Psychotic PTSD? Sudden traumatic loss precipitating very late onset schizophrenia.
anxiety disorders (including OCD and PTSD)
global health
memory disorders (psychiatry)
schizophrenia
Journal
BMJ case reports
ISSN: 1757-790X
Titre abrégé: BMJ Case Rep
Pays: England
ID NLM: 101526291
Informations de publication
Date de publication:
28 Jan 2021
28 Jan 2021
Historique:
entrez:
29
1
2021
pubmed:
30
1
2021
medline:
4
3
2021
Statut:
epublish
Résumé
Early theories of schizophrenia considered the illness as a fragmentation of mental content in response to psychological trauma. Here we present a case of very late onset schizophrenia in a previously high-functioning man in his mid-60s, precipitated by having lost his family in a terrorist attack, while he was living in Africa. He presented with symptoms consistent with post-traumatic stress disorder, however also exhibited visual and auditory hallucinations and marked deterioration in daily functioning. He showed mild impairment on cognitive testing, however brain imaging and screening for reversible causes of cognitive impairment were normal. The case highlights the need for a formulation-based approach to understanding and managing responses to severe trauma, from resolution through to psychotic disintegration.
Identifiants
pubmed: 33509854
pii: 14/1/e235384
doi: 10.1136/bcr-2020-235384
pmc: PMC7845727
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© BMJ Publishing Group Limited 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
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