V. Hardening of the Categories

CASE# 2659831/HC

Subjective: Pt.'s spouse reports that he has grown strange and difficult of access. Although he has not lost any of his feelings, and has not become hostile or cold, he seems to get more remote all the time. Since his 35th year he has been totally immured in a deep, far-off state.
Objective: concretions found in skull x-ray
Assessment: Hardening of the categories
Plan: Surgery to clean out blocked categories-a last resort, since the disease is generally chronic and incurable...the concretions nearly always return after a few months.

Self-awareness is temporarily altered or lost. This alteration in consciousness is perceived as a barrier between the sufferer and the outside world. The condition may be restricted to a single body part or it may encompass the whole self.

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