Upload
annisaoktoviani
View
216
Download
0
Embed Size (px)
Citation preview
8/19/2019 Cover Mutiah
1/36
BAGIAN PSIKIATRI
FAKULTAS KEDOKTERAN
UNIVERSITAS HASANUDDIN JULI 2015
REFERAT: SINDROM RETT (F84.2)
LAPORAN KASUS : SKIZOFRENIA PARANOID (F20.0)
Disusun ol!:
Annis" O#$o%i"ni & ' 0
P*i*in+:
,-. ui"-ni U"-
Su/-%iso-:
D-.,-. . M. F"is"l I,-us1 S/.K. (K)
DIBAWAKAN DALAM RANGKA TUGAS KEPANITERAAN KLINIK
DEPARTEMEN PSIKIATRI
FAKULTAS KEDOKTERAN UNIVERSITAS HASANUDDIN
MAKASSAR
2015
8/19/2019 Cover Mutiah
2/36
LEMAR PEN3ESAAN
Yang b!"an#a "angan #$ 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$$ (F84.2)
J# La3-!an Ka,, + S#io5-ni" P"-"noi, (F20.0)
Ta& (n),a$*an "ga, !!a" #aa( !ang*a K3an$"!aan K$n$* 3a#a Bag$an
I( K,&a"an J$%a Fa*"a, K#-*"!an Un$.!,$"a, Ha,an##$n4
Ma*a,,a!' J$ 2015
Mng"a&$
P(b$(b$ng' /-a,,'
,-. ui"-ni U"- ) ( Annis" O#$o%i"ni )
Su/-%iso-
( D-.,-..M.F"is"l I,-us1 S/.K. (K) )
8/19/2019 Cover Mutiah
3/36
DAFTAR ISI
HALAMAN SAMPUL
LEMBAR PENGESAHAN
DAFTAR ISI
REFERAT
BAB I PENDAHULUAN 444444444444444444444444444444444444444444444444444444444444444444444444444444 1
BAB II PEMBAHASAN
241 D$n$,$ 44444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 2242 E3$#($--g$ 44444444444444444444444444444444444444444444444444444444444444444444444444444444 2
246 E"$--g$ 44444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 6
247 G8aa K$n$, 4444444444444444444444444444444444444444444444444444444444444444444444444444444444 7
245 D$agn-,$, 4444444444444444444444444444444444444444444444444444444444444444444444444444444444444 9
249 D$!n,$a D$agn-,$, 444444444444444444444444444444444444444444444444444444444444444444 10
24: T!a3$ 4444444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 11
24; P!-gn-,$, 444444444444444444444444444444444444444444444444444444444444444444444444444444444444444 12
BAB III KESIMPULAN 4444444444444444444444444444444444444444444444444444444444444444444444444444444 17
DAFTAR PUSTAKA 444444444444444444444444444444444444444444444444444444444444444444444444444444444444 15
SINDROM RETT
8/19/2019 Cover Mutiah
4/36
I. PENDAULUAN
S$n#!-( R"" a#aa& ganggan n!--g$," )ang #$"(*an -& D!4
An#!a, R"" #a!$ A,"!$a "a&n 1a!a n$.!,a 3n)a*$" $" ba! #$a*$ 1$a "$(ba @ ba$*'
*(a(3an *-(n$*a,$' a*"$$"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
8/19/2019 Cover Mutiah
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 #$$*"$
-& &$angn)a ng,$ "angan "!"n"' &$angn)a 3!g!a*an "angan'
a(ba"n)a 3!"(b&an -"a* #an *3aa4
2.2 EPIDEMIOLO3I
Ang*a *8a#$an ,$n#!-( R"" "a& #$a3-!*an (n8a#$ ,*$"a! 1 3!
