Schizo-obsessive disorder: a diagnostic dilemma

ABSTRACT

Background: Obsessive-compulsive disorder (OCD) is a common co-morbid condition in schizophrenia. The clinical implications of this co-morbidity are uncertain. Schizo-obsessive patients were more likely to have paranoid symptoms and first-rank symptoms of schizophrenia. Case description We present a case of 27 yr old man who initially presented with symptoms suggestive of schizophrenia not responding to treatment and who finally responded to addition of paroxetine to antipsychotics. Discussion: Comorbidity of Schizophrenia and OCD though prevalent is not often diagnosed. . The question of whether or not OCD has a deleterious effect on the outcome of schizophrenia has been often asked but never conclusively answered. Conclusion: The clinical issues in this case study highlights the importance of identification and treatment of OCD in schizophrenia. A detailed history is merited in patients especially those not responding adequately to conventional treatment Key message Schizo obsessive disorder can be detected and treated early to prevent the development of schizophrenia in future.