Differential diagnosis of auditory hallucinations in teenagers. Assessment and difficulties: Case report of a 13 year old patient
Introduction Learning from a case of a 13 year old patient with auditory hallucinations for 2 months, admitted to the hospital due to suicidal ideation. Her mother had been diagnosed with Lupus and OCD. Her mood had been low for several months, probable mild intellectual disability. Objectives L...
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2021-04-01
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| Series: | European Psychiatry |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S0924933821006258/type/journal_article |
| _version_ | 1797616726490218496 |
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| author | C. Pastor Jordá P. Carroll D. Bender R. Tumuluru |
| author_facet | C. Pastor Jordá P. Carroll D. Bender R. Tumuluru |
| author_sort | C. Pastor Jordá |
| collection | DOAJ |
| description |
Introduction
Learning from a case of a 13 year old patient with auditory hallucinations for 2 months, admitted to the hospital due to suicidal ideation. Her mother had been diagnosed with Lupus and OCD. Her mood had been low for several months, probable mild intellectual disability.
Objectives
Learn how to assess auditory hallucinations and possible new onset psychotic symptoms in teenagers. Learn about different levels of care involved. Discuss differential diagnosis and future directions and treatment.
Methods
Description of the case. Differential diagnosis: Obsessive compulsive disorder, Major depressive disorder with Psychotic features, schizophrenia spectrum disorder, epilepsy or other neurologic disease, autoimmune disease, post-traumatic stress disorder… Tests and consults conducted by Neurology team Psychopharmacology description.
Results
Differential diagnosis: Obsessive compulsive disorder, Major depressive disorder with Psychotic features, schizophrenia spectrum disorder, epilepsy, autoimmune diseases like Lupus, post-traumatic stress disorder etc. Video EEG: normal. Brain MRI: normal Blood work unremarkable with positive ANA (titer 1:80). Work up, including lumbar puncture with autoimmune encephalitis and MS panels was negative. Psychopharmacology: Fluoxetine up to 40mg, and Aripiprazol up to 20mg without a good response. Possible sexual trauma was disclosed in a second hospitalization, months later.
Conclusions
Recommendation of assessing new onset of psychotic symptoms in detail to get a good diagnosis. Psychotic symptoms in young teenagers may occur as part of different presentations and it is important to provide a good follow up of the patient in order to provide the most accurate treatment.
Conflict of interest
Alicia Koplowitz Foundation
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| first_indexed | 2024-03-11T07:45:25Z |
| format | Article |
| id | doaj.art-891dfd48f5cf4e0eabc0897821b53362 |
| institution | Directory Open Access Journal |
| issn | 0924-9338 1778-3585 |
| language | English |
| last_indexed | 2024-03-11T07:45:25Z |
| publishDate | 2021-04-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | European Psychiatry |
| spelling | doaj.art-891dfd48f5cf4e0eabc0897821b533622023-11-17T05:07:42ZengCambridge University PressEuropean Psychiatry0924-93381778-35852021-04-0164S233S23410.1192/j.eurpsy.2021.625Differential diagnosis of auditory hallucinations in teenagers. Assessment and difficulties: Case report of a 13 year old patientC. Pastor Jordá0P. Carroll1D. Bender2R. Tumuluru3Child And Adolescent Psychiatry, Alicia Koplowitz Foundation, Madrid, SpainChild And Adolescent Psychiatry, UPMC Western Psychiatric Hospital, Pittsburgh, United States of AmericaChild And Adolescent Psychiatry, UPMC Western Psychiatric Hospital, Pittsburgh, United States of AmericaChild And Adolescent Psychiatry, UPMC Western Psychiatric Hospital, Pittsburgh, United States of America Introduction Learning from a case of a 13 year old patient with auditory hallucinations for 2 months, admitted to the hospital due to suicidal ideation. Her mother had been diagnosed with Lupus and OCD. Her mood had been low for several months, probable mild intellectual disability. Objectives Learn how to assess auditory hallucinations and possible new onset psychotic symptoms in teenagers. Learn about different levels of care involved. Discuss differential diagnosis and future directions and treatment. Methods Description of the case. Differential diagnosis: Obsessive compulsive disorder, Major depressive disorder with Psychotic features, schizophrenia spectrum disorder, epilepsy or other neurologic disease, autoimmune disease, post-traumatic stress disorder… Tests and consults conducted by Neurology team Psychopharmacology description. Results Differential diagnosis: Obsessive compulsive disorder, Major depressive disorder with Psychotic features, schizophrenia spectrum disorder, epilepsy, autoimmune diseases like Lupus, post-traumatic stress disorder etc. Video EEG: normal. Brain MRI: normal Blood work unremarkable with positive ANA (titer 1:80). Work up, including lumbar puncture with autoimmune encephalitis and MS panels was negative. Psychopharmacology: Fluoxetine up to 40mg, and Aripiprazol up to 20mg without a good response. Possible sexual trauma was disclosed in a second hospitalization, months later. Conclusions Recommendation of assessing new onset of psychotic symptoms in detail to get a good diagnosis. Psychotic symptoms in young teenagers may occur as part of different presentations and it is important to provide a good follow up of the patient in order to provide the most accurate treatment. Conflict of interest Alicia Koplowitz Foundation https://www.cambridge.org/core/product/identifier/S0924933821006258/type/journal_articleHallucinationsTeenagers |
| spellingShingle | C. Pastor Jordá P. Carroll D. Bender R. Tumuluru Differential diagnosis of auditory hallucinations in teenagers. Assessment and difficulties: Case report of a 13 year old patient European Psychiatry Hallucinations Teenagers |
| title | Differential diagnosis of auditory hallucinations in teenagers. Assessment and difficulties: Case report of a 13 year old patient |
| title_full | Differential diagnosis of auditory hallucinations in teenagers. Assessment and difficulties: Case report of a 13 year old patient |
| title_fullStr | Differential diagnosis of auditory hallucinations in teenagers. Assessment and difficulties: Case report of a 13 year old patient |
| title_full_unstemmed | Differential diagnosis of auditory hallucinations in teenagers. Assessment and difficulties: Case report of a 13 year old patient |
| title_short | Differential diagnosis of auditory hallucinations in teenagers. Assessment and difficulties: Case report of a 13 year old patient |
| title_sort | differential diagnosis of auditory hallucinations in teenagers assessment and difficulties case report of a 13 year old patient |
| topic | Hallucinations Teenagers |
| url | https://www.cambridge.org/core/product/identifier/S0924933821006258/type/journal_article |
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