Dis-engagements make them withdrawn from their social environment. This withdrawal may be by choice or forced. If it is forced individual feels hopeless about future may develop depressive pathology.
Health-Perception & Health Management: 66 years old retired male contacted to the psychiatrist as an outpatient. Since last six months he was feeling unwell. His chief complaints were- feeling of sadness most of the time, palpitation, loss of appetite, unable to enjoy pleasurable activities, lack of sleep, depressed mood persist about half of the time, decreased will to share/ interact with almost every time.
Before consultation to psychiatric OPD (Out patient Door) the client has contacted physician and other specialists' viz., cardiologists, neurologists etc. He also has gone through different medical examination but except arthritis he has not having any organic dysfunction. When he became fade up with medications, he asked to his consultant doctor about his illness, the doctor advised/ suggested him to contact a psychiatrist and psychologist both for the betterment of his mental health. He admitted that his problem is more mental than physical, but due to social stigma initially he avoided to contact a mental health professional.
The client was puzzled about his illness as his problem was affecting his daily routine activities ...