Upload
mohamad-fachry
View
217
Download
0
Embed Size (px)
Citation preview
8/18/2019 Learning Objective Ke 4 Blok 18
1/23
TUGAS TUTORIAL November, 2015
BLOK 18 : Neurology, Behv!or "# $%y&h!'ry
LEARNING UNIT IV
STASE PSIKIATRI
(!%u%u" Oleh :
NA)A : Rm#h" *+!h
STA)BUK : N 101 12 021
K-LO)$OK : .II /Tuuh
$ROGRA) STU(I K-(OKT-RAN
AKULTAS K-(OKT-RAN (AN IL)U K-S-3ATAN
UNI.-RSITAS TA(ULAKO
$ALU
2015
8/18/2019 Learning Objective Ke 4 Blok 18
2/23
Learning objective ke 4 blok 18
1. obat anti psikotik ?
4b":
A"'!6%!7o%!% #!%ebu' ug "eurole6'!&, #hulu #!"m7" mor 'r"%+u!l!er9 Slh
%'u"y #lh &hlor6rom!"e /$*, y"g #!6er7e"l7" 6er'm 7l! 'hu" 1;51 %ebg!
6reme#!7%! #lm "%'e%! 7!b' ee7"y y"g membu' rel7%%! '!"g7' 7e4%6#"
%e%eor"g9 $* %eger #!&ob7" 6# 6e"#er!' %7!ore"! #" 'er"y' beree7 me"gur"g!
#elu%! #" hlu%!"%! '"6 ee7 %e#'! y"g berleb!h"9
Mekanisme Kerja
Semu ob' "'!6%!7o%!% meru67" ob'ob' 6o'e"%!l #lm memblo7#e re%e6'or
#o6m!" #" ug #6' memblo7#e re%e6'or 7ol!"erg!7, #re"erg!7 #" h!%'m!"9 $# ob'
ge"er%! 6er'm /e"o'!!" #" bu'!roe"o", umum"y '!#7 'erllu %ele7'!, %e#"g7"
be"m!# %"g' %ele7'! #lm memblo7#e re%e6'or #o6m!"e (29 A"'!6%!7o%!%
8/18/2019 Learning Objective Ke 4 Blok 18
3/23
Umum"y #!7o"%um%! %e&r orl, y"g mele4'! ol, b!%
#!ber!7" lru'" e%'er ber%m vege'ble o!l #lm be"'u7 yle"!#!l D>2 mgFhr!9
Ob' "'!6%!7o%!% 6re"'erl bergu" u"'u7 6%!e" y"g '!#7 mu 'u %ul!' 'er'ur
m7" ob' 'u '!#7 ee7'! #e"g" me#!7%! orl9 (o%!% #!mul! #e"g" 0,5 && %e'!6 bul"9
$ember!""y h"y u"'u7 'er6! %'b!l!%%! #" 6emel!hr" 'erh#6 %7!ore"!9
$e"ggu"" $* %er!"g me"!mbul7" h!6o'e"%! or'ho%''!7 6# 47'u
merubh 6o%!%! 'ubuh9 3l !"! #6' #!'%! #e"g" !"e7%! "or#re"l!" /eor'!l I)9
3lo6er!#ol ug #6' me"!mbul7" %!"#rom $r7!"%o", #" #!'%! #e"g" 'ble'
'r!he>yle"!#!l D?>2 mgFhr!9
In#ikasi
Ob' "'!6%!7o%!% meru67" 6!l!h" 6er'm #lm me""g"! %7!ore"!, u"'u7 memgur"g! #elu%!, hlu%!"%!, g"ggu" 6ro%e% #" !%! 6!7!r" #" ug ee7'! #lm
me"&egh 7e7mbuh"9 )or 'r"%+u!l!er ug ee7'! #lm me""g"! m"!, Toure''e%
%y"#rome, 6er!l7u 7e7er%" #" g!'%! 7!b' b!"gu"g #" #eme"%!9 @ug #6'
#!7omb!"%!7" #e"g" "'!#e6re%" #lm 6e""g"" #e6re%! #elu%!o"l9
E$ek Sampin!
19 ->'r6!rm!#l: #!%'o"! 7u', 6r7!"%o"!%m, 7'!%!, #!7!"e%! 'r#!v
29 -"#o7r!": gl&'orrhe, me"orrhe
D9 A"'!7ol!"erg!7: h!6er6rol7'!"em!
B!l 'er#! gel 'er%ebu', ob' "'!6%!7o%!% 6erlh"lh" #!he"'!7"9 B!%
#!ber!7" ob' re%er6!" 2,5 mgFhr!9 Ob' 6e"gg"'! y"g y"g 6l!"g b!7 #lh 7lo6!"50100 mgFhr!9 Re7%! !#!o%!"7r%! y"g '!mbul #6' beru6 #!%7r%! #rh,
8/18/2019 Learning Objective Ke 4 Blok 18
4/23
o'o%e"%!'!v!'%, u"#!&e, #" Neurole6'!& )l!g""' Sy"#rome/NS)9 NS) beru6
h!6er6!re7%!, r!g!#!'%, !"7o"'!"e"%! ur!", #" 6erubh" %''u% me"'l #" 7e%#r"9 B!l
'ere#! NS), he"'!7" 6em7!" ob', 6er4'" %u6or'! #" ber!7" go"!% #o6m!"
/bromo7r!6'!" D> H,5 %m6! 0 mgFhr!, L(o6 2>100 mg 'u m"'!#!" 200 mgFhr!9
Kontrain#ikasi
$e"y7!' h'!, 6e"y7!' #rh, e6!le6%!, 7el!"" "'u"g, ebr!% y"g '!"gg!,
7e'erg"'u"g" l7ohol, 6e"y7!' SS$ #" g"ggu" 7e%#r"
Reere"%! :
S' $e"gr (e6r'eme" rm7olog! K UNSRI920089 Kumpulan Kuliah
Farmakologi9-G,@7r'9
%. Manajemen !an!!"an menta&'non $armako&o!i ( psikoterapi ?
4b":
MUSIK
G"ggu" hlu%!"%! #6' #!'%! #e"g" 'er6! rm7olog! #" "o"rm7olog!
/Kel!', C!yo"o, Su%"'!, 20119 Ter6! "o"rm7olog! leb!h m" #!gu"7" 7re" '!#7 me"!mbul7" ee7 %m6!"g %e6er'! ob'ob'", 7re" 'er6! "o"rm7olog! me"ggu"7"
6ro%e% !%!olog!% /*!7r!, 20129 Slh %'u 'er6! "o"rm7olog! y"g ee7'! #lh
me"#e"gr7" mu%!79 Ter6! mu%!7 %"g' mu#h #!'er!m org" 6e"#e"gr" #" 7emu#!"
mellu! %r 6e"#e"gr" #!%lur7" 7e bg!" o'7 y"g mem6ro%e% emo%! y!'u %!%'em
l!mb!7 /Al#r!#ge, 200899 $e"el!'!" OSull!v" /1;;1, #lm Ru%#! I%"4'!, 200;
me"emu7" bh4 mu%!7 #6' mem6e"gruh! !m!"%!, !"'elege"%!, #" memor!, %er'
#6' mem6e"gruh! h!6o!%!% #! o'7 u"'u7 mele6%7" e"#or!"9
Gol#, 3el#l, (hle, #" C!grm /2005 mel7u7" 6e"el!'!" me"ge"! ee7'!!'%
'er6! mu%!7 %ebg! 'er6! 'mbh" 6# 6%!e" %7!ore"!9 3%!l 6e"el!'!" !"!
me"u"u77" bh4 'er6! mu%!7 y"g #!ber!7" %ebg! 'er6! 'mbh" 6# 6er4'"%'"#r #6' memb"'u me"!"g7'7" 7o"#!%! me"'l 6%!e" %7!ore"!9 $e"el!'!" l!" ug
'elh #!l7u7" oleh Ulr!&h, 3ou'm"%, #" Gol# /200H y!'u me"ggu"7" 'er6! mu%!7
u"'u7 7elom6o7 6%!e" %7!ore"!, #!#6'7" h%!l bh4 'er6! mu%!7 #6' me"gur"g!
