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PSYCHOTIC DISORDER DUE TO PSYCHOSOCIAL STRESS EPISODE. REVIEW OF A CASE.

Published online by Cambridge University Press:  19 July 2023

A. Gonzalez-Mota ,
I. M. Peso-Navarro ,
C. Garcia-Cerdan ,
C. Munaiz-Cosio ,
M. Ligero-Argudo  and
C. Martin-Gomez
A. Gonzalez-Mota*
Affiliation:
Psychiatry, University Hospital Complex of Salamanca Institute of Biomedicine of Salamanca (IBSAL)
I. M. Peso-Navarro
Affiliation:
Psychiatry, University Hospital Complex of Salamanca
C. Garcia-Cerdan
Affiliation:
Psychiatry, University Hospital Complex of Salamanca
C. Munaiz-Cosio
Affiliation:
Psychiatry, University Hospital Complex of Salamanca
M. Ligero-Argudo
Affiliation:
Psychiatry, University Hospital Complex of Salamanca
C. Martin-Gomez
Affiliation:
Psychiatry, University Hospital Complex of Salamanca Institute of Biomedicine of Salamanca (IBSAL) Psychiatry, School of Medicine, University of Salamanca, Salamanca, Spain
*
*Corresponding author.

Abstract

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Introduction

Psychotic disorder is defined as a loss of contact with reality. Those who suffer from it perceive an altered reality, assuming it to be true.This feeling of unreality generates nervousness, anguish, hypervigilance and even social and emotional isolation.

We present the case of a 18-year-old woman who attended the Emergency Department accompanied by the director of her college due to behavioral alterations. The patient reports that since she has moved to Salamanca to study,she has the feeling that her father has hired spies, one of them being her classmate, being able to hear sounds and voices, which she defines as motivating her to go on with her life. She reports that she is in a lower mood in this context and that there have been some days when she has not been able to attend class.

Objectives

The objectives are to study the severity of the psychotic disorder in a young patient subjected to an episode of stress and to observe the reaction of the patient when it has been properly treated.

Methods

We carry out a review of the clinical history of a 18-year-old female patient with psychotic disorder, admitted to the Psychiatric Brief Hospitalization Unit (PBHU) in Salamanca.

Results

The patient was treated with Risperidone 2mg/24h. After a few days in the PBHU, total disappearance of the psychotic symptoms was observed and the patient is completely self-critical. Once she was discharged, it was decided that she should return home with her parents for several months and continue treatment with Aripiprazole and Sertraline.

Conclusions

Occasionaly, there are ethical dilemmas about beginning to treat young patients with psychotic ideas derived from external situations. Optimal treatment including drugs, psychotherapy and family support are essential. According to the scientific literature,a greater involvement in diagnosis,treatment and follow-up is recommended in patients with psychotic symptomatology derived from stress.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S1040 - S1041
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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