5 results
Pieces of Me: A Story of Trauma and Dissociation
- L. Garcia Ayala, M. Gómez Revuelta, C. Martin Requena, M. Juncal Ruiz, O. Porta Olivares, E. Saez de Adana García de Acilu, A. Aranzabal Itoiz, B. González Hernández, M. Laborde Zufiaurre, M. Zubia Martín, N. Núñez Morales, M.P. López Peña, A.M. González-Pinto Arrillaga
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- Journal:
- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, p. S723
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Introduction
Traumatic event related disorders (ASD, PTSD and dissociative disorders) could share a common dissociative psychobiological origin. Patients diagnosed with dissociative identity disorder present a high sexual abuse rate (85–90%), way above the rest of the traumatic spectrum disorders.
ObjectivesThe goal of this study is to analyse the existing relation between different types of trauma, especially sexual abuse, and the onset and continuity of dissociative disorders.
Materials and methodsWe report the case of a 37 years old woman with a long sexual abuse history. The symptoms appear by age 30, in the form of flashbacks, ushering a persistent identity fragmentation in individual differentiated opposed components, shaping a dissociative personality disorder, which was present for years taking a fluctuating and invalidating nature.
DiscussionWhen a traumatic event occurs, acute dissociative reactions frequently appear, usually briefly, disappearing spontaneously afterwards. In this case, we can discern the persistence of the dissociative symptoms and the repercussion they had in the patient's functionality.
ConclusionThe existence of a correlation between the duration of a chronic traumatic event and the persistence of dissociative symptoms in the evolution of a dissociative personality disorder is possible.
Disclosure of interestThe authors have not supplied their declaration of competing interest.
Knowledge Takes up Space, a Family Affair
- L. Garcia Ayala, M. Gomez Revuelta, C. Martin Requena, M. Juncal Ruiz, O. Porta Olivares, E. Saez de Adana Garcia de Acilu, A. Aranzabal Itoiz, B. Gonzalez Hernandez, M. Laborde Zufiaurre, M.P. Lopez Peña, N. Nuñez Morales, M. Zubia Martin, A.M. Gonzalez-Pinto Arrillaga
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- Journal:
- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, p. S641
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Introduction
Previous research suggests that hoarding aggregates in families and is associated with health, safety risks and family problems. Hoarding symptoms appear to be more common among first-degree relatives of people who hoard. A predominance of shared hoarding disorder has been observed among female relatives.
ObjectivesWe present an atypical case report describing hoarding symptoms among first-degree male relatives who present two different subtypes of hoarding disorder.
Materials and methodsWe report the case of a 38 years old male patient, attended for the first time by the mental health services at the age of 22, and being diagnosed of severe OCD at that moment. In the home visit paid by the social services, an excessive object hoarding was observed, including the presence of over 40,000 books.
Moreover, they found a 38 years old man looking severely deteriorated; when they ask him about it, the patient's father admits to having been isolated in the house for almost 14 years. Hoarding history was gathered, through the acquisition of various objects by the patient's father, dating back to over 30 years ago.
DiscussionThe harmonic coexistence for over a decade between two patients affected with a hoarding disorder with two different clinical setting subtypes was only made possible by the complementary nature of their symptoms.
ConclusionThe hoarding disorders amongst more than one person living under the same roof are uncommon, can present themselves in both genders and can exhibit different symptoms.
Disclosure of interestThe authors have not supplied their declaration of competing interest.
I Don't Recycle! An Organic Hoarding Disorder
- L. Garcia Ayala, M. Gomez Revuelta, C. Martin Requena, E. Saez de Adana Garcia de Acilu, O. Porta Olivares, M. Juncal Ruiz, N. Nuñez Morales, M. Zubia Martin, M. Laborde Zufiaurre, B. Gonzalez Hernandez, A. Aranzabal Itoiz, M.P. Lopez Peña, A.M. Gonzalez-Pinto Arrillaga
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- Journal:
- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, pp. S640-S641
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Introduction
Hoarding often occurs without the presence of obsessive-compulsive disorder (OCD), showing distinguishable neuropsychological and neurobiological correlates and a distinct comorbidity spectrum. Furthermore, it presents itself secondarily to other psychiatric and neurobiological disorders. Therefore hoarding disorder has been included as independent diagnosis in DSM-5.
ObjectivesWe aim to expose the possible organic etiology of a hoarding disorder case with atypical presentation.
