Psychotic symptoms in chronic combat-related post-traumatic stress disorder

1989 ◽  
Vol 25 (7) ◽  
pp. A34
Author(s):  
Robert Butler ◽  
David Braff
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychotic Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic

Trauma―Focused Treatment for PTSD With Comorbid Psychosis: A Case Report

2020 ◽  
pp. 153465012098006
Author(s):  
Stephanie Cherestal ◽  
Kate L. Herts
Keyword(s):  
Case Report ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Rating Scales ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Psychotic Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic ◽  
Treatment Targeting

Post-traumatic stress disorder is often a condition left untreated in patients also meeting criteria for psychotic disorders. While many clinicians who treat patients with these co-occurring conditions choose to avoid treatment targeting symptoms of PTSD for fear of de-stabilizing these individuals or exacerbating psychotic symptomatology, little is currently known about how patients respond to treatment for PTSD in the context of ongoing psychotic symptoms. Additionally, research is scarce regarding the clinical profile of individuals who develop psychotic symptoms secondary to a traumatic stressor, in the absence of any premorbid symptomatology. The purpose of this case report is to outline the case of an individual, “Mary” who developed psychotic symptoms secondary to a traumatic stressor in her middle age and to describe her response to treatment targeting her symptoms of PTSD. Mary presented with core symptoms of PTSD that emerged following a traumatic car crash. She developed psychotic symptoms (auditory and visual hallucinations) several weeks later. Mary underwent a treatment course of Prolonged Exposure targeting her symptoms of PTSD, with careful work done to monitor any changes in psychotic symptomatology while engaging in this treatment. Standardized measures such as the Post-traumatic Stress Disorder Checklist-5 (PCL-5) and the Psychotic Symptom Rating Scales were administered to assess Mary’s progress throughout treatment. This case report provides a comprehensive summary of Mary’s 16-week course of Prolonged Exposure therapy, which resulted in a significant reduction in PTSD symptomatology as demonstrated by a 72% decrease in scores on the PCL-5 from the initiation to the conclusion of treatment.

When Ockham razor's principle is not applicable: Differential diagnosis of a rare case of child and adolescent psychosis

2016 ◽  
Vol 33 (S1) ◽  
pp. S350-S350
Author(s):  
F. Dinamarca ◽  
A. Palma ◽  
M. Grifell ◽  
L. Galindo ◽  
L. Gonzalez ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Paranoid Schizophrenia ◽  
Clinical History ◽  
Psychotic Symptoms ◽  
Post Traumatic Stress ◽  
Schizophrenic Patients ◽  
Post Traumatic

IntroductionThe diagnosis of schizophrenia in children is rare. Less than 4% of schizophrenic patients begin before age 15 being much less stable than in adults as an entity in time. It is estimated that only 50% of diagnoses of schizophrenia in patients under 15 years are maintained over time. The most frequent differential diagnoses are bipolar disorder, post-traumatic stress disorder and dissociative disorder.Objective and methodsA case of a patient of 18 years old admitted in our service with diagnosis of paranoid schizophrenia due to the presence of delusional symptoms at age of 14 and due his evolution with impaired overall performance is presented. Upon arrival he presented delusions, self-referentiality and a strange phenotype with a pitched voice. Clinical history included presence of sexual abuse prior to debut of psychotic symptoms and rare medical comorbidity (diagnosed at age 15 of hypertension and paroxysmal sinus tachycardia). A kariotipe was done in a previous admission with normal results.ResultsDuring hospitalization symptomatic remission was achieved in just two days by decreasing antipsychotic potency of the treatment, he also presented elevated metanephrines and also elevated plasma aldosterone and renin in blood tests.ConclusionsWe discuss the differential diagnosis including schizophrenia, post-traumatic stress disorder with dissociative symptoms and endocrine pathology (pheochromocytoma and hyperaldosteronism).L. Galindo is a Rio Hortega fellowship (ISC III; CM14/00111).Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Psychotic Symptoms in Post-Traumatic Stress Disorder

1999 ◽  
Vol 164 (1) ◽  
pp. 73-75 ◽  
Author(s):  
Sladjana Ivezic ◽  
Lilijana Oruc ◽  
Pam Bell
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychotic Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic

scholarly journals Psychotic Symptoms in Combat-Related Post-Traumatic Stress Disorder

2007 ◽  
Vol 172 (3) ◽  
pp. 273-277 ◽  
Author(s):  
Ana Kaštelan ◽  
Tanja Frančišković ◽  
Ljiljana Moro ◽  
Ika Rončević-Gržeta ◽  
Jasna Grković ◽  
...  
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychotic Symptoms ◽  
Post Traumatic Stress ◽  
Post Traumatic

scholarly journals Evaluation of evidence for the psychotic subtyping of post-traumatic stress disorder

2010 ◽  
Vol 197 (4) ◽  
pp. 326-327 ◽  
Author(s):  
Brandon A. Gaudiano ◽  
Mark Zimmerman
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Psychotic Symptoms ◽  
Comorbid Conditions ◽  
Post Traumatic Stress ◽  
Diagnostic Interviews ◽  
Psychotic Major Depression ◽  
Post Traumatic ◽  
Evaluation Of Evidence

SummaryPsychotic symptoms may occur in 15–64% of individuals with post-traumatic stress disorder, suggesting that the syndrome could be subtyped in a similar fashion to mood disorders. In our study of 1800 psychiatric out-patients who completed comprehensive diagnostic interviews, the lifetime prevalence of psychotic symptoms in people with PTSD was 17% (odds ratio (OR) = 3.48, 95% CI 2.32–5.21). However, after excluding people with comorbid conditions also known to be associated with psychotic symptoms this dropped to only 2.5% (OR) = 0.60, 95% CI 0.08–4.52). In contrast, rates of psychotic major depression did not change after excluding these same comorbidities. Our results do not support the official psychotic subtyping of PTSD.

Sign in / Sign up

Export Citation Format

Share Document