,"$>a Mana - Mn"a D$,-!#!' F-!"&

E#$"$-n C DSM=IV=TR4 20054 A(!$>an P,)>&$a"!$> A,,->$a"$-n4

Pn)bab S$n#!-( R"" "$#a* #$*"a&$' %aa3n ((b!*

,>a!a 3!-g!,$ ,"a& 3!$-# n-!(a *-(3a"$b #ngan ganggan

("ab-$,(4 Pa#a bb!a3a 3a,$n #ngan S$n#!-( R""' *&a#$!an

&$3!a(-n($a "a& (n)bab*an 3-,"a,$ ba&%a **!angan n$(


7/36

("ab-$,( a((-n$a' "a3$ &$3!a(-n($a b( #$"(*an #$

*ban)a*an 3n#!$"a S$n#!-( R""4 Mng*$n S$n#!-( R"" (($$*$

#a,a! gn"$>4 Ha $n$ "!$&a" "!"a(a 3a#a ana* 3!(3an' #an a3-!an

*a,, ,8a& $n$ (nn8**an *-n*-!#$na,$ ng*a3 #$ (-n-$g-"$*

*(ba!4

S$n#!-( R"" #$,bab*an -& ("a,$ 3a#a gn ME/P2 (>*=

3a="%-?' )ang #$"(*an 3a#a *!-(-,-( 4 Yang (n(*an

ME/P2 3!"a(a *a$ a#aa& A#!$an B$!#' P&4 D 3a#a "a&n 1


8/36

3ng&a(ba" 3(a"angan -"a*' ("a,$ ME/P2 "$#a* (n)bab*an

*!,a*an -"a* 3!(ann4 Wan$"a #ngan *!,a*an gn ME/P2

&an)a ,3a!& )ang "!3nga!&' ,3a!& ag$ (a,$& #a3a" b!ng,$

n-!(a4 Ha )ang b!b#a "!8a#$ 3a#a ana* a*$=a*$ )ang (($$*$

("a,$ ME/P24 Ka!na ana* a*$=a*$ &an)a (($$*$ ,a" *!-(-,-(

' (!*a "$#a* ((3n)a$ ,-*-ngan )ang a*an (nggan"$

(n)$(bang*an *!,a*an 3a#a *!-(-,-( ' #an (!*a "$#a*

((3n)a$ 3!$n#ngan #a!$ * ((ba&a)a*an #a!$ *a$nan $n$4

Ana* a*$=a*$ #ngan *!,a*an *!-(-,-( (n$ngga ,b(

a"a ,,aa" ,"a& #$a&$!*an4

II.4 3EALA KLINISG8aa=g8aa a"a *a!a*"!$,"$* )ag #$$&a" 3a#a ,,-!ang 3n#!$"a

S$n#!-( R"" a#aa& +

14 Ha(ba"an b!*-(n$*a,$ #an a!"$*a,$ ba&a,a (nga*$ba"*an

3na!$*an #$!$ ,>a!a ,->$a4

24 G!a* "angan )ang b!ang @ ang ,3!"$ ((!a,' (n3*'

(ng"*' (ng>a3' #an g!a*an ,3!"$ -!ang ,#ang (n>>$

ba8' &an)a b!&n"$ 8$*a ana* "$#!4 Ha $n$ "!8a#$ an"a!a (! 9 @

60 ban4

64 Jaan )ang "$#a* ,"ab$' *a* 3a#a *a*$' #an b!8aan #ngan 8ng

8a!$ *a*$4


9/36

74 L$ng*a! *3aa )ang n-!(a 3a#a ,aa" a&$! #an ,(a*$n (n!n

3!"(b&ann)a ,$!$ng #ngan b!"a(ba&n)a ,$a (a$ (! 5

ban ,a(3a$ 7 "a&n ?4

54 O"-" *a*' g!a*n)a ,(a*$n "$#a* "!*--!#$na,$' g$g$ g(!"*

b!$,( ?4

94 S$" (nan #an (ng&$,a3' a"a ,n,$"$.$"a, 3a#a ("4

:4 P-a "$#! )ang "$#a* n-!(a' (#a& "!,$nggng #an "!gangg4

;4 R"a!#a,$ 3!"(b&an4

-$-,$, bng** ? #an 3$3,) 50 #a!$ 3n#!$"a ,$n#!-(

!"" (ngaa($ ,!angan $n$ ?4

104 Ka*$ (a*$n (ng$ &$3-"&!-3$* ?4

114 S$!*a,$ #a!a& )ang b!* 3a#a *a*$ #an "ng*a$ ganggan

.a,-(-"-! ?4

124 K-n,"$3a,$

164 Naa, "$#a* "!a"! a3na 3!$-#$>' &)3!.n"$a"$-n ?

II.7 DIA3NOSISMn!" PPDGJ @ III' Pa#a ,bag$an b,a! *a,, -n," ganggan

"!8a#$ 3a#a ,$a 2=: ban4 P-a 3!*(bangan a%a )ang "a(3a* n-!(a

a"a (n#*a"$ n-!(a' #$$*"$ #ngan *&$angan ,bag$an a"a

,!&n)a *"!a(3$an "angan #an b!b$>a!a )ang "a& #$ #a3a"'

b!,a(aan #ngan "!#a3a"n)a kemunduran / perlambatan pertumbuhan

kepala. P!8aanan ganggan b!,$a" Progressive motor Reterioretion4

G8aa *&a, )ang 3a$ng (n-n8- a#aa& &$angn)a *(a(3an g!a*an

"angan )ang b!"8an n"* *"!a(3$an (an$3a"$. #a!$ (-"-!$* &a,

)ang "a& "!a"$&4 D$,!"a$ *&$angan a"a &a(ba"an ,!& a"a

,bag$an 3!*(bangan b!ba&a,aC g!a*an ,3!"$ (n>>$ "angan )ang


10/36

,"!-"$3$*' #ngan *,$ "angan #$ ngan #$ #3an #a#a a"a #agC

((ba,a&$ "angan ,>a!a ,"!-"$3$* #ngan #a& ,a$.a?C &a(ba"an

#aa( (ngn)a& (a*anan )ang ba$*C ,!$ng "!8a#$ 3$,-#

&$3!.n"$a,$C &a(3$! ,a gaga #aa( 3nga"!an bang a$! b,a! #an

bang a$! *>$C ,!$ng "!#a3a" 3n8!an $#a& #an a$! $! )ang (n"a,C

#an *&$angan #aa( $*a"an ,->$a4S>a!a *&a, "a(3a* ana* ""a3 #a3a" ,n)( ,->$a ,->$a ,($?'

(na"a3 ,,-!ang #ngan *-,-ng' ""a3$ "$#a* "!8a#$ $n"!a*,$ ,->$a

#ngan (!*a 3a#a a%a (a,a *ana* Wa3n $n"a*,$ ,->$a #a3a"

b!*(bang *(#$an?4 /a!a b!#$!$ #an b!8aan >n!ng (ba! b!-a#

ba,#?' -"-" &$3-"-n$*' *--!#$na,$ g!a* "b& ((b!* a"a*,$a?' ,!"a

,*-$-,$, a"a *$-,*-$-,$, )ang b!*(bang *(#$an4 A"!-$ ,3$na'

#ngan #$,b$$"a, (-"-!$* b!a" )ang (n> 3a#a ,aa" !(a8a a"a #%a,a

*!ang b$& 50 *a,,4 K(#$an #a3a" "$(b ,3a,"$,$"a, #an !$g$#$"a,'

