Gratification Disorder: A Case Report from the Himalayan Country–Nepal

The gratification disorder is common in children between the ages of 3 months and 3 years. The condition is called a “disorder,” but it is a normal behavioral variant in early childhood. The common differentials for this condition are childhood epileptic seizures. The failure to recognize this case...

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Main Authors: Pawan Sharma, Omkar Dhungel, Lokesh Saini
Format: Article
Language:English
Published: SAGE Publishing 2023-10-01
Series:Journal of Psychosexual Health
Online Access:https://doi.org/10.1177/26318318231221937
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author Pawan Sharma
Omkar Dhungel
Lokesh Saini
author_facet Pawan Sharma
Omkar Dhungel
Lokesh Saini
author_sort Pawan Sharma
collection DOAJ
description The gratification disorder is common in children between the ages of 3 months and 3 years. The condition is called a “disorder,” but it is a normal behavioral variant in early childhood. The common differentials for this condition are childhood epileptic seizures. The failure to recognize this case may lead to unnecessary investigations and inappropriate treatment. It improves with age, generally by reassuring the anxious parents. In this case report, we present a case of a 2-year-old female child with a history of episodic rocking of the hip and scissoring of lower limbs, and she was treated with anti-epileptics but showed no improvement. After detailed assessment and normal investigations, a diagnosis of gratification disorder was made. The parents were psycho-educated and assured. Though reluctant to accept the diagnosis, they complied with the advice of ignoring the events and distracting the child. This was a challenging case for both the clinicians to diagnose and the parents to accept the diagnosis.
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spelling doaj.art-c4a563b08e904d86b8bea6a4ec91f3f62024-02-26T12:04:20ZengSAGE PublishingJournal of Psychosexual Health2631-83182631-83262023-10-01510.1177/26318318231221937Gratification Disorder: A Case Report from the Himalayan Country–NepalPawan Sharma0Omkar Dhungel1Lokesh Saini2 Department of Psychiatry, Patan Academy of Health Sciences, School of Medicine, Lalitpur, Nepal Department of Psychiatry, Patan Academy of Health Sciences, School of Medicine, Lalitpur, Nepal Department of Pediatric Neurology, All India Institute of Medical Sciences Jodhpur, IndiaThe gratification disorder is common in children between the ages of 3 months and 3 years. The condition is called a “disorder,” but it is a normal behavioral variant in early childhood. The common differentials for this condition are childhood epileptic seizures. The failure to recognize this case may lead to unnecessary investigations and inappropriate treatment. It improves with age, generally by reassuring the anxious parents. In this case report, we present a case of a 2-year-old female child with a history of episodic rocking of the hip and scissoring of lower limbs, and she was treated with anti-epileptics but showed no improvement. After detailed assessment and normal investigations, a diagnosis of gratification disorder was made. The parents were psycho-educated and assured. Though reluctant to accept the diagnosis, they complied with the advice of ignoring the events and distracting the child. This was a challenging case for both the clinicians to diagnose and the parents to accept the diagnosis.https://doi.org/10.1177/26318318231221937
spellingShingle Pawan Sharma
Omkar Dhungel
Lokesh Saini
Gratification Disorder: A Case Report from the Himalayan Country–Nepal
Journal of Psychosexual Health
title Gratification Disorder: A Case Report from the Himalayan Country–Nepal
title_full Gratification Disorder: A Case Report from the Himalayan Country–Nepal
title_fullStr Gratification Disorder: A Case Report from the Himalayan Country–Nepal
title_full_unstemmed Gratification Disorder: A Case Report from the Himalayan Country–Nepal
title_short Gratification Disorder: A Case Report from the Himalayan Country–Nepal
title_sort gratification disorder a case report from the himalayan country nepal
url https://doi.org/10.1177/26318318231221937
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AT lokeshsaini gratificationdisorderacasereportfromthehimalayancountrynepal