Nonsensory hallucinations or obsessive symptoms?: a diagnostic and therapeutic dilemma in a psychotic patient.
Title | Nonsensory hallucinations or obsessive symptoms?: a diagnostic and therapeutic dilemma in a psychotic patient. |
Publication Type | Journal Article |
Year of Publication | 2013 |
Authors | Fountoulakis, K. N., Andreoulakis L. E., & Iacovides A. |
Journal | J Nerv Ment Dis |
Volume | 201 |
Issue | 9 |
Pagination | 818-23 |
Date Published | 2013 Sep |
ISSN | 1539-736X |
Keywords | Adult, Anxiety Disorders, Depressive Disorder, Major, Diagnosis, Differential, Diagnostic and Statistical Manual of Mental Disorders, Drug Therapy, Combination, Female, Hallucinations, Humans, Obsessive-Compulsive Disorder, Psychotic Disorders, Psychotropic Drugs, Suicidal Ideation, Suicide, Attempted |
Abstract | The study of this particular case provided the opportunity to discuss both diagnostic and therapeutic issues raised, concerning not only the evaluation and diagnostic classification of complex and fluctuating symptoms-including abnormal thought content (obsessions or delusional ideas) accompanied by auditory hallucinations that evolved at a later stage during the process of the disorder-but also the response of such symptoms to the various medications applied. Differential diagnosis should include obsessive-compulsive disorder, unipolar schizoaffective disorder, and tardive Tourette's syndrome. Questions raised concerning the beneficial or worsening effect of specific medications applied with regard to the prominent psychopathology during the course of the disorder as well as the optimal treatment for such a case are also discussed. |
DOI | 10.1097/NMD.0b013e3182a21864 |
Alternate Journal | J. Nerv. Ment. Dis. |
PubMed ID | 23995039 |