gel "eg'! #" me"!"g7'7" 7o"'7 !"'er6er%o"l %er' me"!"g7'7" 7emm6u" 6%!e"
u"'u7 ber#6'%! #e"g" l!"g7u"g" %o%!l #! m%yr7'9 Ter6! mu%!7 ug ee7'! #lm
me"uru"7" '!"g7' #e6re%! 6# 6%!e" !%ol%! %o%!l9 $e"el!'!" y"g #!l7u7" oleh Ayu,
Ar!e #" Ul /2012 #e"g" u#ul ee7'!!'% 'er6! mu%!7 'erh#6 '!"g7' #e6re%! 6%!e"
!%ol%! %o%!l #! Rumh S7!' @!4 (r9 Am!"o Go"#hohu'omo Semr"g, #!#6'7" h%!l
bh4 'er6! mu%!7 ee7'! 'erh#6 6e"uru"" '!"g7' #e6re%! 6%!e" !%ol%! %o%!l9
Reere"%!:
(my"'! r!", #779 201?9 Efektifitas Terapi Musik Klasik Terhadap Penurunan Tingkat
Halusinasi Pada Pasien Halusinasi Dengar Di RSJ Tampan Provinsi Riau 9 @ur"l Jom
Psik .ol9 1 No9 2 O7'ober 201?9
PSIK)TERAPI
-leme" 6e"'!"g #lm 6%!7o'er6! y"g ee7'! #lh me"eg77" %u'u hubu"g"
#!m" 6%!e" mul! mem6er&y! hl! 'er6!9 Ter6! !"#!v!#ul 'm67"y leb!h ee7'!
#r!6# 'er6! 7elom6o79 Ter6! %u6or'! beror!e"'%!'!l!7", 7og"!'!, #" 6er!l7u
%er!"g7l! ee7'!9 $# 4l"y, hl! 'er6! '!#7 boleh %e'uu 'u me""'"g 4hm 6%!e"9
Clu6u" hl! 'er6! hru% me""y7" 'e"'"g 4hm u"'u7 me"eg77" lu%"y,
6er'"y" 'eru% me"eru% 'e"'"g 4hm 7emu"g7!"" hru% #!h!"#r!9 (o7'er #6'
me"%'!mul%! mo'!v%! u"'u7 me"#6'7" b"'u" #e"g" me"e7"7" 7emu" u"'u7 memb"'u 6%!e" me"g'%! 7e&em%" 'u !r!'b!l!'%"y, '"6 me"y'7" bh4 4hm
8/18/2019 Learning Objective Ke 4 Blok 18
5/23
y"g #!ob'!9 Te'6!, hl! 'er6! '!#7 boleh%e&r 7'! me"#u7u"g gg%" bh4 4hm
meru67" 7e"y'"9
TERAPI KELUARGA
@!7 "ggo' 7elurg h#!r, 7l!"!%! #6' memu'u%7" u"'u7 mel!b'7" mere7 #!
#lm re"&" 6e"gob'"9 T"6 me"#! 'erl!h' ber6!h7 6# mu%uh, 7l!"!%! hru%
beru%h me"#6'7" 7elurg %ebg! %e7u'u #! #lm 6ro%e% 6e"gob'"9 Sebg!
7!b'"y, b!7 6%!e" #" "ggo' 7elurg"y 6erlu me"ger'! bh4 7o"!#e"%!l!'%
#o7'er6%!e" 7" #!g oleh hl! 'er6! #" 7omu"!7%! #e"g" %"7 %u#r 7"
#!b!&r7" 6# %u'u %' #e"g" 6%!e"9 Kelurg 7" me"#6' m"' #e"g"
memb"'u hl! 'er6! #" #e"g" #em!7!" memb"'u 6%!e"9
Reere"%! : K6l" A"# S##o&79 20159 Buku !ar Psikiatri Klinis Edisi "9 $e"erb!' Bu7u
Ke#o7'er" -G 9 @7r'
*. k&asi$ikasi or!anik brain s+n#rome?
@4b":
G"ggu" o'7 org"!7 #!#e!"!%!7" %ebg! g"ggu" #!m" 'er#6'
%u'u 6'olog! y"g #6' #!!#e"'!!7%! /&o"'oh"y 'umor o'79 $e"y7!'&erebrov%7uler,!"'o7%!!7%! ob'9
G"ggu" me"'l org"!7 meru67" g"ggu"g"gu" y"g #!7!'7" #e"g"
#!%u"g%! o'7 %e&r 'em6orer 'u 6erm"e"9 Oeh 7re" !'u, g"gu" me"'l org"!7
#!%ebu' ug org"!& br!" %y"#rome%, y"g #!7elom6o77" #lm H '!6e /ho&, 1;80, y!'u
:
No
9
Nm G"ggu" Kr7'er!%'!7 u'm
1 (eme"%! G"ggu" u"g%! !"'ele7'ul
29 (el!r!um G"ggu" 7o"%e"'r%! #" 7e%#r"
D9 S!"#rom m"e%!& G"ggu" memor!?9 S!"#rom #elu%!
org"!&
)u"&ul"y 7hyl"7hyl"
59 3lu%!"%! org"!7 )u"&ul"y hlu%!"%!
9 S!"#rom me"'l
org"!7
G"ggu"g 6# u"g%! emo%!
H9 I"'o7%!7%! G"ggu" !"'ele7'ul #" u"g%! mo'or!7
89 C!'h#r4l% G"ggu" !"'ele7'ul &" u"g%! mo'or!7
Gmbr" umum g"ggu" me"'l org"!7 /R'hu% Nev!#, 1;;1 y!'u :
19 $e"uru"" u"g%! !"'ele7'ul #" memor!
29 G"ggu" #lm bh% /l"guge #" berb!&r /%6e7D9 (!%or!e"'%! 47'u, ru"g, #" or"g
?9 G"ggu" mo'or!7
59 G"ggu" #lm 6embu'" 7e6u'u%" '!"#7"
9 Ke'!#7%'b!l" 6er%" #" emo%!
H9 $erubh" 7e6r!b#!"
Gmbr" u'm #r! g"ggu" me"'l org"!7 y!'u :
19 G"ggu" u"g%! 7og"!'!
)el!6u'! g"ggu" #y !"g' /memory, #y 6!7!r /!"'ele&', #y belr /ler"!"g
29 G"ggu" %e"%or!um
)!%l"y, g"ggu" 7e%#r" /&o"%&!ou%"e%% #" 6erh'!" /''e"'!o"
D9 S!"#rom #e"g" m"!e%'%! y"g me"o"ol #lm b!#"g :
• 6er%e6%! /hlu%!"%!
• !%! 6!7!r" /4hmF#elu%!
8/18/2019 Learning Objective Ke 4 Blok 18
6/23
• %u%" 6er%" #" emo%! /#e6re%!, gemb!r, #" &em%
/$$(G@III, 1;;;
)e"uru' Ar! )"%oer /200DJ 18, G)O #6' #!bg! me"#! me"#! ?, y!'uJ
1. ,e&iri"m
1 (el!r!um y"g berhubu"g" #e"g" %u'u 7o"#!%! me#!% l!"2 (el!r!um y"g #! !"#!u7%! oleh '
D (el!r!um y"g #!%ebb7" oleh berbg! m&m e'!olog!
? (el!r!um y"g '!#7 #!7l%!!7%!7" #! 'em6' l!"9
%. ,emensia
1 (eme"%! '!6e Alhe!mer
2 (eme"%! '!6e v%7ulr
D (eme"%! y"g berhubu"g" #e"g" %u'u 7o"#!%! me#!% l!" /3I., $r7!"%o", 'rum
7e6l, 6e"y7!' 3u"'!"g'o", 6e"y7!' $!&7, 6e"y7!' re'el#'@&ob, 7o"#!%! me#!%
l!"
? (eme"%! y"g #! !"#u7%! oleh '5 (eme"%! y"g #!%ebb7" oleh berbg! m&m e'!olog!
