Management In Mrs. WU 32 Years Old With Schizophrenia Through Family Medicine Approach


  • Ulfa Intan Tiara Universitas Lampung
  • Aradila Irsalina
  • Dian Isti Angraini



Schizophrenia is a psychiatric disorder characterized by decreased or inability to communicate, impaired reality (in the form of hallucinations and delusions), cognitive impairment (unable to think abstractly) and has difficulty performing daily activities. Based on the American Psychiatric Association (APA) in 2014, 75% of people with schizophrenia. According to Riskesdas 2018, there are 6.7 per 1,000 Indonesians who suffer from schizophrenia, in Lampung Province there were 8.969 people and the prevalence in Bandar Lampung City showed as many as 1.012 people suffering from schizophrenia. This case report describes a 32-year-old woman with complaints of hearing whispering voices, making it difficult for the patient to sleep and feeling weak easily. Examination of mental status revealed perceptual disturbances in the form of auditory hallucinations and thought content disorders in the form of suspicious delusions. The patient was assessed for observation 4. The management provided was in the form of psychopharmaceutical therapy and holistic intervention with a family medicine approach. The purpose of writing this case report is to identify risk factors, clinical problems, and management with a patient centered and family approach.


WHO. Improving health systems and services for mental health [Internet]. 2019. Available from:

Kementerian Kesehatan RI. Laporan Hasil Riset Kesehatan Dasar Indonesia Tahun 2018 [Internet]. Balitbangkes. 2018.

American Psychiatric Association (APA), 2013. Diagnostic and statistical manual of mental disorders—fifth edition: DSM-5. Arlington, V A: American Psychiatric Association.

Owen, M. J., Sawa, A., & Mortensen, P. B. Lancet,388(10039), 86-97. doi:http://e- resources.perpusnas.go.i

Maslim R. Buku saku diagnosis gangguan jiwa PPDGJ-III. Jakarta : Ilmu Kedokteran Jiwa Fakultas Kedokteran Unika Atma Jaya; 2001.

Sadock BJ, Sadock VA. Kaplan & Sadock Buku Ajar Psikiatri Klinis. 2nd ed. Muttaqin H, Sihombing RNE, editors. Jakarta: EGC; 2010.

Kirkpatrick B. Understanding the physiology of schizophrenia. J Clin Psychiatry. 2013;74(3):5

Hawari D. Pendekatan Holistik pada Gangguan Jiwa Skizofrenia. Jakarta: FK UI; 2009.

Fakultas Kedokteran Universitas Indonesia. Buku Ajar Psikiatri. Edisi ke-2. Jakarta: Fakultas Kedokteran Universitas Indonesia; 2013.

Kementrian Kesehatan RI. Keputusan Menteri Kesehatan Republik Indonesia Nomor : 406/Menkes/SK/VI/2009 Tentang Pedoman Pelayanan Kesehatan Jiwa. Komunitas. Kementrian Kesehatan RI; 2009.

The ICD-10. Classification of mental and behavioural disorders clinical descriptions and diagnostic guidelines. Geneva: World Health Organization; 1993.

Kahn RS. Effectiveness of antipsychotic drugs in first episode schizophrenia and scizophrenia form disorder : and open randomized clinical trial. Lancet. 2008; 371(9618):1085-97.

Liebermen JA. Effectiveness of antipsychotic drugs in patient with chronic szchizoprenia. N Engl J Med. 2005; 353:1209-23.

Lehman AF, Lieberman JA, Dixon LB, et al. Practice guideline for the: treatment of patients with schizoprenia second edition. 2010



How to Cite

Ulfa Intan Tiara, Aradila Irsalina, & Dian Isti Angraini. (2023). Management In Mrs. WU 32 Years Old With Schizophrenia Through Family Medicine Approach . Medical Profession Journal of Lampung, 13(3), 398-406.




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