Diagnosis and Treatment of a Patient With Both Psychotic

Jun 16th, 2015
Studypool Tutor
Boise State University
Course: general
Price: $25 USD

Tutor description

When a patient presents with both psy-chotic and obsessive-compulsive symp¬toms, the clinician is faced with a differ¬ential diagnosis that includes comorbid schizophrenia and obsessive-compulsive disorder (OCD), OCD with poor insight, and schizophrenia with antipsychotic-induced obsessive-compulsive symptoms.

Word Count: 6299
Showing Page: 1/8
Clinical Case ConferenceFrom the New York State Psychiatric InstituteThis article is featured in this month's AJP Audio and is the subject of a CME course (p. 875).754 ajp.psychiatryonline.org Am J Psychiatry 167:7, July 2010Diagnosis and Treatment of a Patient With Both Psychotic and Obsessive-Compulsive SymptomsCarolyn I. Rodriguez, M.D., Ph.D.Cheryl Corcoran, M.D.Helen Blair Simpson, M.D., Ph.D.When a patient presents with both psychotic and obsessive-compulsive symptoms, the clinician is faced with a differential diagnosis that includes comorbid schizophrenia and obsessive-compulsive disorder (OCD), OCD with poor insight, and schizophrenia with antipsychotic-induced obsessive-compulsive symptoms. If the psychotic symptoms are subthreshold or attenuated in form, the individual may have OCD and putative prodromal schizophrenia. The authors present a case to outline a strategy for differentiating among these possible diagnoses and for optimizing treatment.Case PresentationChief Complaint"Carlos," a 19-year-old Puerto Rican male with no prior psychiatric hospitalizations, presented at the emergency department with the belief that "lines" were coming out of his mouth and genitals. He also spent several hours a day organizing objects in his house and checking to make sure they were aligned perfectly symmetrically.History of Present IllnessTwo years earlier, Carlos began feeling lonely and depressed and felt as if the other members of the school basketball team di

Review from student

Studypool Student
" excellent work as always thanks for the help "
Ask your homework questions. Receive quality answers!

Type your question here (or upload an image)

1823 tutors are online

Other Documents

06/16/2015
06/16/2015
06/16/2015
06/16/2015
06/16/2015
06/16/2015

Brown University





1271 Tutors

California Institute of Technology




2131 Tutors

Carnegie Mellon University




982 Tutors

Columbia University





1256 Tutors

Dartmouth University





2113 Tutors

Emory University





2279 Tutors

Harvard University





599 Tutors

Massachusetts Institute of Technology



2319 Tutors

New York University





1645 Tutors

Notre Dam University





1911 Tutors

Oklahoma University





2122 Tutors

Pennsylvania State University





932 Tutors

Princeton University





1211 Tutors

Stanford University





983 Tutors

University of California





1282 Tutors

Oxford University





123 Tutors

Yale University





2325 Tutors