)ang b$a,an)a b$& ban)a* "!8a#$ 3a#a *,"!($"a, ba%a& #a!$ 3a#a

*,"!($"a, a"a,4 S!angan ((n)a ,b( ,$a ; "a&n' &a $n$ "!8a#$

3a#a *ban)a*an *a,,4 B!b#a ,*a$ #ngan a"$,(' #$,$n$ 8a!ang

"!8a#$ 3!$a* (n>#!a$ #$!$ #ngan 3!-*a,$ )ang ,"!-"$"3$*

*-(3*, a"a )ang !"$n4


11/36

T$#a* ,(a ("a,$ ME/P2 ((n&$ >!$"!$a ,&$ngga b$,a

#$,b" S$n#!-( R""4 A#a "$ga >!$"!$a *$n$, n"* #a3a" ((b!$*an

#$agn-,$, + ,,n,$a' ,33-!"$.' #an >,$-n4

/!$"!$a #$agn-,$, ,,n,$a + 3!*(bangan )ang "a(3a* n-!(a

&$ngga b!,$a 9 @ 1; ban #an ((3n)a$ $ng*a! *3aa n-!(a

,aa" a&$! #$$*"$ #ngan 3n!nan 3!"(b&an *3aa an"a!a 6

ban @ 7 "a&n ?' *"$#a*(a(3an #aa( b!ba&a,a b!*-(n$*a,$?'

g!a*an "angan )ang !3!""$.' (ngg-)ang=g-)ang*an ba"ang

"b&' toe alking b!8$n8$" ?' %$#=ba,#' #an *a*$ (n8a#$ *a*4

K!$"!$a ,3-!"$ "$#a* &a!, a#a #aa( #$agn-,$, RS "a3$ #a3a"

"!8a#$ 3a#a bb!a3a 3a,$n4 K!$"!$a ,3-!"$ + *,$"an b!naa,'

*"$#a*n-!(aan >"!-n>3&a-g!a( EEG?' ,!angan' **a*an

-"-"' *8ang' ,>-$-,$,' ""&=g!$n#$ng' *a*$ )ang *>$ b$a

#$&bng*an #ngan "$ngg$ ba#an' !"a!#a,$' b!*!angn)a (a*

"b& #an b!a" -"-"' 3-a "$#! )ang "$#a* n-!(a' *a, (a!a&'

(ngn)a&' *,$"an (nan' b!*!angn)a (-b$$"a, ,!$ng #ngan

,$a' #an ,(b$"4

A#a 8ga >!$"!$a >,$-n4 Ana* #ngan ,aa& ,a" >!$"!$a b!$*"

"$#a* ((3n)a$ ,$n!-( R"" + 3ba!an -!gan "b&' *&$angan

3ng$&"an )ang "!(a,* ganggan !"$na -3"$> a"!-3&)?'

($>!->3&a) ,8a* a&$!' ganggan ("ab-$,( )ang #a3a"


12/36

#$$#n"$$*a,$*an' ganggan #gn!a"$. ba%aan a$nn)a' ganggan

,)a!a a*$ba" $n*,$ b!a" a"a &a# "!a(a' b*"$ ba&%a ,#a& (a$

!"a!#a,$ ,8a* #aa( !a&$(' a"a b*"$ a#an)a *!,a*an -"a* )ang

"!8a#$ ,"a& a&$!4

Ma,$( R4 Diagnosis !angguan "ia# Ru$ukan Ringkas dari PPD!"%&&& dan D'( )4

Ja*a!"a+ Bag$an I( K#-*"!an J$%a FK=Un$*a A"(a8a)aC 2016?4

Di"+nosis '-i$-i" 5o- R$$ Diso-,- A4 S(a &a b!$*" +

1? N-!(a 3a#a ,aa" 3!*(bangan 3!na"a #an 3!*(bangan

3!$na"a

2? P!*(bangan 3,$*-(-"-! )ang n-!(a ,a(a 5 ban

3!"a(a ,"a& *a&$!an

6? M(3n)a$ $ng*a! *3aa )ang n-!(a ,aa" a&$!

B4 On," ,(a &a ,"a& 3!$-# 3!*(bangan n-!(a' )a$" ?

1? Pn!nan 3!"(b&an *3aa an"a!a ,$a 5 ,a(3a$ 7; ban

2? K&$angan *(a(3an "angan "!"n" )ang "a& #$*a,a$

,b(n)a an"a!a ,$a 5 ,a(3a$ 60 ban #ngan #$$*"$ -&

3!*(bangan g!a*an "angan ,"!-")3# ,3!"$ (!(a, @

!(a, a"a (n>>$ ?

6? K&$angan *"!$*a"an 3a#a ,->$a 3a#a 3!*(bangan a%a

(,*$3n $n"!a*,$ ,->$a ,!$ng b!*(bang *(#$an ?

7? Mnn8**an *(a&an "!*a$" #ngan *--!#$na,$ a"a

3!g!a*an "b&


13/36

5? Mngaa($ ganggan b!a" 3a#a 3!*(bangan 3n!$(aan

ba&a,a (a3n 3ng*,3!,$an ba&a,a #ngan !"a!#a,$

3,$*-(-"-!$* b!a"4

D$agn-,"$> an# S"a"$,"$>a Mana - Mn"a D$,-!#!' F-!"& E#$"$-n C DSM=IV=TR4

20054 A(!$>an P,)>&$a"!$> A,,->$a"$-n?4

T"!"/ P-#*"n+"n Sn,-o R$$

T"!"/

O!ang #ngan ,$n#!-( !"" ((n)a b!*(bang ,>a!a n-!(a *$!a=*$!a

9=1; ban 3!"a(a ,"a& *a&$!an4 Ban)a* )ang #a3a" (n>a3a$ &a!a3an

,3!"$ (ggna*an *a"a 3n#*' "!,n)( ,>a!a ,3-n"an #an (a*an #ngan

8a!$4 Da!$ ban *$(a ,a(3a$ (! 6 "a&n' 3!"(b&an -"a* (a$ a(ban

($>!->&3a)?' #an ,"a& 1; ban' bb!a3a *abn-!(aa( )ang a$n (a$

Na(3a*4 Ana* (ng*$n b$& a(ba" #aa( ((3!-& *a&$an ba!' ba&*an


14/36

(ng*$n b!&n"$ n"* ((3!-& *a&$an ba! ,>a!a ng*a34 Abn-!(a$"a,

)ang a$n ($3"$ b!*!angn)a 8(a& *-n"a* (a"a' g!a* -"-" )ang "$#a*

"!*--!#$na,$ #an 3!$a* )ang "$#a* "!*n#a$4 Ta&a3 $n$ ,!$ng "$#a*

#$3!&a"$*an *a!na ,)(3"-( *!ang 8a,' 3a#a a%an)a -!ang "a #an #-*"!

(ng*$n 8ga *!ang ((3!&a"$*an a(bann)a 3!*(bangan ang*a4 Ta&a3 $n$

"!8a#$ ,a(a bb!a3a ban "a3$ #a3a" b!an8" ,a(a *!ang b$& ,a" "a&n4

T"!"/ 2

An"a!a (! 1=7 "a&n a"a "a&a3 *!,a*an )ang >3a"' "a&a3 $n$ a#aa&

3!(aan &$angn)a *(a(3an b$>a!a ba$* ,>a!a >3a" (a3an b!"a&a34

Ka!a*"!$,"$* g!a*an "angan )ang (n-n8- 3a#a "a&a3 $n$ a#aa& (($8a"'

(n>>$' (n3*=n3*' (ng"*' 8ga (ngg!a**an "angan * ("

b!*a$=*a$4 A#a )ang "$ba="$ba' ,>a!a b!"$ng*a"' ba&*an (n$ng*a"4 In$ #$,b"

3n!nan 3!*(bangan4S!$ng*a$ 3a#a (! 6 "a&n' >-n"!- g!a* "angan #an

,3-n"an$"a, g!a*an (ng&$ang' ,$!$ng #ngan *a&$an b!b$>a!a )ang b!,$a"

(n"!4 B!$,( g!a* "a* ,a#a! (ngg!"**an g$g$? a#aa& b$a,a ,$!$ng

#ngan g!a* (ng&$,a3 )ang "$#a* *"$4 G!a*an @ g!a*an "!,b" b!an8"

