I am the best and I have everything in life
Introduction Megalomanic ideas in a patient with limited intellectual functioning may be due to the psychotic clinic or be the result of their disability. Objectives This case is intended to highlight the importance of a joint approach between psychiatrists and psychologists to assess functionalit...
| Main Authors: | , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-06-01
|
| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933822015590/type/journal_article |
| _version_ | 1797617273823821824 |
|---|---|
| author | C. Vallecillo Adame T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira M. Fernández Lozano M.J. Mateos Sexmero B. Rodríguez Rodríguez N. Navarro Barriga N. De Uribe Viloria |
| author_facet | C. Vallecillo Adame T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira M. Fernández Lozano M.J. Mateos Sexmero B. Rodríguez Rodríguez N. Navarro Barriga N. De Uribe Viloria |
| author_sort | C. Vallecillo Adame |
| collection | DOAJ |
| description |
Introduction
Megalomanic ideas in a patient with limited intellectual functioning may be due to the psychotic clinic or be the result of their disability.
Objectives
This case is intended to highlight the importance of a joint approach between psychiatrists and psychologists to assess functionality before and after the psychotic episode.
Methods
34-year-old woman with no mental health history. She came to the emergency department for an episode of aggression at home. Her parents report that they have observed strange behaviour, she is more aggressive, speaks alone, changing voices and global insomnia in the last few days. Her language is incoherent and disorganised, with a long response latency. Megalomaniacal and catastrophic delusions. Possible auditory hallucinations and thought control phenomena.
Results
During admission, antipsychotic treatment was introduced with good tolerance and response on the part of the patient. She has been distancing herself from the ideas and has become somewhat critical. A psychological evaluation was carried out with different scales that showed borderline IQ.
Conclusions
It is important to make a good assessment of the patient’s symptoms in order to make a differential diagnosis. In this case, it is advisable to carry out a control and follow-up, as well as a neuropsychological assessment before and after the acute episode. In addition, a multidisciplinary approach with psychologists, psychiatrists and social workers is important.
Disclosure
No significant relationships.
|
| first_indexed | 2024-03-11T07:52:28Z |
| format | Article |
| id | doaj.art-5848601a55dd4b22bba75740dadeac3b |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:52:28Z |
| publishDate | 2022-06-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-5848601a55dd4b22bba75740dadeac3b2023-11-17T05:06:20ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S608S60910.1192/j.eurpsy.2022.1559I am the best and I have everything in lifeC. Vallecillo Adame0T. Jiménez Aparicio1C. De Andrés Lobo2A. Gonzaga Ramírez3M. Queipo De Llano De La Viuda4G. Guerra Valera5I. Santos Carrasco6J. Gonçalves Cerejeira7M. Fernández Lozano8M.J. Mateos Sexmero9B. Rodríguez Rodríguez10N. Navarro Barriga11N. De Uribe Viloria12Hospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psiquiatría, VALLADOLID, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainClinical Hospital of Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psychiatry, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psiquiatría, VALLADOLID, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario, Psiquiatría, Valladolid, SpainHospital Clínico Universitario de Valladolid, Psiquiatría, VALLADOLID, SpainHospital Universitario Fundación de Alcorcón, Psychiatry, Madrid, Spain Introduction Megalomanic ideas in a patient with limited intellectual functioning may be due to the psychotic clinic or be the result of their disability. Objectives This case is intended to highlight the importance of a joint approach between psychiatrists and psychologists to assess functionality before and after the psychotic episode. Methods 34-year-old woman with no mental health history. She came to the emergency department for an episode of aggression at home. Her parents report that they have observed strange behaviour, she is more aggressive, speaks alone, changing voices and global insomnia in the last few days. Her language is incoherent and disorganised, with a long response latency. Megalomaniacal and catastrophic delusions. Possible auditory hallucinations and thought control phenomena. Results During admission, antipsychotic treatment was introduced with good tolerance and response on the part of the patient. She has been distancing herself from the ideas and has become somewhat critical. A psychological evaluation was carried out with different scales that showed borderline IQ. Conclusions It is important to make a good assessment of the patient’s symptoms in order to make a differential diagnosis. In this case, it is advisable to carry out a control and follow-up, as well as a neuropsychological assessment before and after the acute episode. In addition, a multidisciplinary approach with psychologists, psychiatrists and social workers is important. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822015590/type/journal_articleborderline intelligencemegalomaniacal ideaspsychologyPsychosis |
| spellingShingle | C. Vallecillo Adame T. Jiménez Aparicio C. De Andrés Lobo A. Gonzaga Ramírez M. Queipo De Llano De La Viuda G. Guerra Valera I. Santos Carrasco J. Gonçalves Cerejeira M. Fernández Lozano M.J. Mateos Sexmero B. Rodríguez Rodríguez N. Navarro Barriga N. De Uribe Viloria I am the best and I have everything in life European Psychiatry borderline intelligence megalomaniacal ideas psychology Psychosis |
| title | I am the best and I have everything in life |
| title_full | I am the best and I have everything in life |
| title_fullStr | I am the best and I have everything in life |
| title_full_unstemmed | I am the best and I have everything in life |
| title_short | I am the best and I have everything in life |
| title_sort | i am the best and i have everything in life |
| topic | borderline intelligence megalomaniacal ideas psychology Psychosis |
| url | https://www.cambridge.org/core/product/identifier/S0924933822015590/type/journal_article |
| work_keys_str_mv | AT cvallecilloadame iamthebestandihaveeverythinginlife AT tjimenezaparicio iamthebestandihaveeverythinginlife AT cdeandreslobo iamthebestandihaveeverythinginlife AT agonzagaramirez iamthebestandihaveeverythinginlife AT mqueipodellanodelaviuda iamthebestandihaveeverythinginlife AT gguerravalera iamthebestandihaveeverythinginlife AT isantoscarrasco iamthebestandihaveeverythinginlife AT jgoncalvescerejeira iamthebestandihaveeverythinginlife AT mfernandezlozano iamthebestandihaveeverythinginlife AT mjmateossexmero iamthebestandihaveeverythinginlife AT brodriguezrodriguez iamthebestandihaveeverythinginlife AT nnavarrobarriga iamthebestandihaveeverythinginlife AT ndeuribeviloria iamthebestandihaveeverythinginlife |