Cargando…

Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient

We present the case of a 16-year-old female patient who experienced the loss of her mother to suicide, leading to post-traumatic stress disorder and prominent mood symptoms. She developed catatonic features during her inpatient psychiatric hospitalization following her own suicide attempt. Over her...

Descripción completa

Detalles Bibliográficos
Autores principales: To, Wilson, Yung, Crystal, Voss-Hamrick, Tyler, Meacham, Brenner, Freedman, Colin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601629/
https://www.ncbi.nlm.nih.gov/pubmed/37900288
http://dx.doi.org/10.3389/fpsyt.2023.1225827
_version_ 1785126234240319488
author To, Wilson
Yung, Crystal
Voss-Hamrick, Tyler
Meacham, Brenner
Freedman, Colin
author_facet To, Wilson
Yung, Crystal
Voss-Hamrick, Tyler
Meacham, Brenner
Freedman, Colin
author_sort To, Wilson
collection PubMed
description We present the case of a 16-year-old female patient who experienced the loss of her mother to suicide, leading to post-traumatic stress disorder and prominent mood symptoms. She developed catatonic features during her inpatient psychiatric hospitalization following her own suicide attempt. Over her hospital course, she began to demonstrate signs of co-occurring obsessive-compulsive disorder (OCD) and affective psychotic disorder obfuscated by the severity of her catatonia. After initial workup including neurologic evaluation, laboratory tests, imaging (EEG, MRI), the patient was stabilized on a combination of benzodiazepines, antipsychotics, mood stabilizers, and selective serotonin reuptake inhibitors. The diagnostic challenges of disambiguating multiple concurrent diagnoses in the presence of a syndrome with unclear pathophysiology are discussed. Recommendations are made to thoroughly evaluate thought content during periods of catatonic remission to guide diagnosis and treatment.
format Online
Article
Text
id pubmed-10601629
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Frontiers Media S.A.
record_format MEDLINE/PubMed
spelling pubmed-106016292023-10-27 Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient To, Wilson Yung, Crystal Voss-Hamrick, Tyler Meacham, Brenner Freedman, Colin Front Psychiatry Psychiatry We present the case of a 16-year-old female patient who experienced the loss of her mother to suicide, leading to post-traumatic stress disorder and prominent mood symptoms. She developed catatonic features during her inpatient psychiatric hospitalization following her own suicide attempt. Over her hospital course, she began to demonstrate signs of co-occurring obsessive-compulsive disorder (OCD) and affective psychotic disorder obfuscated by the severity of her catatonia. After initial workup including neurologic evaluation, laboratory tests, imaging (EEG, MRI), the patient was stabilized on a combination of benzodiazepines, antipsychotics, mood stabilizers, and selective serotonin reuptake inhibitors. The diagnostic challenges of disambiguating multiple concurrent diagnoses in the presence of a syndrome with unclear pathophysiology are discussed. Recommendations are made to thoroughly evaluate thought content during periods of catatonic remission to guide diagnosis and treatment. Frontiers Media S.A. 2023-10-12 /pmc/articles/PMC10601629/ /pubmed/37900288 http://dx.doi.org/10.3389/fpsyt.2023.1225827 Text en Copyright © 2023 To, Yung, Voss-Hamrick, Meacham and Freedman. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
To, Wilson
Yung, Crystal
Voss-Hamrick, Tyler
Meacham, Brenner
Freedman, Colin
Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_full Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_fullStr Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_full_unstemmed Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_short Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_sort case report: co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10601629/
https://www.ncbi.nlm.nih.gov/pubmed/37900288
http://dx.doi.org/10.3389/fpsyt.2023.1225827
work_keys_str_mv AT towilson casereportcooccurringobsessivecompulsivedisorderandaffectivepsychoticdisordercomplicatedbycatatoniainanadolescentfemalepatient
AT yungcrystal casereportcooccurringobsessivecompulsivedisorderandaffectivepsychoticdisordercomplicatedbycatatoniainanadolescentfemalepatient
AT vosshamricktyler casereportcooccurringobsessivecompulsivedisorderandaffectivepsychoticdisordercomplicatedbycatatoniainanadolescentfemalepatient
AT meachambrenner casereportcooccurringobsessivecompulsivedisorderandaffectivepsychoticdisordercomplicatedbycatatoniainanadolescentfemalepatient
AT freedmancolin casereportcooccurringobsessivecompulsivedisorderandaffectivepsychoticdisordercomplicatedbycatatoniainanadolescentfemalepatient