(eme"%! y"g '!#7 #!7l%!!7%!7" #! 'em6' l!"9
*. Gan!!"an Amnesia
1 G"ggu" Am"e%! y"g berhubu"g" #e"g" 7o"#!%! me#!% l!"
2 G"ggu" Am"e%! y"g #! !"#u7%! oleh '9
-. Gan!!"an ko!niti$ +an! ti#ak #ik&asi$ikasikan #i tempat &ain.
Reere"%! : Ar! )"%oer /200D, K6!' Sele7' Ke#o7'er", @7r', -G
-. Kriteria #ia!nostik psikotik #an kio$renia?
@4b":,ia!nosis Gan!!"an Psikotik /er#asarkan ,SM V
Kr!'er! #" 'e7% me"ge"! g"gu" 7e6r!b#!" %7!o'!6l #6' #!'emu7" #lm bb
8/18/2019 Learning Objective Ke 4 Blok 18
7/23
Tipe erotomanik 0 %ub'y6e !"! berl7u 6b!l 'em %e"'rl #r! #elu%! #lh or"g l!"
'uh &!"' 'erh#6 !"#!v!#u"y9
tipe !ran#iose 0 %ub'y6e !"! berl7u 6b!l 'em %e"'rl #elu%!"y #lh 7ey7!""
bh4 mem!l!7! 7emm6u" y"g heb' , !"#er 7ee"m 'u 'elh me"emu7" %e%u'u
y"g heb' /'6! '!#7 #!7u!
tipe jea&o"s : %ub'y6e !"! berl7u 6b!l 'em %e"'rl #r! %ebuh #elu%! #lh 6%"g"
'u %um!F!%'r! #r! !"#!v!#u '!#7 uur /%el!"g7uh9
tipe perse"tor+ 0 %ub'y6e !"! berl7u 6b!l 'em u'm #r! #elu%! %eor"g !"#!v!#u
mel!b'7" 7e6er&y" !"#!v!#u 'er%ebu' bh4 %e#"g # 7o"%6!r%! u"'u7 mel4",
me"!6u, mem'm'!, me"g!7u'!, mer&u"! 'u member!7" ob' ob'" 'erlr"g,
mele&eh7" 'u me"gh"&ur7" u"'u7 me"&6! 'uu" m% #e6""y9
Tipe somati 0 %ub'y6e !"! berl7u 6b!l 'em u'm #elu%!"y mel!b'7" u"g%! 'ubuh
'u %e"%%!9
Tipe amp"ran 0 6# %ub'y6e !"! berl7u %' '!#7 # 'em #elu%! y"g #om!""9
Tipe ti#ak terspesi$ikasi : %ub'y6e !"! berl7u 6b!l #elu%! #om!"" 7e6er&y" '!#7
#6' #e"g" el% #!'e"'u7" 'u '!#7 #!el%7" 6# '!6e %6e%!!7 /m!%l"y #elu%!
reere"%!l '"6 hl #om!"" 'u 7om6o"e" 7ebe%r"
Spesifikasikan !ika &
,en!an biar : #elu%! #!"gg6 b!r !7 #elu%!#elu%! 'er%ebu' #e"g" el% '!#7
m%u7 7l, '!#7 #6' #!me"ger'! , #" '!#7 ber%l #r! 6e"glm" h!#u6 y"g b!%
/m!%l"y %eor"g !"#!v!#u ber"gg6" bh4 %eor"g %!"g 'elh mem!%h7" org"
#lm"y #" me"gg"'!"y #e"g" org" 'ubuh or"g l!" '"6 me"!"ggl7" be7%
'u lu79
Spesifikasikan !ika&
$e"#e'!l 6erl"" g"ggu" ber!7u' !"! h"y #!gu"7" %e'elh %e'hu" #ur%! #r!
g"ggu" :
Episo#e pertama2 se#an! #a&am episo#e ak"t 0 m"!e%'%! 6er'm #r! g"ggu"
%e%u"g #e"g" 7r!'er! gel #!g"o%!%9 Sebuh e6!%o#e 7u' #lh %u'u 47'u#!m" gel 7r!'er! 'er6e"uh!9
Episo#e pertama 2 se#an! #a&am remisi parsia& 0 rem!%! 6r%!l #lh %u'u 6er!o#e
47'u y"g m" %ebuh 6e"!"g7'" %e'elh e6!%o#e %ebelum"y berh%!l #!6el!hr
#" #!m" 7r!'er! 6e"e"'u #r! g"ggu" 'er%ebu' h"y %ebg!" 'er6e"uh!9
Episo#e pertama2 se#an! #a&am remisi pen"3 0 rem!%! 6e"uh !lh %u'u 6ero#e 47'u
%e'elh e6!%o#e %ebelum"y %' '!#7 # gel %6e%!!7 g"ggu" y"g 'erl!h'9
Episo#e m"&tip&e2 se#an! #a&am episo#e ak"t.
Episo#e m"&tip&e2 se#an! #a&am remisi parsia&.
Episo#e m"&tip&e2 se#an! #a&am remisi pen"3.
8/18/2019 Learning Objective Ke 4 Blok 18
8/23
Kontin+" 0 gel y"g meme"uh! 7r!'er! #!g"o%'!& #r! g"ggu" #lh l"u'" #r!
myor!'% 6erl"" 6e"y7!', #e"g" 6er!o#e gel su#threshold me"#! %"g' el%
'er7!' #e"g" 6erl"" 7e%eluruh"9
Unspei$ie#
Spesifikasikan dera!at keparahan saat ini&
(er7 7e6rh" #!"!l! #e"g" 6e"!l!" 7u"'!''! #r! gel 6r!mer #r! 6%!7o%!%,
'erm%u7 #leu%!, hlu%!"%!, #!%org"!%%! berb!&r, %!76 6%!7omo'or b"orml9 )%!"g
m%!"g gel !"! #6' #!"!l! u"'u7 #er' 7e6rh""y %' !"! /6l!"g 6rh #lm H
hr! 'er7h!r 6# %7l 5 6o!" #r! 0 /'!#7 # E ? / # #" 6rh 9 /l!h' %lini%ian'
rated dimensions of ps$%hosis s$mptom severit$ in the %hapter (assessment measures)*+
''" : #!g"o%!% #r! g"ggu" #elu%!o"l #6' #!bu' '"6 me"ggu"7"
6e"%6e%!!7%! #er' 7e6rh"9
GANGGUAN PSIK)TIK AKUT
Kr!'er! #!g"o%!% 2;898/2D
A A#"y %'u /'u leb!h gel ber!7u'9 Se'!#7"y %'u #r! gel ber!7u' !"!
hru% # /1, /2, 'u/D :
1 (elu%!
2 3lu%!"%!D $emb!&r" y"g '!#7 'erorg"!%%! / m!%l"y !"7ohere"%! , 'u %er!"g
7elur #r! lur
? T!#7 'erorg"!%%! y"g 'm67 el% %e7l! 'u %!76 6er!l7u 7''o"!7
ataan 0 "g" m%u77" gel !7 hl 'er%ebu' !lh re%6o" %"7%!
%e&r 7ul'url
B (ur%! #r! %ebuh e6!%o#e g"ggu" #lh %e'!#7"y 1 hr! '6! 7ur"g #r! 1
bul" , #e"g" 6e"gembl!" %e6e"uh"y 7e u"g%! 6remorb!#9
G"ggu" '!#7 #!gmbr7" leb!h b!7 oleh g"ggu" #e6re%! myor 'u
g"ggu" b!6olr #e"g" !'ur 6%!7o'!7 'u g"ggu" 6%!7o'!7 y"g l!" %e6er'!
%7!ore"! 'u 7''o"! #" '!#7 'er7!' #e"g" ee7 !%!olog!% #r! %u'u '
/ m!%l"y 6e"ylhgu"" ob' 'u 6e"gob'" 'u 7o"#!%! me#!% y"g l!"9
Spesifikasikan !ika &
,en!an stressor +an! ter&i3at /6%!7o%!% re7'! r!"g7% : !7 gel 'er#! #lm
re%6o" 'erh#6 %u'u 7e#!" y"g , #e"g" %e"#!r!"y 'u ber%m" #!'"#!
