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A Case of Obsessive Compulsive Schizophrenia: The Comorbidity and its Complexities

Published online by Cambridge University Press:  16 April 2020

N.R. Nik Jaafar ,
M. Midin  and
J.P. Reddy
N.R. Nik Jaafar
Affiliation:
Dept. of Psychiatry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
M. Midin
Affiliation:
Dept. of Psychiatry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia
J.P. Reddy
Affiliation:
Dept. of Psychiatry, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia

Abstract

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The comorbidity of obsessive compulsive disorder (OCD) and schizophrenia is an intriguing clinical phenomenon. Such presentation arguably deserves to be recognized as a distinct subgroup of schizophrenia with a possibly different set of challenges and treatment needs. This report describes a patient who had OCD before schizophrenic changes were observed. His continued struggle with his illness despite bouts of minor successes illustrates the complexities of this clinical entity. in managing this patient, we faced several clinical dilemmas including diagnostic ambiguity, issues with pharmacotherapy and difficulties in rehabilitating a patient from a family with high expressed emotion.

Type
P03-177
Information
European Psychiatry , Volume 24 , Issue S1: 17th EPA Congress - Lisbon, Portugal, January 2009, Abstract book , January 2009 , 24-E1176
Copyright
Copyright © European Psychiatric Association 2009
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