,aa" ana* "!8aga na(n &$ang ,a(a "$#!4 B!naa, ,>a!a "$#a* "!a"! ,3!"$

3$,-# a3na a"a &)3!.n"$a"$-n (ng*$n "!8a#$' (,*$ b$a,an)a *(ba$


15/36

b!naa, ,>a!a n-!(a ,a(a "$#!4 Bb!a3a ana* (nn8**an a"$,"$>' ,3!"$

,)(3"-( &$angn)a $n"!a*,$ ,->$a #an *-(n$*a,$4 S$a" *a, (a!a& #an

*"$#a*"!a"!an "$#! (ng*$n "!$&a"4 La(ba"n)a 3!"(b&an *3aa (a$

#$3!&a"$*an 3a#a "a&a3 $n$4

T"!"/ 6

Ta&a3 III' #$,b" 8ga "a&a3 3a"a' 3n!nan 3!*(bangan b!&n"$

#an g8aa >n#!ng ,"ab$4 B$a,an)a #$(a$ 3a#a ,$a an"a!a #a ,a(3a$

,3& "a&n4 A3!a$a' (a,aa& (-"-!$*' #an ,!angan (!3a*an *a!a*"!$,"$*

*&a, "a&a3 $n$4 M,*$3n bg$" #$(ng*$n*an a#a 3n$ng*a"an #aa( 3!$a*'

#ngan 3n!nan !a,a (#a& (a!a&' (nang$,' #an a"$,"$>4 In#$.$# 3a#a "a&a3

III (ng*$n (nn8*an *-n$a *"!"a!$*an 3a#a $ng*ngann)a #an 3n$ng*a"an

*%a,3a#aann)a ' !n"ang 3!&a"$an' #an *(a(3an *-(n$*a,$4 Na(n'

((n)a ,*-$-,$, (a$ "!8a#$ ,b( (! ; "a&n4

T"!"/ 4

Ta&a3 IV' #$,b" "a&a3 *(n#!an (-"-!$* an8"' #a3a" "!8a#$ ,a(a

(3a" "a&n a"a ,3& "a&n4 Ka!a*"!$,"$*n)a a#aa& b!*!angn)a (-b$$"a,'


16/36

((a&n)a -"-"' **a*an' *8ang' #),"-n$a (n$ng*a"n)a ,$a" -"-" #ngan

3-,"! abn-!(a )ang *,"!$( a"a b!ba"ang?' #an ,>-$-,$,4 Ana* )ang

,b(n)a (a(3 b!8aan (ng*$n a*an b!&n"$ b!8aan4 S>a!a ((' "$#a*

a#a 3n!nan ag$ 3a#a *-gn$,$' *-(n$*a,$' a"a *"!a(3$aan "angan 3a#a

"a&a3 IV4 G!a*an "angan b!ang=ang (ng*$n b!*!ang #an "a"a3an (a"a

(ng*$n (n$ng*a"4

2.9 DIA3NOSIS ANDIN3

S$n#!-( R"" #a3a" #$b#a*an #ngan A"$,(' A,3!g! D$,-!#!' /&$#&--#

D$,$n"!g!a"$. D$,-!#!4 Tab #$ba%a& (nn8**an 3!ban#$ngann)a +

Pn)a*$" P!.an,$ G8aa K$n$,

S$n#!-( R"" 0'77 @ 2'1 3! 10000

Pa#a 3!(3an 8a!ang

"!#a3a" 3a#a a*$=a*$

= N-!(a 3a#a ,aa" a&$!' ""a3$ (a$ #a!$

#a "a&n

= K"!a(ba"an 3!"(b&an *3aa

= H$angn)a *"!a(3$an (-"-!$* )a$"

g!a*an "angan ,3!"$ (!(a,=!(a,C

ganggan ga$"

= K&$angan *"!$ba"an ,->$a

A"$,( = 2=15 3! 10000 a*$=a*$

= 7 + 1 a*$=a*$ b!ban#$ng

3!(3an

= Pn!nan $n"!a*,$ #an ,-,$a )ang

3a!a&

= P!$a*' ($na" #an a*"$.$"a, #$ba"a,$'


17/36

= Lb$& 3a!a& 3a#a

3!(3an

b!ang #an 3-a ,"!-")3

= On," ,b( (! 6 "a&n

= U((n)a "!8a#$ !"a!#a,$ (n"a

/&$#&--# D$,$n"g!a"$.

D$,-!#!

=11 3! 10000

=; + 1 a*$=a*$ b!ban#$ng

3!(3an

=P!"(b&an n-!(a ,&$ngga (! 2

"a&n

=H$ang "!a(3$an 3!*(bangan )ang

3a!a& ,b( (! 10 "a&n

A,3!g! D$,-!#! =10 @ 69 3! 10000

=5 + 1 a*$=a*$ b!ban#$ng

3!(3an

=Pn!nan $n"!a*,$ ,->$a

=T$#a* a#a *"!a(ba"an ba&a,a a"a

3!(bangan ba&a,a a"a 3!*(bangan

*-gn$"$

=P!-*3a,$ 3a#a 1 "a&n a"a b$& 3-a

($na" )ang "!ba"a,

T$#a* a#a -ba" n"* S$n#!-( R""4 T!a"(n" n"* ganggan $n$ "!-*,

3a#a (ana8(n ,)(3"-( )ang a#a #an ((b"&*an 3n#*a"an #a!$

("$#$,$3$n $(4 T!a3$ ((-*,*an 3a#a "8an n"* ((3!a(ba"

*!,a*an (-"-!$* #an (n$ng*a"*an *(a(3an b!*-(n$*a,$4

PEN33UNAAN OAT


18/36

Oba" #$b"&*an n"* *,$"an b!naa,' *,$"an (-"-!$*' #an an"$3$3,$4

14 L= D-3a a#aa& bn"* ,$n""$, #a!$ #-3a($n4 In$ #$"(*an n"*

(ng!ang$ **a*an ,a(a "a&a3 *(n#!an (-"-!$* Ta&a3 7?' ""a3$

,ba$*n)a gaga n"* (n)#$a*an 3n$nga"an 3a#a ba,$, )ang

*-n,$,"n4

24 Na"!-n R.$a ? a#aa& a%an #a!$ -3$(' b$a,an)a n"* (ng!ang$

*>an#an -ba"4 Pnggnaan n"!a-n #aa( #-,$, !n#a& a"a "$ngg$

(gn*$n b!(anaa" #aa( >-n"!- naa, )ang "$#a* "!a"! #an *8ang'