%ebg! %u'u y"g membu' %'re%% 6# hm6!r %!6 % #lm 7o"#!%! y"g
%m #lm 7ebu#y" or"g 'er%ebu'9
Tanpa stressor +an! ter&i3at 0 !7 gel '!#7 'er#! %ebg! re%6o" %u'u
7e#!" y"g #e"g" %e"#!r!"y 'u ber%m%m, #!'"#! #6' me"#!%e%u'u y"g membu' %'re%% 6# hm6!r %!6 % #lm 7e#" y"g %m
8/18/2019 Learning Objective Ke 4 Blok 18
9/23
#lm 7ebu#y" or"g 'er%ebu'9
,en!an onset post4part"m : !7 o"%e' 'er#! %elm 7ehm!l" 'u #lm
"g7 ? m!"ggu %e'elh melh!r7"
Spesifikasikan !ika &
,en!an katatonia /meruu7 7e6# 7r!'er! u"'u7 7''o"! y"g ber7!'"
#e"g" g"ggu" me"'l y"g l!" , hl9 11;120 u"'u7 #e!"!%!"y
atatan ko#e 0 gu"7" 7o#e 'mbh" 2;D98; /091 7''o"! berhubu"g"
#e"g" g"ggu" 6%!7o'!7 7u' u"'u7 me"g!"#!7%!7" #"y 7''o"!
7omorb!#9
Spesifikasikan dera!at keparahan saat ini:
Ke6rh" #!"!l! #e"g" 6e"!l!" 7u"'!''! #r! gel 6r!mer 6%!7o%!%,
'erm%u7 #elu%!, hlu%!"%! , 6emb!&r" y"g '!#7 'erorg"!%%!, %!76
6%!7omo'or y"g b"orml, #" gel "eg'!9 )%!"gm%!"g #r! gelgel
!"! #6' #!"!l! #e"g" 7e6rh""y %' !'u ug /6l!"g 6rh %elm H hr!
'er7h!r m!%l"y 6# %7l 6o!" 5 y"g bervr!%! mul! #r! 0 /'!#7 # gel
? /# gel #" 6rh9 /l!h' 6e"!l!" 7l!"!%! u"'u7 #!me"%! 7e6rh" gel
6%!7o%!% #lm bb
8/18/2019 Learning Objective Ke 4 Blok 18
10/23
( G"ggu" '!#7 'er7!' ee7 !%!olog!% %u'u ' /m!%l"y 6e"ylhgu"" ob', 'u
#lm 6e"gob'" 'u 7o"#!%! me#!% y"g l!""y9
Spesifikasikan !ika &
,en!an $it"r pro!nostik +an! baik 0 6e"g7hu%u%" !"! memerlu7" #"y
%e'!#7"y 2 #r! !'ur ber!7u' !"! J o"%e' gel 6%!7o'!7 6rom!"e" #lm "g7
47'u ? m!"ggu #r! 6er'm 7l! 7e#!" 6erubh" %!76 'u u"g%! y"g 'erl!h' J
7eb!"gu"g" 'u 7e'!#7mm6u" me"&er" hl y"g 7om6le7%J u"g%! %o%!l #"
o7u6%!o"l 6remorb!# b!7 J '!#7 #"y e7 #'r9
Tanpa $it"r pro!nostik +an! baik 0 6e"g7hu%u%" !"! #!gu"7" !7 #u 'u leb!h
#r! !'ur #!'% '!#7 #!'emu7"9
Spesifikasikan !ika :
,en!an katatonia /meruu7 7e6# 7''o"! y"g berhubu"g" #e"g" g"ggu"
me"'l y"g l!", hl 11;120, u"'u7 leb!h el%"y9
atatan ko#e 0 gu"7" 7o#e 'mbh" 2;D98; /091 7''o"! berhubu"g"
#e"g"
g"ggu" %7!ore"!orm u"'u7 me"g!"#!7%!7" #"y 7''o"! 7omorb!#9
Spesifikasikan dera!at keparahan saat itu :
Ke6rh" #!"!l! #e"g" 6e"!l!" 7u"'!''! #r! gel 6r!mer 6%!7o%!%, 'erm%u7
#elu%!, hlu%!"%!, &r b!&r y"g '!#7 'erorg"!%%!, %!76 6%!7omo'or y"g
b"orml #" gel "eg'!ve9 )%!"gm%!"g #r! gel !"! #6' #!"!l!
7e6rh""y %' o"%e' 'er#! /6l!"g 6rh #lm H hr! 'er7h!r #lm %7l 5
6o!" y"g bervr!%! mul! #r! 0 /'!#7 # gel %m6! ? /# #" 6rh9 /l!h'
bb me"gu7ur 6e"!l!"9
atatan 0 #!g"o% g"ggu" %7!ore"!orm #6' #!bu' '"6 me"ggu"7"
6e"%6e%!!7%! #er' 7e6rh" !"!9
SKI5)6RENIA
Kr!'er! #!g"o%!% 2;59;0/209;
A (u /'u leb!h #r! ber!7u' !"!, m%!"gm%!"g # #lm "g7 47'u 'er'e"'u
#lm 1 bul" 6er!o#e / 'u 7ur"g !7 berh%!l #!ob'! 9 Se'!#7"y %'u #r!
ber!7u' !"! hru% /1, /2, /D :1 (elu%!
2 3lu%!"%!
D $emb!&r" y"g '!#7 'erorg"!%%! / m!%l"y !"7ohere"%! , 'u %er!"g 7elur #r!
lur
? T!#7 'erorg"!%%! y"g 'm67 el% %e7l! 'u %!76 6er!l7u 7''o"!79
5 Gel "eg'!ve /h!l"g"y e7%6re%! emo%!o"l 'u vol!%!
B U"'u7 "g7 47'u y"g %!g"!!7" %e7 'er#!"y g"ggu" 'er%ebu', #er'
u"g%! #lm %'u 'u leb!h b!#"g myor, %e6er'! 6e7er" , hubu"g"
!"'er6er%o"l, 6er4'" #!r!, #!'emu7" #!b4h level y"g b!%"y #!%ebb7"oleh 'er#!"y gel /'u 6b!l o"%e' 'er#! #lm m% 7"7 'u rem, #
8/18/2019 Learning Objective Ke 4 Blok 18
11/23
7eggl" #lm me"&6! level y"g #!hr67" #r! u"g%! !"'er6er%o"l, 7#em!7
'u u"g%! o7u6%!
Gel y"g ber7e%!"mbu"g" #r! g"ggu" ber'h" %e'!#7"y %elm bul"9
$er!o#e 47'u bul" !"! hru% %e'!#7"y # gel 1 bul" /'u 7ur"g !7
berh%!l #!'"g"! y"g meme"uh! Kr!'er! A /m!%l"y , gel %e 7'! #"
mu"g7!" 'erm%u7 6er!o#e gel 6ro#roml 'u re%!#ul9 Selm 6er!o#e 6ro#roml
#" re%!#ul !"! , '"#'"# g"ggu" #6' berm"!e%'%! #e"g" h"y gel
"eg'!ve 'u #u 'u leb!h gel y"g #!#'r #lm Kr!'er! A # #lm be"'u7
%u#h melemh /m!%l"y, 7e6er&y" y"g "eh, 6e"glm" 6er%e6'ul y"g '!#7
b!%9
( G"ggu" %7!oe7'! #" g"ggu" #e6re%! 'u b!6olr #e"g" !'ur 6%!7o'!7 'elh
#!7e%m6!"g7" 7re" #!"'r"y 1 '!#7 # e6!%o#e m"!7 'u #e6re%! myor
y"g 6er"h 'er#! ber%m" #e"g" gel %e 7'!, 'u 2 !7 e6!%o#e moo#'elh 'er#! %elm %e 7'! , mere7 'elh # u"'u7 "g7 47'u y"g %e#!7!' #r!
