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Approach to early grief: Report of two cases

INTRODUCTION: Early grief is a concept about which there is little literature. This generates difficulties in order to perform a differential diagnosis, as it poses complications to determine if the symptoms that the patient suffers are relative to the mourning or if they appear as part of a comorbi...

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Autores principales: Gómez, A. Sotillos, Coscujuela, P. Marco, Mata, A. Hernández
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479771/
http://dx.doi.org/10.1192/j.eurpsy.2021.2074
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author Gómez, A. Sotillos
Coscujuela, P. Marco
Mata, A. Hernández
author_facet Gómez, A. Sotillos
Coscujuela, P. Marco
Mata, A. Hernández
author_sort Gómez, A. Sotillos
collection PubMed
description INTRODUCTION: Early grief is a concept about which there is little literature. This generates difficulties in order to perform a differential diagnosis, as it poses complications to determine if the symptoms that the patient suffers are relative to the mourning or if they appear as part of a comorbid disorder. OBJECTIVES: To assess the difficulty in discriminating when accompaniment is necessary and when the patient can benefit from pharmacological, psychotherapeutic or combined treatment. METHODS: Patients’ data is obtained from their medical history as well as psychological interviews carried out during the process. RESULTS: 32-year-old woman, with a previous history of depression. The patient was living abroad when her father was diagnosed with a terminal illness, so she decided to return home, making a radical change in her life. She is currently facing the functional deterioration of her father, who is rapidly getting worse. The patient shows symptoms of anxiety, tendency to cry and apathy. 34-year-old woman, with no history in Mental Health. As a result of her father’s illness, the patient develops a clinical manifestation of anxiety and low spirits. After one year, the clinic is maintained according to the variations in the health of her father. She also reports problems concentrating, fatigue, ruminative thoughts and structured autolithic ideas. Finally, she is referred to begin a psychotherapeutic follow-up. CONCLUSIONS: Bearing in mind that we are facing an increase in diagnoses of terminal illnesses, I consider it is necessary to reflect on this concept in order to provide a better response to patients. DISCLOSURE: No significant relationships.
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spelling pubmed-94797712022-09-29 Approach to early grief: Report of two cases Gómez, A. Sotillos Coscujuela, P. Marco Mata, A. Hernández Eur Psychiatry Abstract INTRODUCTION: Early grief is a concept about which there is little literature. This generates difficulties in order to perform a differential diagnosis, as it poses complications to determine if the symptoms that the patient suffers are relative to the mourning or if they appear as part of a comorbid disorder. OBJECTIVES: To assess the difficulty in discriminating when accompaniment is necessary and when the patient can benefit from pharmacological, psychotherapeutic or combined treatment. METHODS: Patients’ data is obtained from their medical history as well as psychological interviews carried out during the process. RESULTS: 32-year-old woman, with a previous history of depression. The patient was living abroad when her father was diagnosed with a terminal illness, so she decided to return home, making a radical change in her life. She is currently facing the functional deterioration of her father, who is rapidly getting worse. The patient shows symptoms of anxiety, tendency to cry and apathy. 34-year-old woman, with no history in Mental Health. As a result of her father’s illness, the patient develops a clinical manifestation of anxiety and low spirits. After one year, the clinic is maintained according to the variations in the health of her father. She also reports problems concentrating, fatigue, ruminative thoughts and structured autolithic ideas. Finally, she is referred to begin a psychotherapeutic follow-up. CONCLUSIONS: Bearing in mind that we are facing an increase in diagnoses of terminal illnesses, I consider it is necessary to reflect on this concept in order to provide a better response to patients. DISCLOSURE: No significant relationships. Cambridge University Press 2021-08-13 /pmc/articles/PMC9479771/ http://dx.doi.org/10.1192/j.eurpsy.2021.2074 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Gómez, A. Sotillos
Coscujuela, P. Marco
Mata, A. Hernández
Approach to early grief: Report of two cases
title Approach to early grief: Report of two cases
title_full Approach to early grief: Report of two cases
title_fullStr Approach to early grief: Report of two cases
title_full_unstemmed Approach to early grief: Report of two cases
title_short Approach to early grief: Report of two cases
title_sort approach to early grief: report of two cases
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9479771/
http://dx.doi.org/10.1192/j.eurpsy.2021.2074
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