#an (ng!ang$ "!$a*an="!$a*an4 In$ (ng*$n a#a *a$"ann)a #ngan *

-ba" 3nnang4 Na(n "!#a3a" * a$n )a$" *&$angan na, (a*an4

64 B!-(-*!$3"$n Pa!#- ? a#aa& -ba" )ang (n$ng*a"*an ng,$ ,),"(

#-3a($n #$ -"a*4 Sa" -ba" )ang #$8$ >-ba (nn8**an 3n$ng*a"an

a%a #aa( *-(n$*a,$' b!*!angn)a *g$,a&an #an b!*!angn)a

g!a* "angan #$ "a&a3 3!"a(a' na(n *"$*a -ba" b!&n"$' g8aa a*an

(n> ag$ 3a#a 3n$ng*a"an a%a4

74 T$!-,$n #-3a($n #an n-!a#!na$n? #an "!)3"-3&an ,!-"-n$n? a#aa&

a,a( a($n- )ang b$a,an)a (n#-!-ng . "!an,($""!4 S"#$

(nn8**an "$#a* a#a 3!b#aan #aa( 3na(3$an *$n$, a"a3n 3-a

EEG4 L=/a!n$"$n a#aa& "!nan #a!$ a,a( a($n- ,n,$a $,$n4

2. TERAPI


19/36

T!a3$ $,$* #$(a*,#*an n"* (n8aga a"a (n$ng*a"*an

*(a(3an b!8aan #an *,$(bangan' ((3!"a&an*an 8a&n)a g!a*

3a$ng "$#a* ((3!"a&an*an ng,$ g!a* #an (n>ga& *>a>a"an4

T8an #a!$ "!a3$ $,$* a#aa& (n8aga a"a (n$ng*a"*an

*"!a(3$an (-"!$*' (ng(bang*an *a&$an "!an,$,$-na' (n>ga&

a"a (ng!ang$ *>a>a"an' (ng!ang$ *"$#a*n)a(anan #an

*g$,a&an ,!"a (n$ng*a"*an *(an#$!$an4

T!a3$ $,$* #a3a" ((3!ba$*$ #an (n$ng*a"*an 3-a ##* #an b!8aan

,!"a ((-n$"-! 3!ba&an ,3an8ang %a*"4

T!a3$ $,$* #$gna*an n"* + (ng!ang$ a3!a$a' (n,"$(a,$

3nggnaan "angan n"* (n#*ng (-b$$"a,' (n>a3a$ *,$(bangan

)ang b$& ba$*' (n$ng*a"*an *--!#$na,$' (ng!ang$ a"a$a'

(n$ng*a"*an b-#) a%a!n,,' ((b!$*an 8ang*aan g!a*an )ang b$&

ba$*' (ng!ang$ ,a*$" 3a#a -"-"' (n8aga #an (n$ng*a"*an (-b$$"a,'

(a%an *8ang=*8ang' #an (n$ng*a"*an !,3-n 3!-"*"$4 /-n"-& "!a3$

$,$* )a$" (nggna*an *-a( b-a' "(3a" "$#! a$!'a"a "!a(3-$n4

T!a3$ O>>3a"$-na #a3a" #$gna*an n"* (n$ng*a"*an

*gnaan "angan4 Da!$ 3n$"$an #$*"a&$ ba&%a "!#a3a" 3n!nan

g!a*an "angan )ang #$ang=ang #a3a" (nga!a&*an 3a#a *%a,3a#aan

#an ->, )ang b$& ba$*4 Sa(a ba$*n)a #ngan ((ban" (ng!ang$n

*>(a,an #an 3!$a* (n)a*$"$ #$!$ ,n#$!$4 Pnggnaan "angan )ang


20/36

"$#a* "!a"! a"a (ng$*a" ,$* (ng*$n b!gna #aa( (ng!ang$

g!a* "angan #an (ng*$n (n#-!-ng 3nggnaan "angan )ang b$&

b!gna4 /-n"-& "!a3$ O>>3a"$-na a#aa& ((ban" ((a*a$ ba8

,n#$!$' ((ban" (*$a' ((ba" *!a8$nan "angan' #an ba8a! (a*an

,n#$!$4

T!a3$ (,$* #$gna*an ,baga$ 3ng*a3 "!a3$ a$n #an b!gna

n"* (n$ng*a"*an *-(n$*a,$ #an ((ba" 3$$&an4 Pn$"$an

(nn8**an ba&%a (n#nga! #an (n>$3"a*an (,$* b!3nga!&

3-,$"$ 3a#a -"a*' (n$ng*a"*an ,$!*a,$ #a!a&' g*-,a #an -*,$gn4

P!ba&an $n$ (n,"$(a,$ n"* ba8a!4

T!a3$ (,$> a#aa& 3nggnaan (,$* )ang "!,"!*"! a"a

*g$a"an (,$>a #$ ba%a& b$(b$ngan ,-!ang "!a3$, (,$>4 Kg$a"an $n$

((3nga!&$ 3!ba&an 3-a 3!$a* )ang (nga!a& 3a#a "8an

$n#$.$#a )ang "a& #$,,n n"* ana*4 T!a3$ (,$> b!-*, 3a#a

*-(n$*a,$' ,-,$a$,a,$' ((ba" 3$$&an #an *a&$an (-"-!$*4 M,$*

((b!$*an !$"( g!a* #an *3*aan 3!,3,$4 M!*a ((b!$*an

!$"( g!a* #an *3*aan 3!,3,$4 M!*a ba8a! n"* (!a,a*an #an

((a&a($ !ang #an %a*"' *a$"a, #an *an"$"a,' ,!"a ,bab a*$ba"4

T!a3$ (,$> ((b!$*an *3!>a)aan #an ,a,ana a(an4

H)#!-"&!a3$ b!g!a* #$ a$! &anga" ? ,anga" 3n"$ng n"*

3n#!$"a R"" S)n#!-(4 Ka!na (ng$#a3 a3!a$a 8ga' #$a #a3a"


21/36

(!n>ana*an #an (a**an g!a*an )ang #$a $ng$n*an #an *,$a"an

n"* b!8aan4

B!nang a#aa& bag$an "a(a #aa( 3!-,, $,$* ana*4 A!"$ #a!$

b!nang a#aa& b!"a&an' *bga!an' #an *,nangan4 N$a$=n$a$ $n$ ,a(a

n"* (!*a )ang ((3n)a$ *"!ba"a,an' (ng$n"g!a,$*an (!*a *

#aa( *&$#3an )ang n-!(a a#aa& ,aa& ,a" "8an #a!$ &)#!-"&!a3&)4

A*"$.$"a, #aa( a$! #$!a,a*an -& ana*' *a!ga' #an $ng*ngan ,baga$

a*"$$"a, ana* )ang n-!(a' &a $n$ ((3!*a" 3ng&a!gaan n"*

*(a(3an (!*a b!3a!"$,$3a,$ ,n-!(a (ng*$n4 P!a,aan $n$

(n(b&*an ,=,"( #an 3!>a)a #$!$4 T8an #a!$ "!a3$ $n$ a#aa&

(n#-!-ng n"* (n>a3a$ "$ng*a" *(an#$!$an "!"$ngg$' "!$ba" #aa(

(a)a!a*a"' (n8aga *,&a"an $,$*' #an (n$ng*a"*an *a$"a, &$#3n)a4

A$! ((b!$*an 3ngaa(an ba! #an (n)nang*an4

M(ng*$n*an n"* (a**an &a=&a )ang "$#a* #a3a" #$a**an #$

a! a$!4 In$ 8ga ((ng*$n*an *(a(3an (-"-!$*n)a )ang &$ang a"a

&an)a "!,(bn)$4G!a*an ,3-n"an b$& (#a& #$a**an #aa( a$! #an

&)#!-"&!a3&) (n$ng*a"*an 8ang*aan g!a* #an (ng!ang$ *8ang=

*8ang4 K,$"an ,n,-!$ #an 3!,3,$ )ang $a !a,a*an ,aa" b!a#a #$ a!

a$! "$#a* (n> *"$*a b!a#a #$ a$!' ,&$ngga $a #a3a" (!a$&

*,$(bangan )ang b$& ba$* "an3a !ag=!ag #an "a*"4 Hanga"n)a a$!


22/36

((ban" (nnang*an g!a* $n.-n"!' g!a*an ,"!-")3 #an

*,$"an b!naa,4 F*,$,b$$"a, a$! ((ng*$n*an $a n"* b!g!a* *

,gaa a!a& #an ((ng*$n*an g!a*an ,$("!$,4 H)#!-"&!a3$ ((ban"

(n8aga *,&a"an -"-" #an ,a!a4 Ha $n$ (n$ng*a"*an *,&a"an ,>a!a

*,!&an' )ang 8ga a*an (na(ba& *(a(3an ba8a!n)a4 Kg$a"an

(nnggang *#a #an )ang 3!-"*"$' 8ga n"* !a*,a,$ #an

*,nangan4

T!a3$ >$n"a a#aa& #a,a! ,(a "!a3$ )ang !($" #an (a&a "$#a*

a*an b!&a,$ "an3an)a4 D$(a$ #ngan (n!$(an)a ,baga$ bag$an

3n"$ng #aa( *a!gan)a' (a,)a!a*a"' #n$an)a #an #n$a *$"a4

Mn)$("$n)a #ngan 3*an )ang &anga" #a!$ *3!>a)aan ba&%a $a

b!&a!ga #an #$>$n"a$' a3a3n )ang 3!na& $a aa($4 /$n"a "$#a* a*an

(n)!a& a3ab$a #$&a#a3*an #ngan *,$"an4 /$n"a a*an "(b& b$&

*a"4

2.; P-o+nosis

Du*i" ( Ti,"# $n$u & -"+u-(bC Lang /!!n" D$agn-,$,

an# T!a"(n" $n P,)>&$a"!$4 200:4 M> G!a% H$?

