Wajid Malik, Sohail Ali, Mowadat Hussain Rana.
Management of post traumatic symptoms with pre-traumatic vulnerability.
Pak Armed Forces Med J Jan ;56(4):467-72.

Parents of my patient, a 14 years old school going girl, sought medical advice because of their concerns that she had stopped using her left hand, decline in school performance and difficulty going to sleep. After two months of visiting various medical outlets and faith healers she was referred to Mental Health Relief Unit Bagh. Her chief complaints were difficulty in moving the left hand, irritability, poor concentration, insomnia, crying spells and forgetfulness that interfered with her school performance. Her mother added that following the trauma she became fearful of remaining alone, especially at night. She needed repeated reassurances before going to bed that nothing was going to happen and no one was going to die. There were also episodes of rage when the patient would pinch herself, pull her hair, or bang her head against the wall.

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