Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient

We present the case of a 16-year-old female patient who experienced the loss of her mother to suicide, leading to post-traumatic stress disorder and prominent mood symptoms. She developed catatonic features during her inpatient psychiatric hospitalization following her own suicide attempt. Over her...

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Main Authors: Wilson To, Crystal Yung, Tyler Voss-Hamrick, Brenner Meacham, Colin Freedman
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-10-01
Series:Frontiers in Psychiatry
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1225827/full
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author Wilson To
Crystal Yung
Tyler Voss-Hamrick
Brenner Meacham
Colin Freedman
author_facet Wilson To
Crystal Yung
Tyler Voss-Hamrick
Brenner Meacham
Colin Freedman
author_sort Wilson To
collection DOAJ
description We present the case of a 16-year-old female patient who experienced the loss of her mother to suicide, leading to post-traumatic stress disorder and prominent mood symptoms. She developed catatonic features during her inpatient psychiatric hospitalization following her own suicide attempt. Over her hospital course, she began to demonstrate signs of co-occurring obsessive-compulsive disorder (OCD) and affective psychotic disorder obfuscated by the severity of her catatonia. After initial workup including neurologic evaluation, laboratory tests, imaging (EEG, MRI), the patient was stabilized on a combination of benzodiazepines, antipsychotics, mood stabilizers, and selective serotonin reuptake inhibitors. The diagnostic challenges of disambiguating multiple concurrent diagnoses in the presence of a syndrome with unclear pathophysiology are discussed. Recommendations are made to thoroughly evaluate thought content during periods of catatonic remission to guide diagnosis and treatment.
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spelling doaj.art-c838727d06204e9b8087e72d7a2194c82023-10-12T12:45:59ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-10-011410.3389/fpsyt.2023.12258271225827Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patientWilson To0Crystal Yung1Tyler Voss-Hamrick2Brenner Meacham3Colin Freedman4Psychiatry Program, Sunrise Health GME Consortium, Southern Hills Hospital & Medical Center, Las Vegas, NV, United StatesTouro University Nevada College of Osteopathic Medicine, Las Vegas, NV, United StatesPsychiatry Program, Sunrise Health GME Consortium, Southern Hills Hospital & Medical Center, Las Vegas, NV, United StatesPsychiatry Program, Sunrise Health GME Consortium, Southern Hills Hospital & Medical Center, Las Vegas, NV, United StatesPsychiatry Program, Sunrise Health GME Consortium, Southern Hills Hospital & Medical Center, Las Vegas, NV, United StatesWe present the case of a 16-year-old female patient who experienced the loss of her mother to suicide, leading to post-traumatic stress disorder and prominent mood symptoms. She developed catatonic features during her inpatient psychiatric hospitalization following her own suicide attempt. Over her hospital course, she began to demonstrate signs of co-occurring obsessive-compulsive disorder (OCD) and affective psychotic disorder obfuscated by the severity of her catatonia. After initial workup including neurologic evaluation, laboratory tests, imaging (EEG, MRI), the patient was stabilized on a combination of benzodiazepines, antipsychotics, mood stabilizers, and selective serotonin reuptake inhibitors. The diagnostic challenges of disambiguating multiple concurrent diagnoses in the presence of a syndrome with unclear pathophysiology are discussed. Recommendations are made to thoroughly evaluate thought content during periods of catatonic remission to guide diagnosis and treatment.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1225827/fullcatatoniachild and adolescent psychiatryobsessive-compulsive disordercase reportpediatric catatoniapsychosis
spellingShingle Wilson To
Crystal Yung
Tyler Voss-Hamrick
Brenner Meacham
Colin Freedman
Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
Frontiers in Psychiatry
catatonia
child and adolescent psychiatry
obsessive-compulsive disorder
case report
pediatric catatonia
psychosis
title Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_full Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_fullStr Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_full_unstemmed Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_short Case report: Co-occurring obsessive-compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
title_sort case report co occurring obsessive compulsive disorder and affective psychotic disorder complicated by catatonia in an adolescent female patient
topic catatonia
child and adolescent psychiatry
obsessive-compulsive disorder
case report
pediatric catatonia
psychosis
url https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1225827/full
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