264000 *a&$!an &$#3 3!(3an4 Va!$a,$ #aa( *8a#$an "a&
#$a3-!*an #$ b!baga$ nga!aC "a!$ ,"$ngg$ 1 3! 104000 *a&$!an
&$#3 3!(3an "a& #$a3-!*an4 Sa" ,"#$ #$ J3ang (n(*an
*8a#$an #a!$ 1 3! 754000 ana* 3!(3an b!,$a 9=17 "a&n4 Va!$a,$
*8a#$an (ng*$n ,bag$an #$,bab*an -& (a,*n)a bn"* a"$3$*a
a"a .a!$an #a!$ S$n#!-( R""4 Bn"*=bn"* a"$3$*a "!(a,*
8/19/2019 Cover Mutiah
6/36
S$n#!-( R"" ba%aan' bn"* )ang b$& !$ngan #ngan -n,"
*(#$an !g!,$ #an ganggan .a!$an b$>a!a4 S$n#!-( R"" ((n)a
#$*na$ ,>a!a *$n$, 3a#a ,$a 2=7 "a&n4 Na(n' 3ngnaan
3!*(bangan ,a!a )ang (n#a,a!$ (ng*$n #$(a$ 3a#a ana* ,$a
9=1; ban a"a b$& (#a4 Kban)a*an 3a,$n )ang #$$#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$(
8/19/2019 Cover Mutiah
7/36
("ab-$,( a((-n$a' "a3$ &$3!a(-n($a b( #$"(*an #$
*ban)a*an 3n#!$"a S$n#!-( R""4 Mng*$n S$n#!-( R"" (($$*$
#a,a! gn"$>4 Ha $n$ "!$&a" "!"a(a 3a#a ana* 3!(3an' #an a3-!an
*a,, ,8a& $n$ (nn8**an *-n*-!#$na,$ ng*a3 #$ (-n-$g-"$*
*(ba!4
S$n#!-( R"" #$,bab*an -& ("a,$ 3a#a gn ME/P2 (>*=
3a="%-?' )ang #$"(*an 3a#a *!-(-,-( 4 Yang (n(*an
ME/P2 3!"a(a *a$ a#aa& A#!$an B$!#' P&4 D 3a#a "a&n 1
8/19/2019 Cover Mutiah
8/36
3ng&a(ba" 3(a"angan -"a*' ("a,$ ME/P2 "$#a* (n)bab*an
*!,a*an -"a* 3!(ann4 Wan$"a #ngan *!,a*an gn ME/P2
&an)a ,3a!& )ang "!3nga!&' ,3a!& ag$ (a,$& #a3a" b!ng,$
n-!(a4 Ha )ang b!b#a "!8a#$ 3a#a ana* a*$=a*$ )ang (($$*$
("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*$4
8/19/2019 Cover Mutiah
9/36
74 L$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' #$$*"$ #ngan *&$angan ,bag$an a"a
,!&n)a *"!a(3$an "angan #an b!b$>a!a )ang "a& #$ #a3a"'
b!,a(aan #ngan "!#a3a"n)a kemunduran / perlambatan pertumbuhan
kepala. P!8aanan ganggan b!,$a" Progressive motor Reterioretion4
G8aa *&a, )ang 3a$ng (n-n8- a#aa& &$angn)a *(a(3an g!a*an
"angan )ang b!"8an n"* *"!a(3$an (an$3a"$. #a!$ (-"-!$* &a,
)ang "a& "!a"$&4 D$,!"a$ *&$angan a"a &a(ba"an ,!& a"a
,bag$an 3!*(bangan b!ba&a,aC g!a*an ,3!"$ (n>>$ "angan )ang
8/19/2019 Cover Mutiah
10/36
,"!-"$3$*' #ngan *,$ "angan #$ ngan #$ #3an #a#a a"a #agC
((ba,a&$ "angan ,>a!a ,"!-"$3$* #ngan #a& ,a$.a?C &a(ba"an
#aa( (ngn)a& (a*anan )ang ba$*C ,!$ng "!8a#$ 3$,-#
&$3!.n"$a,$C &a(3$! ,a gaga #aa( 3nga"!an bang a$! b,a! #an
bang a$! *>$C ,!$ng "!#a3a" 3n8!an $#a& #an a$! $! )ang (n"a,C
#an *&$angan #aa( $*a"an ,->$a4S>a!a *&a, "a(3a* ana* ""a3 #a3a" ,n)( ,->$a ,->$a ,($?'