P!-gn-,$, B-na(' ""a3$ !$%a)a" )ang b!"a&an &$ngga #%a,a' ""a3

(($$*$ *-gn$"$ ,3!"$ "a&n 3!"a(a *&$#3an


23/36

Ka3an an# Sa#->*C P!.a,$. D.-3(n"a D$,-!#!' R"", D$,-!#!4

SYNOPSIS OF PSY/HIATRY4 Tn"& E#4 200:4 L$33$n>-n"" W$$a(, an#

W$*$n,' /&472?4

III. KESIMPULANS$n#!-( R"" a#aa& ganggan *(a&an ,)a!a )ang 3n#!$"an)a

,bag$an b,a! a#aa& %an$"a4Ana* #ngan S)n#!-( R"" "!$&a"

b!*(bang ,>a!a n-!(a ,a(3a$ ,$a na( &$ngga #a3an ba,

ban *"$*a (!*a (a$ ((a,*$ -!$-# !g!,$' *&$angan

*(a(3an (-"-!$* #an b$>a!an)a4 Kban)a*an (($$*$ g!a*an

"angan !3"$"$.' 3-a b!naa, )ang "$#a* "!a"!' *8ang #an (a,aa&

*--!#$na$ (-"-!$* )ang *,"!$(4 P!(aan S$n#!-( R"" "!8a#$ 3a#a

,$a )ang b!.a!$a,$ #ngan g8aa )ang b!.a!$a,$ 3a4 T$#a* a#a -ba"

n"* S$n#!-(a R""4 S$n#!-( R"" #$,bab*an -& ("a,$ gn

ME/P2 )ang "a*n)a #$ *!-(-,-( 4 S$n#!-( R"" "$#a* (ngna

ba"a, g-g!a$,' !a,$a' (a3n ,->$a4 K(ng*$nan S$n#!-( R""

"!8a#$ ag$ #aa( ,ba& *a!ga *!ang #a!$ ,a" 3!,n4 M,*$3n

bb!a3a 3n#!$"a S$n#!-( R"" (n$ngga #$ ,$a (#a' ,bag$an

b,a! b!"a&an &$ngga ,$a #%a,a4


24/36

S$n#!-( R"" #a3a" #$#"*,$ #$n$ (a$ ", gn"$>4 S$n#!-( R""

&an)a #$#!$"a -& %an$"a *a!na a*$=a*$ &an)a (($*$ ,a"

,$n#!-( ,&$ngga ana* a*$=a*$ 3n#!$"a SIn#!-( R"" (n$ngga

,b( a"a ,,aa" ,"a& #$a&$!*an4

DAFTAR PUSTAKA :14 Ka3an an# Sa#->*C P!.a,$. D.-3(n"a D$,-!#!' R"", D$,-!#!4

SYNOPSIS OF PSY/HIATRY4 Tn"& E#4 200:4 L$33$n>-n"" W$$a(, an#

W$*$n,' /&472

24 Aan S4 Ka(an' Na#n L4 Ka(an4 E,,n"$a - /&$# P,)>&-3a"--g)4

20094 J-&n W$) S-n,4 /&4 11

64 M$>&a H4Eb!"' P"! T4 L--,n' Ba!!) N!>-(bC Lang /!!n"

D$agn-,$, an# T!a"(n" $n P,)>&$a"!$4 200:4 M> G!a% H$

74 M$>&a B4 F$!,"' Aan Ta,(anC /$n$>a G$# "- "& D$agn-,$, an#

T!a"(n" - Mn"a D$,-!#!4 20094 J-&n %$) S-n,' L"#4

54 D$agn-,"$> an# S"a"$,"$>a Mana - Mn"a D$,-!#!' F-!"& E#$"$-n C

DSM=IV=TR4 20054 A(!$>an P,)>&$a"!$> A,,->$a"$-n4

94 Ma,$( R4 Diagnosis !angguan "ia# Ru$ukan Ringkas dari PPD!"%&&&

dan D'( )4 Ja*a!"a+ Bag$an I( K#-*"!an J$%a FK=Un$*a A"(a8a)aC

20164 :4 A"&! B$,ang' Ra)(-n# T!.- ' R-b!" Wagn!' R"" S)n#!-( + Inan>)

"- A#"&--#4 V-41:' N(41' 200;4

;4 Ma,$(' R,#$4 Pan#an P!a*"$, Pnggnaan K$n$, Oba" P,$*-"!-3$*' #$,$

*"$ga4 Ja*a!"a4 FK Un$*a A"(a Ja)a4 200:4

LAPORAN KASUS


25/36

SKIZOFRENIA PARANOID (F20.0)

IDENTITAS PASIEN: Na(a + Tn4 Y

Jn$, Ka($n + La*$=a*$

U(! T(3a"Tangga a&$!? + 2; "a&n 11 ban 22 J$ 1*3 *!ang b$& 10 "a&n )ang a4 S&$ngga' 3a,$n !"$n

(ng$!$(*an ang * *a!gan)a n"* (ng&$#3$ a#$*=a#$*n)a4

T"a3$ ,"a& 3ang *(ba$ * In#-n,$a 3a,$n *,$"an (n>a!$

3*!8aan #ngan 3ng&a,$an )ang >*34


26/36

Pa,$n (a,* * RSKD Da#$ n"* *#a *a$n)a' )ang 3!"a(a

3a#a "a&n 20104 S"a& #$"!a3$ ,a(a 6 ban 3a,$n ((ba$* #an

b$,a (an8"*an *&$#3ann)a #$ Pa!$g$=B-n %aa3n "!*a#ang

3a,$n *!ang 3a"& ($n( -ba"4 Na(n ,*(ba$n)a #$ *a(3ng

a,a' 3a,$n "a* *n8ng (n#a3a" 3*!8aan #ngan 3ng&a,$an )ang

>*34 Pa,$n (nga* "$#a* (($$*$ *"!a(3$an a3a3n4

*) n,""&,is5un+si- Hn#a)a ,-,$a ?

- Hn#a)a 3*!8aan ?

- Hn#a)a %a*" ,nggang ?

) F"#$o- s$-sso- /si#ososi"lPa,$n "$#a* ((3n)a$ 3ng&a,$an )ang >*3 n"* ((b$a)a$ a#$*

@ a#$*n)a4

,) u*un+"n +"n++u"n s#"-"n+ ,n+"n -i?""$ /n"#i$ 5isi# ,"n

/si#is s*lun"In*,$ = ?

T!a(a ? *>a*aan ,aa" *a, 6 SD

M!-*-* ? ,a" bng*, 3! &a!$

A*-&- = ?

