Anamnesis

Identification: 34-year-old male patient with a prior diagnosis of paranoid schizophrenia, hospitalized due to a psychotic exacerbation. History of Present Illness: Chief Complaint: "Electric pain" at the vertex for 2 months Intensity 10/10, continuous Attributed to "government implants" Psychopathological Context: Delusion of control ("brain waves are torturing me") Auditory hallucinations commanding self-mutilation Denial of any psychiatric condition Associated Symptoms: Persistent insomnia Cephalic self-mutilation (scalp excoriations) Food refusal due to "contamination" Psychiatric Examination (AMDP): Thought: Bizarre somatic delusions Severe logical dissociation Perception: Cenesthetic hallucinations ("wires cutting my brain") Affect: Affective blunting Emotional incongruence Complementary Examinations: Cranial MRI: Normal EEG: No epileptiform activity Toxicological Evaluation: Negative Psychometric Scales: PANSS: 102 (severe) Somatic Delusion Scale: 8/10

Report this case — e.g. suspected re-identification risk.