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An auditory Charles Bonnet Syndrome managed with psychological intervention: A case report

Published online by Cambridge University Press:  19 July 2023

M. Karoui ,
A. Mediouni ,
H. Nefzi  and
F. Ellouze
M. Karoui*
Affiliation:
Psychiatrie, Faculté de médecine de Tunis, Tunis, Tunisia
A. Mediouni
Affiliation:
ORL, Faculté de médecine de Tunis, Tunis
H. Nefzi
Affiliation:
Psychiatrie, Faculté de médecine de Tunis, Tunis
F. Ellouze
Affiliation:
Psychiatrie, Faculté de médecine de Tunis, Tunis
*
*Corresponding author.

Abstract

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Introduction

Charles Bonnet Syndrome (CBS) is an age-related disorder characterized by complex visual hallucinations in older persons with vision loss and underlying ocular pathology. The management of these symptoms is imprecise and combines psychological measures with psychotropic drugs.

Objectives

to discuss the non-pharmacological management of Bonnet syndrome through a case report.

Methods

We report a case of atypical CBS in a 76-year-old male patient presenting with visual and auditory hallucinations that were improved by reassurance.

Results

The past medical history was significant for diabetic retinopathy, difficulty hearing due to bilateral sensorineural hearing loss. He recognized these visions as unreal and felt distressed by them. No cognitive impairment was observed on several neuropsychological tests. He was reassured of the false nature of the visual experiences after explanations that he had no mental illness and that the problem could disappear. He was taught how to keep the images away by closing his eyes for sometimes and repeated blinking. After six weeks of psychological intervention, the visual experiences had disappeared without using any drug

Conclusions

In the management of CBS drug treatments remain partially satisfactory. Nonpharmacological interventions focus on the reduction of the visual pathway deprivation. This therapeutic alternative seems to provide positive benefits.

Disclosure of Interest

None Declared

Type
Abstract
Information
European Psychiatry , Volume 66 , Special Issue S1: Abstracts of the 31st European Congress of Psychiatry , March 2023 , pp. S761
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), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
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