#ur%! 7e%eluruh" #r! 6er!o#e 7'! #" re%!#ul #r! 6e"y7!'"y9
- G"ggu" '!#7 'er7!' ee7 !%!olog!% %u'u ' /m!%l"y 6e"ylhgu"" ob', 'u
#lm 6e"gob'" 'u 7o"#!%! me#!% y"g l!""y9
@!7 # r!4y' %6e7'rum g"ggu" u'!%me 'u g"ggu" ber7omu"!7%! y"g
'er#! 6# m% 7"7, #!g"o% 'mbh" #r! %7!ore"! h"y #!'eg77" !7
# #elu%! 'u hlu%!"%! y"g me"o"ol, %ebg! 'mbh" 'erh#6 gel l!" y"g
#!bu'uh7" #r! %7!ore"! #lh ber'h" %elm %e'!#7"y 1 bul" /'u 7ur"g
!7 berh%!l #!ob'!9
Spesifikasikan !ika &
r 6e"g7hu%u%" h"y #!gu"7" %e'elh 1 'hu" 6erl"g%u"g" g"ggu""y #"
!7 '!#7 #lm 7o"'r#!7%! #e"g" 7r!'er! #!g"o%'!7"y9
Episo#e pertama2 se#an! #a&am episo#e ak"t 0 m"!e%'%! 6er'm #r! g"ggu"
%e%u! #e"g" gel #!g"o%'!7 #" 7r!'er! 47'u9 Sebuh e6!%o#e akut #lh 6er!o#e
47'u y"g m" gel 7r!'er! 'er6e"uh!9
episo#e pertama2 se#an! #a&am ta3ap remisi parsia& 0 remisi parsial #lh %u'u
6er!o#e 47'u %e6""g # 6e"!"g7'" %e'elh e6!%o#e %ebelum"y #!'"g"! #"
#!m" 7r!'er! #e!"!'! #r! g"ggu" 'er%ebu' h"y %e'e"gh 'er6e"uh!9
Episo#e pertama2 se#an! #a&am remisi pen"3 0 remisi penuh #lh %u'u 6er!o#e
47'u %e'elh e6!%o#e %ebelum"y #!m" '!#7 # gel %6e%!!7 #r! g"ggu"
'er%ebu' y"g mu"&ulFNm679
/an+ak Episo#e2 se#an! #a&am episo#e ak"t 0 episode multipel #6' #!'e"'u7"
%e'elh m!"!ml #r! 2 e6!%o#e /m!%l"y, %e'elh e6!%o#e 6er'm, %ebuh rem!%! #"
m!"!ml %e7l! rel6%
/an+ak episo#e2 se#an! #a&am remisi parsia&
8/18/2019 Learning Objective Ke 4 Blok 18
12/23
/an+ak episo#e2 se#an! #a&am remisi pen"3
Kontin+" 2 gel meme"uh! 7r!'er! #!g"o%'!7 #r! g"ggu" y"g 'er%!% #lh gel
myor #r! g"ggu", #e"g" 6er!o#e gel su#threshold me"#! rel'! %!"g7' #r!
7e%eluruh" 6erl"g%u"g" g"ggu" 'er%ebu'9
Spesifikasikan !ika &
,en!an katatonia2 /meruu7 7e6# 7r!'er! u"'u7 7''o"! y"g berhubu"g" #e"g"
g"ggu" me"'l y"g l!" , hl 11;120, u"'u7 #e!"!%!"y
atatan pen!!"naan ko#e 0 gu"7" 7o#e 'mbh" 2;D98; /091 7''o"!
berhubu"g" #e"g" %7!ore"! u"'u7 me"g!"#!7%!7" #"y 7''o"!
7omorb!#9
Spesifikasikan keparahan saat ini &
Ke6rh" #!"!l! #e"g" 6e"!l!" 7u"'!''! #r! gel 6r!mer 6%!7o%!%, 'erm%u7
#elu%!, hlu%!"%! , b!&r y"g '!#7 'erorg"!%%! , 6er!l7u 6%!7omo'or b"orml , #"
gel "eg'!ve9 )%!"gm%!"g #r! gel !"! #6' #!"!l! u"'u7 7e6rh""y %' !"!
/6l!"g 6rh #lm H hr! 'er7h!r #lm %7l 5 6o!" y"g bervr!%! mul! #r! 0 /'!#7
# gel %m6! ? /# #" 6rh9 /l!h' bb me"gu7ur 6e"!l!"9
atatan 0 #!g"o% %7!ore"! #6' #!'eg77" '"6 me"ggu"7"
6e"%6e%!!7%! !"!9
GANGGUAN SKI5)A6EKTI6
Kr!'er! #!g"o%'!&
A Sebuh 6er!o#e 6e"y7!' y"g '!#7 'er!"'eru6%! y"g berl"g%u"g %elm #"y
e6!%o#e moo# myor /#e6re%! 'u m"!7 myor ber%m" #e"g" Kr!'er! A
%7!ore"!9
atatan 0 e6!%o#e #e6re%! myor hru% me"g!7u'%er'7" Kr!'er! A1 : moo#
#e6re%!9
B (elu%! 'u hlu%!"%! %elm 2 m!"ggu 'u leb!h %' b%e""y e6!%o#e moo#
myor /#e6re%! 'u m"!7 %elm #ur%! 6e"y7!' 'er%ebu'9
Gel y"g meme"uh! 7r!'er! #r! e6!%o#e moo# myor # %elm %ebg!" be%r
#r! 'o'l #ur%! 6or%! 7'! #" re%!#ul #r! 6e"y7!'"y9
( G"ggu" '!#7 'er7!' #e"g" ee7 %u'u ' /m!%l"y 7e&"#u" ob' , 'u
6e"gob'" 'u 7o"#!%! me#!% y"g l!"
Spesifikasikan apakah &
%78.9: '6%8.:; tipe bipo&ar : %ub '!6e berl7u 6b!l e6!%o#e m"!7 meru67" bg!"
#r! gel"y9 Gel #e6re%! myor ug mu"g7!" % berl7u9
%78.9: '6%8.1; tipe #epresi$ : %ub '!6e !"! berl7u h"y !7 e6!%o#e #e6re%! myor
meru67" bg!" #r! 6re%e"'%!"y9Spesifikasikan !ika &
8/18/2019 Learning Objective Ke 4 Blok 18
13/23
$e"%6e%!!7%! ber!7u' !"! h"y #!gu"7" !7 g"ggu" 'elh berl"g%u"g %elm 1
'hu" #" !7 '!#7 7o"'r!"#!7%! #e"g" 7r!'er! #!g"o%'!79
Episo#e pertama2 se#an! #a&am episo#e ak"t 0 m"!e%'%! 6er'm #r! g"ggu"
%e%u! #e"g" gel #!g"o%'!7 #" 7r!'er! 47'u9 Sebuh e6!%o#e akut #lh 6er!o#e
47'u y"g m" gel 7r!'er! 'er6e"uh!9
episo#e pertama2 se#an! #a&am ta3ap remisi parsia& 0 remisi parsial #lh %u'u
6er!o#e 47'u %e6""g # 6e"!"g7'" %e'elh e6!%o#e %ebelum"y #!'"g"! #"
#!m" 7r!'er! #e!"!'! #r! g"ggu" 'er%ebu' h"y %e'e"gh 'er6e"uh!9
Episo#e pertama2 se#an! #a&am remisi pen"3 0 remisi penuh #lh %u'u 6er!o#e
47'u %e'elh e6!%o#e %ebelum"y #!m" '!#7 # gel %6e%!!7 #r! g"ggu"
'er%ebu' y"g mu"&ulFNm679
/an+ak Episo#e2 se#an! #a&am episo#e ak"t 0 episode multipel #6' #!'e"'u7"
%e'elh m!"!ml #r! 2 e6!%o#e /m!%l"y, %e'elh e6!%o#e 6er'm, %ebuh rem!%! #"
m!"!ml %e7l! rel6%
/an+ak episo#e2 se#an! #a&am remisi parsia&
/an+ak episo#e2 se#an! #a&am remisi pen"3
Kontin+" 2 gel meme"uh! 7r!'er! #!g"o%'!7 #r! g"ggu" y"g 'er%!% #lh gel
myor #r! g"ggu", #e"g" 6er!o#e gel su#threshold me"#! rel'! %!"g7' #r!