Materials and methodsWe present a case of a 48 years old male patient who was brought to the hospital by the police after being reported for unhealthy conditions in his home. In the home visit paid by the Social Services an excessive hoarding of objects and trash was detected. A possible hoarding disorder was diagnosed in the psychiatric assessment. Among other diagnostic test, a brain CT was conducted, in which a frontal meningioma was identified. After surgical treatment, hoarding symptoms diminished significantly.
DiscussionA significant part of the hoarding disorders are attributed to primary psychiatric disorders, resulting in potentially treatable organic pathology going unnoticed.
ConclusionIt's important to rule out organic etiology before proceeding to make a definitive hoarding disorder diagnosis, optimizing that way the treatment options.
Disclosure of interestThe authors have not supplied their declaration of competing interest.
Does psychiatry link culture and symptoms?
- L. Garcia Ayala, M. Gomez Revuelta, C. Martin Requena, B. Gonzalez Hernandez, M. Laborde Zufiaurre, E. Saez de Adana Garcia de Acilu, A. Aranzabal Itoiz, O. Porta Olivares, M. Juncal Ruiz, M. Zubia Martin, N. Nuñez Morales, A.M. Gonzalez-Pinto Arrillaga, M.P. López Peña
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- Journal:
- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, p. S513
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Introduction
Transcultural psychiatry is a branch of psychiatry where cultural context for psychiatric symptoms is studied. It emerged as a consequence of migration of diverse ethnic groups and questions whether international diagnosis classifications fit in different cultures.
ObjectivesThe aim of this review is to make professionals aware of the importance of cultural context for the way mental disorders present themselves depending on the patient's origin.
Materials and methodsWe report the detailed case of a 23-year-old Moroccan woman, attended for the first time by the mental health services when she was 8. Since that moment, she felt herself possessed by a strange being. Auditory hallucinations appeared. It was only when her father or her husband were at home that she felt the “being” was gone. Her husband, as formerly his father, represented a symbol of protection against that evil being and indeed against her mental disorder, which was directly related to her cultural beliefs.
DiscussionEvery country has a different culture and every migration brings with it a new environment. The way people adapt to it may result in mental illness. We want to discuss if symptoms fit international diagnosis classifications.
ConclusionPsychiatrists should become aware of the limitations of the international classifications when used on different ethnic groups. We should have a cultural approach in order to treat the diverse populations from all around the world.
Disclosure of interestThe authors have not supplied their declaration of competing interest.
Clozapine: Since the very beginning?
- L. Garcia Ayala, M. Gómez Revuelta, C. Martín Requena, E. Saez de Adana Garcia de Acilu, O. Porta Olivares, M. Juncal Ruiz, N. Nuñez Morales, M. Zubia Martín, M. Laborde Zufiaurre, B. González Hernández, A. Aranzabal Itoiz, M.P. López Peña, A.M. González-Pinto Arrillaga
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- Journal:
- European Psychiatry / Volume 41 / Issue S1 / April 2017
- Published online by Cambridge University Press:
- 23 March 2020, pp. S752-S753
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Introduction
Psychosis in childhood and adolescence could be defined as having hallucinations, with the hallucinations occurring in the absence of insight. A broader definition includes symptoms such as delirious thoughts, disorganized speech, disorganized behavior, cognitive and mood symptoms and what is called negative symptoms. Several researches have been done focused in the treatment of first episode of psychosis showing clozapine as a keystone in the treatment of psychosis, especially in refractory first episodes.
ObjectivesClozapine has unique efficacy in improving treatment-resistant patients with chronic schizophrenia but the moment of instauration remains unclear. There have always been doubts about the right moment to start clozapine, after two or more previous anti-psychotics or as first option.
Materials and methodsWe report a 18-year- old woman with family history of severe psychosis. Her mum reasserted patient's symptoms contributing to a longer period of non-treating psychosis (about 10 months). Auditory hallucinations, incongruent mood and incoherent language appeared for the first time at the age of 17. High doses of two consecutive anti-psychotics were tried without remission and finally clozapine was initiated with clinical improvement.
DiscussionIn clinical practice, a subgroup of psychotic patients experience, significant ongoing positive symptoms despite of using first line anti-psychotic medication.
ConclusionMost recent research; suggest that clozapine may have an important role in the early treatment of first-episode patients, even becoming a first line option to consider.
Disclosure of interestThe authors have not supplied their declaration of competing interest.