1. bookVolume 23 (2022): Issue 1 (March 2022)
Journal Details
License
Format
Journal
eISSN
2353-8627
First Published
30 Mar 2016
Publication timeframe
4 times per year
Languages
English
access type Open Access

Schizo-obsessive disorder - case study

Published Online: 11 Jul 2022
Volume & Issue: Volume 23 (2022) - Issue 1 (March 2022)
Page range: 35 - 40
Received: 19 Apr 2022
Accepted: 06 Jun 2022
Journal Details
License
Format
Journal
eISSN
2353-8627
First Published
30 Mar 2016
Publication timeframe
4 times per year
Languages
English
Abstract

Introduction: Schizo-obsessive disorder is a term that includes a dual diagnosis: schizophrenia and obsessive-compulsive disorder (OCD). The schizo-obsessive disorder definition was made at the end of the 19th century and is still valid today. Nowadays, the coexistence of schizophrenia with obsessive-compulsive syndromes becomes more commonly observed, therefore the recognition and number of the described cases has increased.

Material and methods: The aim of this article is to present a clinical case of a patient with a diagnostically and therapeutically difficult disorder, including the comorbidity of schizophrenia and OCD. The analysis of the clinical case and the medical records of a patient and a review of the literature including schizophrenia, OCD, and schizo-obsessive disorder, was performed.

Case study: A male patient, 20 years old, single, high school student, who lives with his family. In November 2019 a mental deterioration occurred. Simultaneously, obsessional ideas and behaviors appeared. An ambulatory treatment was introduced, however without adequate response, which was the cause of the first psychiatric hospitalization in 2020.

Discussion: Comorbidity between obsessive-compulsive disorder and schizophrenia may cause a particular problem for physicians. Without appropriate diagnosis, there is no possibility to implement proper management and treatment. Obsessive-compulsive symptoms should be treated as relatively common in patients with schizophrenia, which will prevent a mistake in the assessment of the patient’s condition.

Conclusions: Due to specific character of the disease, difficulties in diagnosis and treatment, there is a special need for individual therapeutic measures. Appropriate and targeted approach to the patient may be a chance for success in therapy.

Keywords

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