Oba" @ -ba"an ? 8n$, ,&ab @ ,&ab

S*$"a! 5 "a&n a (ngaa($ 3!ba&an 3!$a* ,"a& 3ang #a!$

Maa),$a #an (n"a3 #$ In#-n,$a 3a,$n "$#a* ag$ (($$*$ 3*!8aan

#ngan 3ng&a,$an )ang >*3 n"* ((b$a)a$ a#$* @ a#$*n)a4

'. Ri?""$ 3"n++u"n S*lun"Pa,$n ,#a& 3!na& b!-ba" #$ RSKD Da#$ 3a#a "a&n 20104

Saa" $" 3a,$n b!-ba" #ngan *&an )ang ,a(a4 Pa,$n #$*na

*!ang 3a"& ($n( -ba"4

D. Ri?""$ K!i,u/"n P-i*",i") Ri?""$ P-n"$"l ,"n /-in"$"l

Pa,$n a&$! #$ !(a& ,>a!a n-!(a #$"--ng -& b$#an4

*) Ri?""$ "s" #"n"# < #"n"# "?"lP!"(b&an #an 3!*(bangan ba$* ,,a$ ,$an)a

) Ri?""$ "s" #"n"# < #"n"# /-$n+"!"nP!"(b&an #an 3!*(bangan 3a,$n ba$* ,,a$ #ngan ana*

,,$an)a

M#a& B!ga

,) Ri?""$ "s" #"n"# B #"n"# "#!i-

P!"(b&an #an 3!*(bangan ana* ba$* ,,a$ ,$an)a


27/36

) Ri?""$ "s" ,?"s"- Ri?""$ Pn,i,i#"n

Pn#$#$*an "!a*&$! 3a,$n a#aa& S*-a& Da,a! SD?- Ri?""$ P#-@""n

B*!8a ,baga$ TKI #$ Maa),$a ,8a* 2005 @ 200


28/36

P + $)a

DM + *na3a ba3a* (nga(*

P + "$#a* "a

DM + A3a ba3a* *!8a *aa (nga(*

P + L(3a!$ !(a& 3a*a$ ba"4

DM + A3aag$

P + L(3a!$ (-b$ 8ga 3a*a$ ba"

DM + Kna3a (3a!$ !(a& #an (-b$

P + Ka!na (nggangg4

DM + Mnggangg baga$(ana 3a*

P + Sa!a (-b$ (nggangg "$nga*4

DM + O& ,a!a (-b$ gangg ba3a*4 Kna3a ba3a* b$,a b$ang ,a!a (-b$

(nggangg

P + Ka!na *aa ,a)a #nga! ,a!a (-b$' $" (-b$ (a "ab!a* *a4

DM + A3aag$ *$"a #nga! *aa a#a ,a!a (-b$

P + Hab$, * #nga! ,a!a (-b$ )ang (a "ab!a* *a' a#a 8ga * #nga!

,a!a a*$=a*$ ,!&*a (3a!$ $" (-b$4

DM + S!& (3a!$ 3a*a$ a3a ba3a* #nga! 3!$n"a&n)a

P + (3a!$ 3a*a$ ba" #-*

DM + Kaa ba3a* ,#a& (3a!$ (-b$ 3a*a$ ba"' (a,$& a#a ,a!a=,a!a

)ang ba3a* #nga!

P + #$a(?

DM + Baga$(ana 3a* /!$"a ,a8a4

P + Kaa ,#a& * (3a!$ #-*4 D$,!& *a a!$4

DM + S$a3a )ang ,!& a!$

P +Sa!a a*$=a*$ )ang "a#$ #-*4

DM + O& bg$"4 Kaa (3a!$ !(a& *na3a $" 3a*

P + A#a -!ang 8*=8* #an (a gangg ,a)a4

DM + D$(ana ba3a* #nga! (ng8*=8*

P + D$ #aa( !(a&4 Ma*an)a ,a)a (3a!$ !(a& 3a*a$ ba"4 Sa!a a*$=

a*$ ,!& (3a!$ $" !(a&4 Ja#$ ,a)a $*"$4


29/36

DM + Kaa -!ang #$ #aa( !(a& $" baga$(ana 3a*

P + Sa)a 3* 8ga4

DM + O& bg$"4 A3aag$ ba3a* *!8a "$a3 &a!$

P + A#a b!ng * #-*4

DM + B!ng #$(ana

P + D$ ba*ang !(a& #-*4Sa)a 8aga$ "$a3 &a!$4

DM + A#a b!a3a b!ng "a

P + Ena(

DM + Kaa "$#a* #$8aga$ b$,a

P + T$#a* #-*4 Ha!, * 8aga $" b!ng4

DM + D ba3a* *!8a a3a ,b( 8a#$ 3"an$ #$ b-n

P + D$ Maa),$a #-*4

DM + I)a #$ Maa),$a *!8a a3a

P + Ja#$ TKI #-*

DM + S8a* *a3an

P + S#a& a(a 3-*-*n)a #-*

DM + D$ Maa),$a 3!na& #$ *a,$ -ba"=-ba"

P + I)a #-*

DM + A3a $"

P + S&ab=,&ab4 T(an* )ang *na*an $" ba!ang4

DM + Wa*" 3ang * B-n ag$4 Ma,$& *-n,(,$ ,&ab=,&ab

P + T$#a* 3!na& ag$4 D$ Maa),$a ,a8a4 Pa,$n #$a(' a "$ba="$ba

b!*a"a? D$ b-n "$#a* "a (a *!8a a3a4

DM + Kna3a 3a* Ba3a* "$#a* ,*a #$ B-n

P + D$ B-n "$#a* >*3 ang *4 D$ Maa),$a ban)a*' 8a#$ b$,a *a,$

*a!ga *4

DM + T$ngga ,a(a ,$a3a #$ B-n ,*a!ang 3a*

P + Sa(a $b*' ,a(a a#$* *4 T$#a* b$,a ag$ b$a)a$ a#$*=a#$* *

,*a!ang4 T$#a* >*3 ang *4

DM + Pa* Y ,#a& (n$*a&

P + B(


30/36

DM + B!a3a b!,a#a!a 3a*

P + 7

DM + Pa* Y ana* * b!a3a

P + 2

DM + /-ba ba3a* &$"ng' 100=:

P + *3 3!"an)aan ,a)a 3a*4 I,"$!a&a" ,a8a

# )aa 3a*4

II. PEMERIKSAAN STATUS MENTALA. Ds#-i/si Uu

") Pn"/il"n: S-!ang a*$=a*$' %a8a& ,,a$ (!' 3-,"! "b& ,#ang'

((a*a$ ba8 &$"a(' >ana 3an8ang %a!na >-*a"' !a(b" g-n#!-ng'

3!a%a"an #$!$ *!ang4

*) Ks","-"n: B!ba&) P-il"#u ,"n "#$i%i$"s o$o-i# + Tnang,) P*i"-""n: S3-n"an' an>a!' $n"-na,$ b$a,a ) Si#"/ $-!","/ /-i#s": K--3!a"$ . K",""n "5#$i5 (oo,)1 /-"s""n ,"n /"$i") Moo,: Ba$* *) A5#: T(3) E/"$i: T$#a* #a3a" #$!aba!a,a*an'. Fun+si In$l#$u"l") T"-"5 /n,i,i#"n1 /n+$"!u"n uu ,"n #-,"s"n: S,a$ #ngan

"$ng*a" 3n#$#$*an

*) D"" #onsn$-"si : Ba$* ) O-in$"si:- Wa*" + Ba$*

- T(3a" + Ba$*

-O!ang + Ba$*

,) D"" in+"$:- Jang*a 3an8ang + Ba$*

- Jang*a ,#ang + Ba$*

- Jang*a 3n#* + Ba$*

- Jang*a ,g!a + Ba$*

) Pi#i-"n "*s$-"#: Ba$* 5) "#"$ #-"$i5: T$#a* a#a+) K"/u"n nolon+ ,i-i sn,i-i: K!ang

D. 3"n++u"n P-s/si


31/36

") "lusin"si : Ha,$na,$ .$,a 3a,$n ($&a" 9 *-!

b!ng )ang &a!, #$8aga 3a#a&a "$#a* a#a?4

Ha,$na,$ a#$"-!$* 3a,$n ,a!a a*$=

a*$ ((!$n"a&n)a n"* ((3a!$ (-b$ #ngan ba"?4

*) Ilusi : T$#a* a#a) D/-son"lis"si: T$#a* a#a,) D-"lis"si : T$#a* a#aE. P-oss -5i#i-") A-us Pi#i-"n- P-o,u#$i%i$"s : /*3- Kon$inui$"s : *a#ang $!!.an' a,-,$a,$ -ngga! - n,"" *-*"!"s" : T$#a* a#a

*) Isi Pi#i-"n- P-3"$-n 3a,$n

(!a,a ,a!a (-b$ ,baga$ ,a!a )ang ,anga" (nggangg *a!na $ng$n

(nab!a*n)a?