7e%eluruh" 6erl"g%u"g" g"ggu" 'er%ebu'9
Ti#ak terspesi$ikasi.
Spesifikasikan dera!at keparahan saat ini :
Ke6rh" #!"!l! #e"g" 6e"!l!" 7u"'!''! #r! gel 6r!mer 6%!7o%!%, 'erm%u7
#elu%!, hlu%!"%! , b!&r y"g '!#7 'erorg"!%%! , 6er!l7u 6%!7omo'or b"orml , #"
gel "eg'!ve9 )%!"gm%!"g #r! gel !"! #6' #!"!l! u"'u7 7e6rh""y %' !"!
/6l!"g 6rh #lm H hr! 'er7h!r #lm %7l 5 6o!" y"g bervr!%! mul! #r! 0 /'!#7
# gel %m6! ? /# #" 6rh9 /l!h' bb me"gu7ur 6e"!l!"9
atatan 0 #!g"o% %7!oe7'! #6' #!'eg77" '"6 me"ggu"7"
6e"%6e%!!7%! !"!9
GANGGUAN PSIK)TIK TERIN,UKSI 5AT(PENG)/ATAN
Kr!'er! #!g"o%'!&
A A#"y %lh %'u 'u 7e#u gel ber!7u'
1 (elu%!
2 3lu%!"%!
B A#"y bu7'! #r! r!4y', 6emer!7%" !%!%, 'u 'emu" lbor'or!um #r! 7e#u /1,2 :1 Gel #lm Kr!'er! A mu"&ul %e!r!"g 'u %eger %e'elh !"'o7%!7%! ' 'u
8/18/2019 Learning Objective Ke 4 Blok 18
14/23
4!'h#r4l 'u %e'elh 66r" 6e"gob'" 'er'e"'u9
2 *'F6e"gob'" y"g 'erl!b' mem!l!7! 76b!l!'% u"'u7 mem6ro#u7%! gel #lm
7r!'er! A9
G"ggu""y '!#7 #!gmbr7" leb!h b!7 oleh g"ggu" 6%!7o'!7 y"g '!#7 #!!"#u7%!
oleh 'Fob'ob'"9 o"'oh bu7'! #r! g"ggu" 6%!7o'!7 !"#e6e"#e"' #6' 'er#!r! #r!
%ebg! ber!7u' :
Gel y"g # 6# %' 6em7!" 'Fob' J gel"y ber'h" #lm 6er!o#e
47'u y"g %ub%'"%!l /m!%l"y %e7!'r 1 bul" %e'elh 'erhe"'!"y ,ithdra,al 7u'
'u !"'o7%!7%! y"g 6rhJ 'u # bu7'! l!" #r! g"ggu" 6%!7o'!7 !"#e6e"#e"
y"g '!#7 'er!"#u7%! 'Fob'ob'" 'er'e"'u /m!%l"y r!4y' e6!%o#e y"g '!#7
berhubu"g" #e"g" 'Fob'ob'" 'er'e"'u9
( G"ggu" !"! '!#7 'er#! %e&r e7%7lu%! %e6""g 7e#!" #el!r!um9
- G"ggu" !"! me"yebb7" g"ggu" 'u 7e'!#7%e!mb"g" %o%!l y"g %!g"!!7"
%e&r 7l!"!%, ug re 6e7er" #" b!#"gb!#"g u"g%! y"g 6e"'!"g #r! 7eh!#u6"%ehr! hr!9
atatan 0 #!g"o%!% !"! leb!h &o&o7 #!'eg77" #!b"#!"g7" %ebuh #!g"o%!%
!"'o7%!7%! ob' 'u 4!'h#r4l ' h"y !7 gel #lm Kr!'er! A me"o"ol 6#
gmbr" 7l!"!% #" !7 mere7 7o"#!%!"y %e&r %u!%!e" #!7'7" 6rh u"'u7
me"#6'7" 6erh'!" 7l!"!%9
atatan pen!!"naan ko#e 0 Ko#e #r! I(;) #" I(10) u"'u7 g"ggu"
6%!7o'!7'er!"#u7%! ' %6e%!!7F6e"gob'" #!!"#!7%!7" 6# 'ble ber!7u' !"!9
$erh'!7"lh bh4 7o#e #r! I(10) berg"'u"g 6# # '!#7"y g"ggu"
6e"ggu"" ' 7omorb!# y"g 'm67 6# 7el% ' y"g %m9 @!7 g"ggu"
6e"ggu"" ' r!"g" #!golo"g7" 7omorb!# 'erh#6 g"ggu" 6%!7o'!7 'er!"#u7%! '
'er%ebu', 7r7'er 6o%!%! 7e? #lh
8/18/2019 Learning Objective Ke 4 Blok 18
15/23
Al&ohol 2;19; 10915; 10925; 109;5;
G" 2;29; 12915; 12925; 129;5;
$he"&y&l!#!"e 2;29; 1915; 1925; 19;5;
3lu%!"oge"
l!"2;29; 1915; 19 25; 19;5;
I"hl" 2;29; 18915; 189 25; 189;5;Se#'!ve,
h!6"o'!7, 'u
">!ol!'!7
2;29; 1D915; 1D925; 1D9;5;
Ame'm!"
'u %'!mul"'
y"g l!"
2;29; 15915; 15925; 159;5;
Ko7!" 2;29; 1?915; 1?925; 1?9;5;
*' l!" /y"g
'!#7
#!7e'hu!
2;29; 1;915; 1;925; 1;9;5;
S6e%!!7%!7" !7 /l!h' 'el 1 #lm bb
8/18/2019 Learning Objective Ke 4 Blok 18
16/23
Spesifikasikan !ika &
Ko#e ber#%r7" gel me"o"ol :
%7*.>% '6:.%; #en!an #e&"si 0 !7 #elu%! #lh gel y"g me"o"ol9
%7*.>% '6:.:; #en!an 3a&"sinasi 0 !7 hlu%!"%! #lh gel y"g me"o"ol9
atatan pen!!"naan ko#e 0 !7u'%er'7" "m 7o"#!%! me#!% #lm "m g"ggu"
me"'l"y /m!%l"y, 2;D981 092 g"ggu" 6%!7o'!7 #!7re"7" "eo6l%m g"% 6ru
6ru, #e"g" #elu%!9 Ko"#!%! me#!% y"g l!" hru% #!ber! 7o#e #" #!#'r %e&r 'er6!%h
%e%eger mu"g7!" %ebelum g"ggu" 6%!7o'!7 7re" 7o"#!%! me#!%"y /m!%l"y , 129;
/D?9;0 "eo6l%m 6ru6ru g"% J 2;D981092 g"ggu" 6%!7o'!7 7re" "eo6l%m
6ru6ru g"% , #e"g" #elu%!
Spesifikasikan dera!at keparahann$a &
Ke6rh" #!"!l! #e"g" 6e"!l!" 7u"'!''! #r! gel 6r!mer 6%!7o%!%, 'erm%u7
#elu%!, hlu%!"%! , b!&r y"g '!#7 'erorg"!%%! , 6er!l7u 6%!7omo'or b"orml , #"
gel "eg'!ve9 )%!"gm%!"g #r! gel !"! #6' #!"!l! u"'u7 7e6rh""y %' !"!