(na"a3 ,,-!ang #ngan *-,-ng' ""a3$ "$#a* "!8a#$ $n"!a*,$ ,->$a
#ngan (!*a 3a#a a%a (a,a *ana* Wa3n $n"a*,$ ,->$a #a3a"
b!*(bang *(#$an?4 /a!a b!#$!$ #an b!8aan >n!ng (ba! b!-a#
ba,#?' -"-" &$3-"-n$*' *--!#$na,$ g!a* "b& ((b!* a"a*,$a?' ,!"a
,*-$-,$, a"a *$-,*-$-,$, )ang b!*(bang *(#$an4 A"!-$ ,3$na'
#ngan #$,b$$"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 !"$n4
8/19/2019 Cover Mutiah
11/36
T$#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"
8/19/2019 Cover Mutiah
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&
8/19/2019 Cover Mutiah
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
8/19/2019 Cover Mutiah
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$
8/19/2019 Cover Mutiah
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,'
8/19/2019 Cover Mutiah
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,$'
8/19/2019 Cover Mutiah
17/36
= Lb$& 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,$4
PEN33UNAAN OAT
8/19/2019 Cover Mutiah
18/36
Oba" #$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
8/19/2019 Cover Mutiah
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#$!$4 Pnggnaan "angan )ang
8/19/2019 Cover Mutiah
20/36
"$#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"
8/19/2019 Cover Mutiah
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*"$$"a, ana* )ang n-!(a' &a $n$ ((3!*a" 3ng&a!gaan n"*
*(a(3an (!*a b!3a!"$,$3a,$ ,n-!(a (ng*$n4 P!a,aan $n$
(n(b&*an ,=,"( #an 3!>a)a #$!$4 T8an #a!$ "!a3$ $n$ a#aa&
(n#-!-ng n"* (n>a3a$ "$ng*a" *(an#$!$an "!"$ngg$' "!$ba" #aa(
(a)a!a*a"' (n8aga *,&a"an $,$*' #an (n$ng*a"*an *a$"a, &$#3n)a4
A$! ((b!$*an 3ngaa(an ba! #an (n)nang*an4
M(ng*$n*an n"* (a**an &a=&a )ang "$#a* #a3a" #$a**an #$
a! a$!4 In$ 8ga ((ng*$n*an *(a(3an (-"-!$*n)a )ang &$ang a"a
&an)a "!,(bn)$4G!a*an ,3-n"an b$& (#a& #$a**an #aa( a$! #an
&)#!-"&!a3&) (n$ng*a"*an 8ang*aan g!a* #an (ng!ang$ *8ang=
*8ang4 K,$"an ,n,-!$ #an 3!,3,$ )ang $a !a,a*an ,aa" b!a#a #$ a!
a$! "$#a* (n> *"$*a b!a#a #$ a$!' ,&$ngga $a #a3a" (!a$&
*,$(bangan )ang b$& ba$* "an3a !ag=!ag #an "a*"4 Hanga"n)a a$!
8/19/2019 Cover Mutiah
22/36
((ban" (nnang*an g!a* $n.-n"!' g!a*an ,"!-")3 #an
*,$"an b!naa,4 F*,$,b$$"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
(($$*$ *-gn$"$ ,3!"$ "a&n 3!"a(a *&$#3an
8/19/2019 Cover Mutiah
23/36
Ka3an an# Sa#->*C P!.a,$. D.-3(n"a D$,-!#!' R"", D$,-!#!4
SYNOPSIS OF PSY/HIATRY4 Tn"& E#4 200:4 L$33$n>-n"" W$$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 (($$*$ g!a*an
"angan !3"$"$.' 3-a b!naa, )ang "$#a* "!a"!' *8ang #an (a,aa&
*--!#$na$ (-"-!$* )ang *,"!$(4 P!(aan S$n#!-( R"" "!8a#$ 3a#a
,$a )ang b!.a!$a,$ #ngan g8aa )ang b!.a!$a,$ 3a4 T$#a* a#a -ba"
n"* S$n#!-(a R""4 S$n#!-( R"" #$,bab*an -& ("a,$ gn
ME/P2 )ang "a*n)a #$ *!-(-,-( 4 S$n#!-( R"" "$#a* (ngna
ba"a, g-g!a$,' !a,$a' (a3n ,->$a4 K(ng*$nan S$n#!-( R""
"!8a#$ ag$ #aa( ,ba& *a!ga *!ang #a!$ ,a" 3!,n4 M,*$3n
bb!a3a 3n#!$"a S$n#!-( R"" (n$ngga #$ ,$a (#a' ,bag$an
