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A psychotic experience during adolescence: reasoning about differential diagnosis. case report
Leite, Vítor Ferreira; Araújo, Carla Andrade.
  • Leite, Vítor Ferreira; Centro Hospitalar e Universitário de Coimbra. Coimbra Pediatric Hospital. Pediatric Psychiatry Service. Coimbra. PT
  • Araújo, Carla Andrade; Centro Hospitalar e Universitário de Coimbra. Coimbra Pediatric Hospital. Pediatric Psychiatry Service. Coimbra. PT
São Paulo med. j ; 136(5): 479-483, Sept.-Oct. 2018. tab
Artículo en Inglés | LILACS | ID: biblio-979387
ABSTRACT
ABSTRACT CONTEXT The aim of the present clinical review was to illustrate the diagnostic difficulty associated with psychotic experiences during adolescence, in the light of the multiplicity of circumstances interplaying during this period. It was also intended to illustrate the observation that not all hallucinations occur in the context of a declared psychotic disorder. Case Report The patient was a 16-year-old adolescent girl who came to the Emergency Department of Coimbra Pediatric Hospital. On admission, she displayed mood and sensory perception disorders, with a bizarre gait abnormality. A diagnosis of conversion disorder was finally suggested, in accordance with the International Classification of Diseases, 10th edition.

CONCLUSIONS:

Conversive hallucinations are rare in the psychiatric literature. This diagnostic hypothesis only gained consistency over a long period of follow-up within a child and adolescent psychiatry outpatient service, which was fundamental for appropriate diagnostic clarification. The authors discuss psychotic experiences that can arise from a neurotic setting and share the reasoning that was constructed in relation to the differential diagnosis. The psychogenesis and phenomenology of this young patient's conversive hallucinations and the therapeutic strategies adopted over the course of the follow-up are also discussed.
Asunto(s)


Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Trastornos Psicóticos / Trastornos de Conversión / Alucinaciones Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio pronóstico / Investigación cualitativa / Factores de riesgo Límite: Adolescente / Femenino / Humanos Idioma: Inglés Revista: São Paulo med. j Asunto de la revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Año: 2018 Tipo del documento: Artículo País de afiliación: Portugal Institución/País de afiliación: Centro Hospitalar e Universitário de Coimbra/PT

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Texto completo: Disponible Índice: LILACS (Américas) Asunto principal: Trastornos Psicóticos / Trastornos de Conversión / Alucinaciones Tipo de estudio: Estudio diagnóstico / Estudio observacional / Estudio pronóstico / Investigación cualitativa / Factores de riesgo Límite: Adolescente / Femenino / Humanos Idioma: Inglés Revista: São Paulo med. j Asunto de la revista: Cirurgia Geral / Ciˆncia / Ginecologia / Medicina / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Año: 2018 Tipo del documento: Artículo País de afiliación: Portugal Institución/País de afiliación: Centro Hospitalar e Universitário de Coimbra/PT