/6l!"g 6rh #lm H hr! 'er7h!r #lm %7l 5 6o!" y"g bervr!%! mul! #r! 0 /'!#7
# gel %m6! ? /# #" 6rh9 /l!h' bb me"gu7ur 6e"!l!"9
atatan 0 #!g"o% g"ggu" 6%!7o'!7 7re" 7o"#!%! me#!% l!" #6' #!'eg77" '"6
me"ggu"7" 6e"%6e%!!7%! !"!9
KATAT)NIA
Katatonia +an! ber3"b"n!an #en!an !an!!"an menta& &ain 'penspesi$ikasi katatonia;
%7*.>7 '6:.1;
A Gmbr" 7l!"!% #!#om!"%! oleh D 'u leb!h gel ber!7u' :
1 S'u6or /m!%l"y '!#7 # 7'!!'% 6%!7omo'orJ '!#7 %e&r 7'! 'er7!' #e"g"
l!"g7u"g"9
2 K'le6%! /m!%l"y !"#u7%! 6%! #r! %ebuh 6o%'ur y"g mel4" grv!'%!9
D le7%!b!l!'% %ere / m!%l"y , mem6er'h"7" 6e"g'ur" 6o%!%! oleh 6emer!7%
'u h"y berger7 %e#!7!'9
? )u'!%me /m!%l"y %"g' %e#!7!' bh7" '!#7 # re%6o" verbl 7e&ul! !7
%!
5 Neg'!v!%me /m!%l"y, mel7u7" hl 7ebl!7" #r! %'!mulu% e7%'er"l 'u '!#7
mel7u7" 66u"
Posturing -/m!%l"y '!b'!b #" %6o"'" me"gmb!l 6o%!%! mel4" grv!'%!
H )"er!%me /m!%l"y 7r!7'ur me"#lm #" "eh #r! 7%! y"g "orml
8 S'ereo'y6! / mel7u7" ger7"ger7" '"6 'uu" berul"gul"g , #e"g"
re7ue"%! b"orml9
; Ag!'%!, '!#7 'er6e"gruh #e"g" %'!mulu% y"g e7%'r!m9
10 )e"yer!"g!9
11 -7oll! /m!%l"y me"!ru 7l!m'7l!m' or"g l!"9
12 -7o6r7%! /m!%l"y me"!ru ger7" or"g l!"9atatan pen!!"naan ko#e 0 !"#!7%!7" "m #r! g"ggu" me"'l 'er%o%!%! %'
8/18/2019 Learning Objective Ke 4 Blok 18
17/23
me"&'' "m 7o"#!%!"y /m!%l"y 2;D98; 091 7''o"! berhubu"g" #e"g"
g"ggu" #e6re%! myor9 Ko#e 6er'm 'er%o%!%! g"ggu" me"'l /m!%l"y
g"ggu" "euro#evelo6me"'l, g"ggu" 6%!7o'!7 7u', g"ggu" %7!ore"!orm,
%7!ore"!, g"ggu" %7!oe7'!, g"ggu" b!6olr, g"ggu" #e6re%! myor, 'u
g"ggu" me"'l y"g l!" /m!%l"y 2;59H0 2591, g"gggu" %7!oe7'! , g"ggu"
#e6re%! '!6e :2;D98; /091 7''o"! 'er%o%!%! #e"g" g"ggu" %7!oe7'!
GANGGUAN KATAT)NIA KARENA GANGGUAN ME,IS LAIN.
Kr!'er! (!g"o%'!7 2;D98; /091
A Gmbr" 7l!"!% #!#om!"%! oleh '!g 'u leb!h #r! gel ber!7u' :
1 S'u6or /m!%l"y '!#7 # 7'!!'% 6%!7omo'orJ '!#7 %e&r 7'! 'er7!' #e"g"
l!"g7u"g"9
2 K'le6%! /m!%l"y !"#u7%! 6%! #r! %ebuh 6o%'ur y"g mel4" grv!'%!9
D le7%!b!l!'% %ere / m!%l"y , mem6er'h"7" 6e"g'ur" 6o%!%! oleh 6emer!7%
'u h"y berger7 %e#!7!'9
? )u'!%me /m!%l"y %"g' %e#!7!' bh7" '!#7 # re%6o" verbl 7e&ul! !7
%!
5 Neg'!v!%me /m!%l"y, mel7u7" hl 7ebl!7" #r! %'!mulu% e7%'er"l 'u '!#7
mel7u7" 66u"
Posturing -/m!%l"y '!b'!b #" %6o"'" me"gmb!l 6o%!%! mel4" grv!'%!
H )"er!%me /m!%l"y 7r!7'ur me"#lm #" "eh #r! 7%! y"g "orml
8 S'ereo'y6! / mel7u7" ger7"ger7" '"6 'uu" berul"gul"g , #e"g"
re7ue"%! b"orml9
; Ag!'%!, '!#7 'er6e"gruh #e"g" %'!mulu% y"g e7%'r!m910 )e"yer!"g!9
11 -7oll! /m!%l"y me"!ru 7l!m'7l!m' or"g l!"9
12 -7o6r7%! /m!%l"y me"!ru ger7" or"g l!"9
B A# bu7'! #r! r!4y' , 6emer!7%" !%!7 , 'u h%!l lb bh4 g"ggu""y #lh
7o"%e7ue"%! 6'o!%!olog!% l"g%u"g #r! 7o"#!%! me#!% l!"9
G"ggu" '!#7 #6' #!gmbr7" leb!h b!7 oleh g"ggu" me"'l y"g l!" m!%l"y
/e6!%o#e m"!79
( G"ggu" !"! '!#7 'er#! %e&r e7%7lu%! %elm 6erl"" #el!r!um9
- G"ggu" !"! me"yebb7" g"ggu" 'u 7e'!#7%e!mb"g" #lm b!#"g %o%!l,
o7u6%!o"l, #" b!#"g l!" #lm 7eh!#u6" %e&r %!g"!!7"9
atatan pen!!"naan ko#e 0 'erm%u7 "m #r! 7o"#!%! me#!% #lm "m g"ggu"
me"'l"y /m!%l"y 2;D98; 091 g"ggu" 7''o"!7 %ebb e"%elo6'! he6'!&9 Ko"#!%!
me#!% y"g l!" hru% #!ber! 7o#e #" #!#'r %e&r 'er6!%h , m!%l"y /5H292 KH19;0
e"%elo6'! he6'!& J 2;D98; 091 g"ggu" 7''o"!7 %ebb e"%elo6'! he6'!&9
KATAT)NIA TI,AK TERSPESI6IKASI.
Kr!'er! #!g"o%!%
8/18/2019 Learning Objective Ke 4 Blok 18
18/23
K'egor! !"! #!gu"7" u"'u7 %u'u 6re%e"'%! #!m" gel 7r7'er!%'!7 u"'u7 7''o"!
me"yebb7" g"ggu" 'u 7e'!#7%e!mb"g" #lm b!#"g %o%!l, o7u6%!o"l #"
b!#"g l!" 7eh!#u6" %e&r %!g"!!7" "mu" g"ggu" me"'l y"g me"#%r! 'u 7o"#!%!
me#!% y"g l!" m%!h '!#7 el%, 7r!'er! 6e"uh #r! 7''o"! '!#7 'er6e"uh! 'u '!#7
&u7u6 !"orm%! u"'u7 membu' #!g"o% y"g leb!h %6e%!!7 /m!%l"y 6e"g'ur" ru"g
g4' #rur'
atatan pen!!"naan ko#e 0 7o#e 6er'm H819;; /R2;9818 gel l!" mel!b'7" %!%'em
"euro #" mu%&ulo%7ele'l, #!!7u'! #e"g" 2;D98; /091 7''o"! '!#7 'er%6e%!!7%!9
SPEKTRUM SKI5)6RENIA =ANG TI,AK TERSPESI6IKASI ,AN GANGGUAN
PSIK)TIK =ANG LAIN
2;898 /28
K'egor! !"! #!gu"7" u"'u7 6re%e"'%! y"g m" gel 7r7'er!%'!7 %6e7'rum %7!ore"!
