Counselling Session on Stress, Menstrual Irregularity & Family Conflict

20 Question-and-Answer flashcards summarising the main issues discussed: menstrual cessation, financial stress, coping behaviours, communication barriers, marital conflicts, guilt, and the connection between mental and physical health.

After experiencing irregular cycles, how often did the patient report menstruation occurring before the periods ceased entirely?

Only once or twice a year.

Has the patient ever had a positive pregnancy test?

No; she tested two to three times and each result was negative.

Around which life stage did the patient first begin menstruating?

Shortly after completing 10th grade, before marriage.

What is the primary source of the patient’s ongoing stress?

Severe financial difficulties, including unstable income and debt.

Which emotional and behavioral reactions does the patient display when under stress?

She becomes angry, cries a lot, and overeats snack-type foods.

Why does the patient avoid sharing her problems with parents or in-laws?

She fears they will become more stressed or judge her negatively.

What reason does the patient give for not confiding even in her husband?

She anticipates judgment or heightened conflict if she reveals her worries.

According to the doctor, how can reducing mental stress affect the patient’s physical health?

Lower stress should gradually resolve issues like irregular periods and other health complaints.

What do the husband’s medical tests show regarding fertility?

All of his tests are normal.

How does chronic stress affect the patient’s feelings toward sexual intimacy?

She often lacks desire or satisfaction, sometimes participating only for her partner’s sake.

What financial step did the patient secretly take to manage money problems?

She took a loan against her gold jewelry.

What prevents the patient from telling her family about the gold loan?

She worries it will add to their stress and invite criticism.

How does the patient describe her own temperament during conflicts?

Soft-spoken, avoids confrontation, apologizes repeatedly when she feels at fault.

Which persistent emotion does the patient mention feeling about her situation?

A strong sense of guilt and self-blame.

What is the patient’s outlook on her infertility and irregular periods?

She leaves the matter to God and does not dwell on possible causes.

Why does staying at home tend to increase arguments, according to the patient?

Constant proximity leads to more opportunities for clashes with her husband.

How does the husband misinterpret social-media statuses, causing disputes?

He assumes that negative posts are directed specifically at him.

What is the patient’s counter-argument when her husband personalizes others’ statuses?

That many people see those posts and they aren’t necessarily aimed at him.

What general advice does the patient believe in for handling uncontrollable problems?

Leave matters to time and trust in God.

What link does the doctor emphasize between mental tension and physical illness?

Continuous psychological stress can trigger or worsen bodily problems.