b,a! b!"a&an &$ngga ,$a #%a,a4
8/19/2019 Cover Mutiah
24/36
S$n#!-( R"" #a3a" #$#"*,$ #$n$ (a$ ", gn"$>4 S$n#!-( R""
&an)a #$#!$"a -& %an$"a *a!na a*$=a*$ &an)a (($*$ ,a"
,$n#!-( ,&$ngga ana* a*$=a*$ 3n#!$"a SIn#!-( R"" (n$ngga
,b( a"a ,,aa" ,"a& #$a&$!*an4
DAFTAR PUSTAKA :14 Ka3an an# Sa#->*C P!.a,$. D.-3(n"a D$,-!#!' R"", D$,-!#!4
SYNOPSIS OF PSY/HIATRY4 Tn"& E#4 200:4 L$33$n>-n"" W$$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
8/19/2019 Cover Mutiah
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,$an )ang >*34
8/19/2019 Cover Mutiah
26/36
Pa,$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$* ,,a$ ,$an)a
8/19/2019 Cover Mutiah
27/36
) Ri?""$ "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
8/19/2019 Cover Mutiah
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 $*"$4
8/19/2019 Cover Mutiah
29/36
DM + Kaa -!ang #$ #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(
8/19/2019 Cover Mutiah
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
8/19/2019 Cover Mutiah
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,$ *-!"$*a &!+ #aa( ba"a, n-!(a
8/19/2019 Cover Mutiah
32/36
- Tan#a !ang,ang (n$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 "$$*an #!a8a" 14 P(!$*,aan $n"!n, #an n!--g$, "$#a*
#$"(*an *a$nan b!(a*na4
. EALUASI MULTIAKSIALA. A#sis I
B!#a,a!*an a"-ana(n,$, #an 3(!$*,aan ,"a", (n"a
#$#a3a"*an g8aa *$n$, b!(a*na b!3a 3!$a* (nga(*4 Ha $n$
(n$(b*an 3n#!$"aan distress? #an disability bag$ -!ang a$n ,&$ngga
#a3a" #$,$(3*an ,baga$ 3"n++u"n @i?"4D$"(*an 3a a#an)a &n#a)a b!a" #aa( (n$a$ !a$"a b!3a
&a,$na,$ .$,a' &a,$na,$ a#$"-!$*' %a&a( >!$ga' #"$-n - 3!>3"$-n'
$g&" - !!n> #$g--ng*an * #aa( 3"n++u"n i?" Psi#o$i#.
8/19/2019 Cover Mutiah
33/36
Pa#a 3(!$*,aan ,"a", $n"!n, #an ,"a", n!--g$, "$#a*
#$"(*an a#an)a *a$nan )ang (ng$n#$*a,$*an ganggan (#$, ((
)ang (n$(b*an ganggan ng,$ -"a*' ,&$ngga #a3a" #$g--ng*an *
#aa( 3"n++u"n i?" Psi#o$i# Non O-+"ni#.Da!$ 3(!$*,aan ,"a", (n"a #$#a3a"*an a#an)a a* )ang
(n(3' &a,$na,$ .$,a' &a,$na,$ a#$"-!$*' %a&a( >!$ga' #"$-n -
3!>3"$-n' $g&" - !!n> )ang "a& b!ang,ng 1 ban ,&$ngga
(n!" PPDGJ=III #$#$agn-,$, ,baga$ S#io5-ni" F20? #an #$"a(ba&*an
&a,$na,$ #an %a&a( )ang (n-n8- ,&$ngga #$*a"g-!$*an ,baga$
S#io5-ni" P"-"noi, (F.20.0). Di"+nosis *"n,in+ : E/il/si "$"u/si#osis
"n+ ,iin,u#si ol! o*"$*3 n"*
(nga!a&*an *3!$ba#$an 3a,$n * #aa( ,aa& ,a" >$!$ *3!$ba#$an *&a,4
*None+
'. A#sis IIIT$#a* a#a #$agn-,a N-n?
D. A#sis IS"!,,-! 3,$*-,-,$a a#aa& 3a,$n "$#a* ((3n)a$ 3*!8aan
#ngan 3ng&a,$an )ang >*3 n"* ((b$a)a$ a#$* @ a#$*n)a4
E. A#sis GAF ,>a 50=71 G8aa b!a" serious' #$,ab$$"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'
$g&" - !!n>4
'. Sosiolo+i#
8/19/2019 Cover Mutiah
34/36
D$"(*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
8/19/2019 Cover Mutiah
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-,"!$ng?
8/19/2019 Cover Mutiah
36/36
#? g8aa=g8aa Qnga"$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