#" g"ggu" 6%!7o'!7 y"g l!" y"g me"yebb7" g"ggu" #" 7e'!#7%e!mb"g" y"g
%!g"!!7" %e&r 7l!"!% #lm b!#"g %o%!l, o7u6%!o"l #" re 6e"'!"g 7eh!#u6" y"g
me"o"ol '6! '!#7 meme"uh! 7r!'er! 6e"uh u"'u7 g"ggu" l!" #lm %6e7'rum
%7!ore"! #" g"ggu" 6%!7o'!7 l!""y9 K'egor! S6e7'rum %7!ore"! 'er%6e%!!7%!
l!""y #" g"ggu" 6%!7o'!7 l!""y #!gu"7" #lm %!'u%! y"g m" %eor"g 7l!"!%!
mem!!h u"'u7 me"g7omu"!7%!7" l%" %6e%!!7 bh4 6re%e"'%! '!#7 meme"uh! 7r!'er!
u"'u7 %6e7'rum %7!ore"! %6e%!!7 #" g"ggu" 6%!7o'!7 l!""y9 I"! #!l7u7" #e"g"
me"&''
8/18/2019 Learning Objective Ke 4 Blok 18
19/23
2;89; /92;
K'egor! !"! berl7u u"'u7 6re%e"'%! y"g m" 7r7'er!%'!7 gel #r! %6e7'rum
%7!ore"! #" g"ggu" 6%!7o'!7 y"g l!" y"g me"yebb7" g"ggu" 'u
7e'!#7%e!mb"g" #lm b!#"g %o%!l , o7u6%!o"l, #" b!#"g 6e"'!"g 7eh!#u6" y"g
%!g"!!7" %e&r 7l!"!% "mu" '!#7 meme"uh! 7r!'er! 6e"uh u"'u7 g"ggu" 66u" #lm
%6e7'rum %7!ore! #" 7'egor! g"ggu" 6%!7o'!7 y"g l!"9 S6e7'rum %7!ore"! '!#7
'er%6e%!!7%! #" 7'egor! g"ggu" 6%!7o'!7 y"g l!" #!gu"7" #lm %!'u%! y"g m"
7l!"!%! mem!l!h u"'u7 '!#7 me"%6e%!!7%!7" l%" bh4 7r!'er! '!#7 'er6e"uh! u"'u7
%6e7'rum %7!ore"! #" g"ggu" 6%!7o'!7 y"g l!" , #" 'erm%u7 6re%e"'%! #!m" '!#7
# !"orm%! y"g &u7u6 u"'u7 membu' #!g"o% y"g leb!h %6e%!!79
Reere"%!:
Amer!&" $%y&h!'r!& A%%o&!'!o"9 Diagnosti% and statisti%al manual of mental disorder & fift
edition .DSM'/+9 U"!'e# %''e% o Amer!& : A$A 201D J hl98H15?9
8. Benis !an!!"an psikotik ?
@4b":
GEBALA4 GEBALA PSIK)TIK
A G"ggu"F gel $%!7o'!7 A7u'
Gmbr" U'm $er!l7u
• $er!l7u y"g #!6erl!h'7" oleh 6%!e" y!'u :
• )e"#e"gr %ur%ur y"g '!#7 # %umber"y
• Key7!"" 'u 7e'7u'" y"g "ehF'!#7 m%u7 7l
• Keb!"gu"g" 'u #!%or!e"'%!
• $erubh" 6er!l7uJ me"#! "eh 'u me"7u'7" %e6er'! me"ye"#!r!, 7e&ur!g"
berleb!h", me"g"&m #!r! %e"#!r!, or"g l!" 'u l!"g7u"g", b!&r #" 'er'4
%er' mrhmrh 'u memu7ul '"6 l%"9
B G"ggu" $%!7o'!7 7ro"!7
Gmbr" $er!l7u
U"'u7 me"e'67" #!g"o% me#!7 6%!7o'!7 7ro"!7 #' ber!7u' meru67" 6er!l7u
u'm y"g %e&r umum #9
• $e"r!7" #!r! %e&r %o&!l
• )!"' 'u mo'!v%! re"#h, 6e"gb!" #!r!
•
G"ggu" ber6!7!r /'m67 #r! 6emb!&r" y"g '!#7 "ymbu"g 'u "eh• $er!l7u "eh %e6er'! 6'!%, me"r!7 #!r!, '!#7 mem6erh'!7" 7eber%!h" y"g
#!l6or7" 7elurg
$er!l7u l!" y"g #6' me"yer'! #lh :
• Ke%ul!'" ber6!7!r #" ber7o"%e"'r%!
• )el6or7" bh4 !"#!v!#u me"#e"gr %ur%ur
• Key7!"" y"g "eh #" '!#7 m%u7 7l %e6er'! : mem!l!7! 7e7u'"
%u6r"'url, mer% #!7er7er, mer% me"#! or"g heb'F'er7e"l
• Keluh" !%!7 y"g '!#7 b!%F"eh %e6er'! : mer% # he4" 'u obe7 y"g '7
l!m #! #lm 'ubuh"y
8/18/2019 Learning Objective Ke 4 Blok 18
20/23
• Berm%lh #lm mel7%"7" 6e7er" 'u 6elr" U"'u7 leb!h el%"y
me"ge"! 6%!7o'!7 7ro"!7, #!%!"! #6' #!el%7" mellu! %7!ore"! (!m"
S7!ore"! #lh g"ggu" 6%!7o'!7 y"g 7ro"!7, 6# or"g y"g me"glm!"y
'!#7 #6' me"!l! rel!'% #e"g" b!7 #" 6emhm" #!r! buru79 Gel 7l!"!%
#r! %7!ore"! #6' #!l!h' #! b4h !"!:
• 3ru% # %e#!7!'"y %'u gel ber!7u' !"! y"g m' el% /#" b!%"y #u gel
'u leb!h b!l gel gel !'u 7ur"g 'm 'u 7ur"g el%:
8/18/2019 Learning Objective Ke 4 Blok 18
21/23
& 6er!l7u 7''o"!7, %e6er'! 7e#" g#uhgel!%h /e>&!'eme"', 6o%!%! 'ubuh 'er'e"'u
/6o%'ur!"g, 'u le7%!b!l!'% &ere, "eg'!v!%me, mu'!%me, #" %'u6orJ
# gelgel
8/18/2019 Learning Objective Ke 4 Blok 18
22/23
Ke%m" 7r7'er!%'!7 #lm e7 y"g me"!"g7', #!%er'! 6e"!"g7'" #lm umlh
#" 7e&e6'" 7'!v!'% !%!7 #" me"'l, #lm berbg! #er' 7e6rh"9
b. Gan!!"an A$ekti$ /ipo&ar
G"ggu" !"! ber%!' e6!%o#e berul"g /%e7ur"g7ur"g"y 2 e6!%o#e #!m" e7
6%!e" #" '!"g7' 7'!v!'%"y el% 'erg"ggu, 6# 47'u 'er'e"'u 'er#!r! #r!
6e"!"g7'" e7 #!%er'! 6e"mbh" e"ergy #" 7'!v!'% /#e6re%!
. Episo#e #epresi
G"ggu" u'm beru6 e7 #e6re%!, 7eh!l"g" m!"' #" 7egemb!r", #"
ber7ur"g"y e"ergy y"g me"uu me"!"g7'"y 7e#" mu#h lelh #" me"uru""y
7'!v!'%9
#. Gan!!"an ,epresi /er"&an!
Terbg! '% e6!%o#e #e6re%! r!"g", e6!%o#e #e6re%! %e#"g #" e6!%o#e #e6re%! ber'9
m%!"gm%!"g e6!%o#e 'er%ebu' r'r' lm"y %e7!'r bul", 7" 'e'6!
re7ue"%!"y leb!h r"g #!b"#!"g7" #e"g" g"ggu" b!6olr9
Re$erensi 0
K6l" S#o&7, 20159 Buku !ar& Psikiatri Klinis Kaplan dan Shado%k 9 @7r' : -G
)%l!m, ru%#! #r9 201D9 Buku saku &diagnisis gangguan !i,a ru!ukan ringkas dari
PPD0J'111 dan DSM /9 $e"erb!' : bg!" !lmu 7e#o7'er" !4 KU"!7
A'my, @7r'9
(ATAR $USTAKA
8/18/2019 Learning Objective Ke 4 Blok 18
23/23