Simple Schizophrenia or Neurotic Disorder? Case report
Introduction The diagnosis of simple schizophrenia remains an unusual and controversial diagnosis today. The presentation of nonspecific symptoms shared by other nosological entities make differential diagnosis a challenge. Objectives The main objective of this case report is to review the diagnos...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2022-06-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822011403/type/journal_article |
| _version_ | 1797616763053015040 |
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| author | P. Suz Maroto B. Díez Valle A. Hurtado De Mendoza Vázquez E. Navas Collado |
| author_facet | P. Suz Maroto B. Díez Valle A. Hurtado De Mendoza Vázquez E. Navas Collado |
| author_sort | P. Suz Maroto |
| collection | DOAJ |
| description |
Introduction
The diagnosis of simple schizophrenia remains an unusual and controversial diagnosis today. The presentation of nonspecific symptoms shared by other nosological entities make differential diagnosis a challenge.
Objectives
The main objective of this case report is to review the diagnosis of simple schizophrenia and its differential diagnosis.
Methods
Case report and literature review. We present the case of a 52-year-old man who was admitted to a medium stay unit for psychosocial rehabilitation with the diagnosis of simple schizophrenia after his debut at 49 years of age with clinical manifestations of progressive self-care abandonment and personality change.
Results
Given the psychosocial deterioration observed and lack of response to pharmacological and psychotherapeutic treatments, the possible diagnoses of dementia praecox and simple schizophrenia were considered. Several individual and family interviews, neuropsychological and projective tests (HTP test, figure 1-3) were performed in order to define the diagnosis. The results revealed age-appropriate cognitive functioning and the absence of data suggestive of an underlying psychotic disorder. On the other hand, it was observed that the patient was able to establish some social relationships and participate in group activities in the medium stay unit. These findings suggest the influence of factors related to the socio-familial environment and cast doubt on the initial diagnostic hypothesis.
Conclusions
The diagnosis of simple schizophrenia continues to present itself as a complex diagnosis that requires a careful review of the differential diagnosis.
Disclosure
No significant relationships.
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| first_indexed | 2024-03-11T07:45:53Z |
| format | Article |
| id | doaj.art-15e582b7f4194217a6a5d23c37ea8143 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:45:53Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-15e582b7f4194217a6a5d23c37ea81432023-11-17T05:07:39ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S449S45010.1192/j.eurpsy.2022.1140Simple Schizophrenia or Neurotic Disorder? Case reportP. Suz Maroto0B. Díez Valle1A. Hurtado De Mendoza Vázquez2E. Navas Collado3Hospital Universitario José Germain, Psychiatry, Leganés, SpainHospital Severo Ochoa, Psychiatry, Leganés, SpainHospital Universitario José Germain, Psychiatry, Leganés, SpainHospital Universitario José Germain, Psychiatry, Leganés, Spain Introduction The diagnosis of simple schizophrenia remains an unusual and controversial diagnosis today. The presentation of nonspecific symptoms shared by other nosological entities make differential diagnosis a challenge. Objectives The main objective of this case report is to review the diagnosis of simple schizophrenia and its differential diagnosis. Methods Case report and literature review. We present the case of a 52-year-old man who was admitted to a medium stay unit for psychosocial rehabilitation with the diagnosis of simple schizophrenia after his debut at 49 years of age with clinical manifestations of progressive self-care abandonment and personality change. Results Given the psychosocial deterioration observed and lack of response to pharmacological and psychotherapeutic treatments, the possible diagnoses of dementia praecox and simple schizophrenia were considered. Several individual and family interviews, neuropsychological and projective tests (HTP test, figure 1-3) were performed in order to define the diagnosis. The results revealed age-appropriate cognitive functioning and the absence of data suggestive of an underlying psychotic disorder. On the other hand, it was observed that the patient was able to establish some social relationships and participate in group activities in the medium stay unit. These findings suggest the influence of factors related to the socio-familial environment and cast doubt on the initial diagnostic hypothesis. Conclusions The diagnosis of simple schizophrenia continues to present itself as a complex diagnosis that requires a careful review of the differential diagnosis. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822011403/type/journal_articlepsychiatric classificationssimple schizophreniadiagnosis |
| spellingShingle | P. Suz Maroto B. Díez Valle A. Hurtado De Mendoza Vázquez E. Navas Collado Simple Schizophrenia or Neurotic Disorder? Case report European Psychiatry psychiatric classifications simple schizophrenia diagnosis |
| title | Simple Schizophrenia or Neurotic Disorder? Case report |
| title_full | Simple Schizophrenia or Neurotic Disorder? Case report |
| title_fullStr | Simple Schizophrenia or Neurotic Disorder? Case report |
| title_full_unstemmed | Simple Schizophrenia or Neurotic Disorder? Case report |
| title_short | Simple Schizophrenia or Neurotic Disorder? Case report |
| title_sort | simple schizophrenia or neurotic disorder case report |
| topic | psychiatric classifications simple schizophrenia diagnosis |
| url | https://www.cambridge.org/core/product/identifier/S0924933822011403/type/journal_article |
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