A 24-year-old individual, up until a few months ago, seemed to be doing well and there were no concerns. Quite suddenly lost interest in his academic work and also stopped socializing with his friends. He is becoming apathetic and rarely shows any emotion or engagement with anyone including his family members with whom he had been reasonably close. When asked how he is, the man insists he is fine and he cannot understand his parents’ concern. When asked about what they think is wrong, his parents cannot say what concerns them but they are sure something is not right.
Mental state examination His eye contact is variable and when he does make eye contact it is fixed but there is no sense of rapport. He is a polite and reasonably cooperative man. He does not appear anxious or agitated but appears rather flat in affect. He seems slightly detached from his parents and does not look at them.…