F$g&" - R!n> 3a,$n (!a,a

-!ang=-!ang #$,*$"a!n)a (n>!$"a$ #an (ng8*n)a?F. Pn+n,"li"n I/uls + T!gangg3. D"" Nil"i") No-o sosi"l : T!gangg*) U@i D"" Nil"i : T!gangg) Pnil"i"n R"li$"s : T!gangg. Tili#"n (insi+!$): D!a8a" 1' )a$" 3a,$n (!a,a "$#a* ,a*$"I. T"-"5 D"/"$ Di/-"": Da3a" #$3!>a)

III. PEMERIKSAAN DIA3NOSTIK LEI LANUTP(!$*,aan F$,$*

A. S$"$us In$-nus

-TD 110:0 ((Hg' N :2(n$"' P 1;(n$"' S 6945

-

/4- K-n8ng"$.a "$#a* an($,' ,>!a "$#a* $*"!,4

- Pa! + Bn)$ 3!na3a,an+ .,$*!C

Bn)$ "a(ba&an+ !-n>&$ ==?' %&$ng ==?

- Jan"ng + Bn)$ 8an"ng III (!n$' !ga!C

B$,$ng "$#a* a#a

- Ab#-(n + P!$,"a"$* ,, ? *,an n-!(aC

H3a! #an $n "$#a* "!aba

. S$"$us Nu-olo+is- G/S+ E7M9V5

- P3$+ ba"' $,-*-!' ! >a&a)a ang,ng #an "$#a* ang,ng ?

-Fng,$ *-!"$*a &!+ #aa( ba"a, n-!(a


32/36

- Tan#a !ang,ang (n$nga+ Ka* *#* =?' K!n$g, ,$gn ==?

- Fng,$ (-"-!$, #an ,n,-!$, *(3a" *,"!($"a, #aa( ba"a, n-!(a

• T$#a* #$"(*an !*, 3a"--g$,4

I. IKTISAR PENEMUAN ERMAKNADa!$ &a,$ a-ana(n,$, #an a"-ana(n,$, #$#a3a"*an 3a,$n a*$ @

a*$ #ngan ,$a 2; "a&n 11 ban #$an"a! $bn)a * RSKD Da#$ n"*

*#a *a$n)a #ngan *&an (nga(* )ang #$aa($ ,8a* 6 &a!$ )ang

a' #$*a!na*an 3a,$n (!a,a -!ang a$n (ng8*n)a ,&$ngga 3a,$n

((3a!$ !(a& #a&n ((*$ ""anggan)a' ,a$n $" 3a,$n 8ga

((3a!$ (-b$ #ngan ba" *a!na (ngangga3 ,a!a (-b$(ngganggn)a4 Pa,$n (nga"a*an ,a!a (-b$ $" $ng$n (nab!a*n)a4

Ka!ga 8ga (nga"a*an 3a,$n * ,a%a& (n8aga na( *-! b!ng

3a#a&a b!ng )ang #$*a"a*an "!,b" "$#a* a#a4 P!ba&an 3!$a*

3!"a(a *a$ *!ang b$& 5 "a&n a #$*a!na*an 3a,$n "$#a* (n#a3a"

3*!8aan #ngan 3ng&a,$an )ang >*3 n"* ((b$a)a$ a#$* @ a#$*n)a4

P!"a(a *a$ #$!a%a" "a&n 2010 #an $n$ *a$ *#a #$"(*an &n#a)a

,-,$a' &n#a)a 3*!8aan' #an &n#a)a %a*" ang4 Da!$ 3(!$*,aan(n"a #$#a3a"*an a* "(3' (3a"$ ,$" #$!aba!a,a*an4 Ganggan

3!,3,$ b!3a &a,$na,$ .$,a #an &a,$na,$ a#$"-!$*' ganggan $,$ 3$*$!

b!3a %a&a( >!$ga' #"$-n - 3!>3"$-n' $g&" - !!n>4 Da)a n$a$

"!gangg #an "$$*an #!a8a" 14 P(!$*,aan $n"!n, #an n!--g$, "$#a*

#$"(*an *a$nan b!(a*na4

. EALUASI MULTIAKSIALA. A#sis I

B!#a,a!*an a"-ana(n,$, #an 3(!$*,aan ,"a", (n"a

#$#a3a"*an g8aa *$n$, b!(a*na b!3a 3!$a* (nga(*4 Ha $n$

(n$(b*an 3n#!$"aan distress? #an disability bag$ -!ang a$n ,&$ngga

#a3a" #$,$(3*an ,baga$ 3"n++u"n @i?"4D$"(*an 3a a#an)a &n#a)a b!a" #aa( (n$a$ !a$"a b!3a

&a,$na,$ .$,a' &a,$na,$ a#$"-!$*' %a&a( >!$ga' #"$-n - 3!>3"$-n'

$g&" - !!n> #$g--ng*an * #aa( 3"n++u"n i?" Psi#o$i#.


33/36

Pa#a 3(!$*,aan ,"a", $n"!n, #an ,"a", n!--g$, "$#a*

#$"(*an a#an)a *a$nan )ang (ng$n#$*a,$*an ganggan (#$, ((

)ang (n$(b*an ganggan ng,$ -"a*' ,&$ngga #a3a" #$g--ng*an *

#aa( 3"n++u"n i?" Psi#o$i# Non O-+"ni#.Da!$ 3(!$*,aan ,"a", (n"a #$#a3a"*an a#an)a a* )ang

(n(3' &a,$na,$ .$,a' &a,$na,$ a#$"-!$*' %a&a( >!$ga' #"$-n -

3!>3"$-n' $g&" - !!n> )ang "a& b!ang,ng 1 ban ,&$ngga

(n!" PPDGJ=III #$#$agn-,$, ,baga$ S#io5-ni" F20? #an #$"a(ba&*an

&a,$na,$ #an %a&a( )ang (n-n8- ,&$ngga #$*a"g-!$*an ,baga$

S#io5-ni" P"-"noi, (F.20.0). Di"+nosis *"n,in+ : E/il/si "$"u/si#osis

"n+ ,iin,u#si ol! o*"$*3 n"*

(nga!a&*an *3!$ba#$an 3a,$n * #aa( ,aa& ,a" >$!$ *3!$ba#$an *&a,4

*None+

'. A#sis IIIT$#a* a#a #$agn-,a N-n?

