Case Record

EMOTIONALLY UNSTABLE PERSONALITY: Patient was apparently normal till 11 yrs of age with mild hard of hearing. Around that age he stopped going to school due to financial problem &started to go to work. He maintained well with family members and others without any significant behavioural problems. At that time, once his uncle commented about his hearing impairment in front of others, which made him very much irritated; he left that place immediately. Even after reaching home, he continued to have extreme irritability and restless following which around 12.00 am at night. He went to his uncle’s place by walk which was 5kms away and assaulted him. His uncle sustained severe injury. He ran back to home as the neighbours and others rushed to the place seeing the incident. After this as they were relatives , they didn’t make much issue about that incident. For the next 1 yr he started working as an unskilled labourer in his own village. He used to have a occasional anger outburst leading to quarrel in his work place and in his family circle either for trivial reason or if his hearing impairment being criticised by others. Later, at 13 yrs of age, he came to Chennai with his elder brother and started working as an unskilled labourer in constructional work. He stayed along with his brother and other co-worker. At that time he was introduced to brandy by his friends, he used to consume about