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BUT WHO LOOKS AT ME? About a daily clinical case in treatment in a mental health center

Published online by Cambridge University Press:  27 August 2024

B. Gamo Bravo ,
M. E. Gonzalez Laynez ,
S. M. Bañon Gonzalez  and
N. Ogando Portilla
B. Gamo Bravo*
Affiliation:
1psichiatry, University hospital infanta Sofia, San Sebastian de los Reyes
M. E. Gonzalez Laynez
Affiliation:
2psichiatry, University hospital of Toledo, Toledo, Spain
S. M. Bañon Gonzalez
Affiliation:
1psichiatry, University hospital infanta Sofia, San Sebastian de los Reyes
N. Ogando Portilla
Affiliation:
1psichiatry, University hospital infanta Sofia, San Sebastian de los Reyes
*
*Corresponding author.

Abstract

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Introduction

BUT WHO LOOKS AT ME?

Patient around thirty years old, teacher and with obsessive, anxious, paranoid, schizotypic semiology that affects his functionality to the point of isolation, and take sick leave, which with pharmacological treatment with antipsychotics such as aripiprazole and olanzapine and the antidepressant sertraline (at a final dose of 200 mg) and group psychotherapy in multifamily groups remits from these symptoms with functional and symptomatic improvement.

Objectives

Highlight the diagnostic difficulties due to the coexistence of symptoms that are part of personality imbalances or first-order diagnostic entities as in this case, depressive picture in a personality with obsessive and paranoid traits

Methods

Describe the evolution and psychiatric clinical decompensation of a patient with depression and anxiety and a personality of cluster A traits, paranoid type and obsessiveness

Results

CLINICAL DIAGNOSTIC TRIAL

ANXIOUS DEPRESSIVE SYNDROME (PREDOMINANCE OF SYMPTOMS OF OBSESSIVENESS AND DISTRUST)

MIXED CLUSTER A PERSONALITY DISORDER (PARANOID AND SCHIZOTYPIC TRAITS)

Conclusions

Discussions and conclusions: There is a gap difficult to separate in many cases between obsessiveness and paranoidism as communicating vessels, whose worsening of one worsens another and whose improvement of one leads to the improvement of the other, which at the pharmacological level respond to combined approach versus potentiated atypical antipsychotics and antidepressants such as sertraline that help us neutralize the discomfort

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 67 , Special Issue S1: Abstracts of the 32nd European Congress of Psychiatry , April 2024 , pp. S653
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), 2024. Published by Cambridge University Press on behalf of European Psychiatric Association
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