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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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2023-10-01
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Series: | Frontiers in Psychiatry |
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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. |
first_indexed | 2024-03-11T18:42:06Z |
format | Article |
id | doaj.art-c838727d06204e9b8087e72d7a2194c8 |
institution | Directory Open Access Journal |
issn | 1664-0640 |
language | English |
last_indexed | 2024-03-11T18:42:06Z |
publishDate | 2023-10-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Psychiatry |
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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