Insomnia treatment by Olanzapine. Is sleep state misperception a psychotic disorder?
Neurosciences. 2010; 15 (2): 110-112
em Inglês
| IMEMR
| ID: emr-125533
ABSTRACT
Offering a new perspective on sleep state misperception, we discuss a patient who presented with sleep state misperception and was ultimately diagnosed with delusional disorder. A 60- year -old woman with chief complaints of insomnia, agitation, and suicidal ideation, was admitted to an inpatient psychiatric ward. Based on information from her family and a mental state examination, her primary diagnosis was sleep state misperception. She was treated with Trazodone. Because she was unresponsive to the treatment, a full psychiatric evaluation and wrist actigraphy report were undertaken, resulting in a revised diagnosis of delusional disorder. She was started on Olanzapine and, after 6 weeks was discharged with good improvement. Sleep state misperception might be considered not just as a sleep disorder, but also as a psychiatric disorder with psychotic symptoms. Further research is recommended
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Índice:
IMEMR (Mediterrâneo Oriental)
Assunto principal:
Transtornos Psicóticos
/
Antipsicóticos
/
Benzodiazepinas
/
Distúrbios do Início e da Manutenção do Sono
Tipo de estudo:
Relato de Casos
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Neurosciences
Ano de publicação:
2010
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