D. A#sis IS"!,,-! 3,$*-,-,$a a#aa& 3a,$n "$#a* ((3n)a$ 3*!8aan

#ngan 3ng&a,$an )ang >*3 n"* ((b$a)a$ a#$* @ a#$*n)a4

E. A#sis GAF ,>a 50=71 G8aa b!a" serious' #$,ab$$"a, b!a"?

I. DAFTAR MASALAA. O-+"no*iolo+i# T$#a* #$"(*an a#an)a *a$nan $,$* )ang b!(a*na' ""a3$ #$#ga

"!#a3a" *"$#a*,$(bangan n!-"!an,($""!' (a*a 3a,$n ((!*an

"!a3$ a!(a*-"!a3$4

. Psi#olo+i# D$"(*an a#an)a &n#a)a b!a" #aa( (n$a$ !a$"a b!3a

&a,$na,$ .$,a' &a,$na,$ a#$"-!$*' %a&a( >!$ga' #"$-n - 3!>3"$-n'

$g&" - !!n>4

'. Sosiolo+i#


34/36

D$"(*an &n#a)a #aa( b$#ang ,-,$a' 3*!8aan' #an 3nggnaan

%a*" ,nggangC ,&$ngga #$3!*an ,-,$-"!a3$4

II. REN'ANA TERAPIA. F"-"#o$-"/i- R$,3!$#-n 2 (g 21

- A3!a-a( 0'5 (g 0=0=1

. Psi#o$-"/iPn#*a"an 3,$*-"!a3$ n"* ,*$-!n$a b!3a "!a3$ .n"$a,$' ,3-!"$'

#an *-n,$ng ,anga" b!(anaa" n"* "!a3$ ,*$-!n$a 8ang*a 3an8ang4

'. Sosio$-"/i

M(b!$*an 3n8a,an *3a#a 3a,$n #an *a!gan)a n"* ((b!$*an

#*ngan (-!a #an (n>$3"a*an *-n#$,$ )ang n)a(an n"* 3a,$n

III. PRO3NOSIS- F"#$o- Pn,u#un+:

• A#an)a #*ngan #a!$ *a!ga

• T$#a* a#a *a$nan -!gan-b$--g$*

• S"!,,-! 3,$*--g$, )ang 8a,

- F"#$o- Pn+!"*"$:

• Pn)a*$" 3a,$n ,#a& ,!$ng b!ang

• U,$a (#a

• Pa,$n #$*na *!ang 3a"& ($n( -ba"

Da!$ a*"-!=a*"-! "!,b"' #a3a" #$,$(3*an ba&%a 3!-gn-,$, 3a,$n+

Du*i" ", "l"

I. FOLLO= UPM(an"a 3!*(bangan 3n)a*$" 3a,$n ,!"a (n$a$ *"$.$"a,

3ng-ba"an ,!"a * ,a(3$ng )ang (ng*$n (n>4

. PEMAASAN & TINAUAN PUSTAKA


35/36

S*$-!n$a a#aa& $,"$a& )ang #$gna*an n"* (ngga(ba!*an

,a" ganggan 3,$*$a"!$ (a)-! )ang #$"an#a$ #ngan a#an)a 3!ba&an

3a#a 3!,3,$' 3$*$!an' a* #an 3!$a* ,,-!ang4 K,a#a!an )ang 8!n$&

#an *(a(3an $n"*"a b$a,an)a (a,$& "!3$&a!a' %aa3n #$,$"

*-gn$"$ "!"n" #a3a" b!*(bang *(#$an4

G8aa ,*$-!n$a ,>a!a ga!$, b,a! #a3a" #$b#a*an #aa( #a

*-(3-* )a$" g8aa 3-,$"$ #an g8aa nga"$4 G8aa 3-,$"$ b!3a

#,$' &a,$na,$' **a>aan 3$*$!an' ga#& g$,a& #an 3!$a* an& a"a

b!(,&an4 G8aa nga"$ a#aa& aa( 3!a,aan a*? "(3 a"a

(n#a"a!' (na!$* #$!$ a"a $,-a,$ #$!$ #a!$ 3!gaan' ($,*$n *-n"a*

(-,$-na 3n#$a(' ,$" #$a8a* b$>a!a?' 3a,$' a3a"$, a"a a>& "a* a>&'

,$" b!3$*$! ab,"!a* #an *&$angan #-!-ngan *&n#a* a"a $n$,$a"$4

Mn!" PPDGJ=III' n"* (n#$agn-,$, ,*$-!n$a F20? 8$*a

((n&$ *!$"!$a )a$"+

• Ha!, a#a ,#$*$"n)a ,a" g8aa b!$*" $n$ )ang a(a" 8a, #an b$a,an)a

#a g8aa a"a b$& b$a g8aa=g8aa $" *!ang "a8a( a"a *!ang 8a,? +

a? = thought echo% thought insertion or ithdraal

% thought broadcasting

b? = delusion of control

=delusion of influence

% delusion of passivity

= delusion of perception

>? &a,$na,$ a#$"-!$* +

= ,a" &a,$na,$ )ang b!*-(n"a! "!&a#a3 3a,$n

= (n#$,*,$*an 3!$&a 3a,$n #$an"a!a (!*a ,n#$!$

= 8n$, ,a!a &a,$na,$ a$n )ang b!a,a #a!$ ,aa& ,a" bag$an "b&

#? %a&a(=%a&a( (n"a3 8n$, a$nn)a' )ang (n!" b#a)a ,"(3a" "$#a*

%a8a! #an ,,a" )ang (,"a&$4

• A"a 3a$ng ,#$*$" #a g8aa #$ba%a& $n$ )ang &a!, ,a a#a ,>a!a 8a,+

a? &a,$na,$ )ang (n"a3 #a!$ 3an>a $n#!a a3a ,a8a

b? a!, 3$*$!an )ang "!3", a"a )ang (ngaa($ ,$,$3an')ang b!a*$ba"

$n*-&!n,$ a"a 3(b$>a!aan )ang "$#a* !.an a"a n--g$,(

>? 3!$a* *a"a"-n$* ,3!"$ *a#aan ga#& g$,a& '3-,$,$ "b& "!"n"

3-,"!$ng?


36/36

#? g8aa=g8aa Qnga"$Q',3!"$ ,$*a3 ,anga" a3a"$,'b$>a!a )ang 8a!ang'#an

!,3-n, (-,$-na )ang (n(3 a"a "$#a* %a8a!

• A#an)a g8aa=g8aa *&a, "!,b" #$a"a, "a& b!ang,ng ,a(a *!n

%a*" ,a" ban a"a b$&

• Ha!, a#a ,a" 3!ba&an )g *-n,$,"n #an b!(a*na #aa( ("

*,!&an #a!$ bb!a3a a,3* 3!$a* 3!$ba#$4

Pa,$n $n$ #$#$agn-,$, ,baga$ S*$-!n$a Pa!an-$# F42040? *a!na

((n&$ *!$"!$a (( n"* #$agn-,$, ,*$-!n$a

Ha,$na,$ #ana"a %a&a( &a!, (n-n8-

a4 Sa!a @ ,a!a &a,$na,$ )ang (ngan>a( a"a ((b!$ 3!$n"a& a"a

&a,$na,$ a#$"-!$* "an3a bn"* .!ba b!3a bn)$ 3$" %&$,"$ng?'

(n#ngng &(($ng?' a"a bn)$ "a%a ag&$ng?4

b4 Ha,$na,$ 3(baan a"a 3ng>a3an !a,a' a"a b!,$a" ,*,a' a"a a$n=

a$n 3!a,aan "b&C &a,$na,$ .$,a (ng*$n a#a ""a3$ 8a!ang (n-n8-4

>4 Wa&a( #a3a" b!3a &a(3$! ,"$a3 8n$,' ""a3$ %a&a( #$*n#a$*an

#,$-n - >-n"!-?' #$3nga!&$ #,$-n - $nn>?' a"a 3a,,$.$")

#,$-n - 3a,,$.$")? #an *)a*$nan #$*8a!=*8a! )ang b!an*a !aga('

a#aa& )ang 3a$ng *&a,4

Ganggan a*"$' #-!-ngan *&n#a*' #an 3(b$>a!aan ,!"a g8aa

*a"a"-n$* ,>a!a !a"$ "$#a* n)a"a a"a (n-n8-4

D"$"- Pus$"#"

14 Sa#->* BJ' Sa#->* VA4 aplan - 'adocks 'ynopsis of Psichiatry #

ehavioral 'ciences / Clinical Psychiatry+ L$33$n>-"" W$$a(, W$*$n,C

200:4

24 Ma,$( R4 Diagnosis !angguan "ia# Ru$ukan Ringkas dari PPD!"%&&&

dan D'( )4 Ja*a!"a+ Bag$an I( K#-*"!an J$%a FK=Un$*a A"(a8a)aC

2016

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