Background: Delusional Parasitosis (DP) is a rare psychiatric disorder, in which patients have fixed false belief that small pathogens infested their body. The initial psychiatric diagnosis is often based on the exclusion of organic causes. By the time patients are referred for psychiatric evaluation, they already have a significant functional decline; in severe cases, patients are impaired globally and lack capacity for self-care. While treatment of DP has been the focus, psychiatric warning signs in the prodromal stage receive little attention. Here we present a case of DP comorbid with alcohol abuse. Case Presentation: the patient is a 61-year-old woman, single, childless, retired physician, lives alone in NYC with no formal psychiatric history, who presented to ED with c/o leg swelling and skin infection with flies and fly larva. She provided a huge photo collection of her toilet with stool and nasal mucous tissue and claimed that they were infested. She firmly believed that she suffered from a condition called myiasis, although laboratory workups from different medical providers showed no evidence of infestation. She received a psychiatric evaluation at the ED, which revealed that she had a history of episodically alcohol and cannabis abuse for many years and increased a significant amount of alcohol intake for the past 6 months. She explained that the renovations were started in the apartment above hers 6 months ago and many small flies came into her apartment and began to lay larvae in her body. This led to her abusing laxatives to cleanse her GI tract causing her …show more content…
Identification of prodromal symptoms (e.g., substance abuse, anxiety, and mood disturbances) before PD fully developing has an important clinical implication. Treatment of comorbid psychiatric conditions is equally critical as treatment of
Published studies of psychosocial factors or interventions associated to PDN were reviewed. This included a search of the following electronic databases, from 1946 to up to 10 August 2017: Medline, Embase, PsycInfo, Cinahl, Web of Science, ISRCTN registry, ClinicalTrials.gov registry, and EU Clinical Trials registry. Also, the reference lists of all included papers and of related published reviews (e.g., Eccleston et al., 2015) were screened to identify any additional eligible studies.
The point at which the client’s symptoms were most extreme was towards the end of her alcoholism, which was in her early thirties. She used humor, felt incomplete and fragile, oversensitive to other’s reactions of her, felt the need to hide from people whether it was through work or through drinking, and was aware of her drinking problem. She also presented with anxiety, excessive exercising and healthy eating, and denial of drinking in excess.
Client is attended 10 out of 13 groups and missed 3 of them during the month of March, 2017. UA collected on 03/06 was positive for alcohol use. Client admitted 03/18/17 as his last day of alcohol use. Client appears to struggle to maintain his sobriety. Relapse prevention and ways to comply with treatment and court mendates were discussed. Client reported that he started taking Disulfiram 250 mg (Medication for alcoholism) on a daily basis to manage his cravings. Client also reported that he will try to attend self-help meeting daily. Client may benefit from a brief inpatient placement due to continued alcohol use.
The Diagnostic and Statistical Manual V (DSM 5) describes the essential feature of a substance use disorder as a cluster of cognitive, behavioral and physiological symptoms indicating that the individual continues using the substance despite significant substance-related problems. Specifically, the DSM V describes diagnostic criteria as a problematic pattern of alcohol use leading to clinically significant impairment or distress. Mr. Holliday manifested the following:
According the fourth edition diagnostic manual of mental disorders (American Psychiatric Association, 2000), the category psychotic disorders (Psychosis) include Schizophrenia, paranoid (Delusional), disorganized, catatonic, undifferentiated, residual type. Other clinical types include Schizoaffective Disorder, Bipolar Affective Disorder/Manic depression, mania, Psychotic depression, delusional (paranoid) disorders. These are mental disorders in which the thoughts, affective response or ability to recognize reality, and ability to communicate and relate to others are sufficiently impaired to interfere grossly with the capacity to deal with reality; the classical and general characteristics of psychosis are impaired reality testing,
In this paper one will give a description of the data established upon a case study. One will outline the major symptoms of the disorder discussed in the case. The disorder discussed in this case is Paranoid Schizophrenia. One will give a description of the client background. One will also describe any factors in the client background that may predispose him or her to the disorder. One will describe symptoms that he or she may have observed that supports the diagnosis of the individual. One will describe the inconsistency of the disorder found in the case and explain any information observed about the
We believe that this site will meet a need for those interested in all matters related to AA within the scope of the Traditions. This site offers a state-wide recovery resource devoted to supporting the men and women of each state. By posting for each state, individuals struggling with alcoholism find the help they need on a local basis. They can locate help per county or city, and take the next step to overcome alcohol addiction. For individuals who may be living with a person who suffers from alcholos addiction they also have a section that talks about ways to deal with the individual along with any type of depression, social issues, the detox phase, and their road to recovery. This website also posted a hotline number that would be available 24/7 seven days a week. According to Ridder, the following could happen while an individual is dealing with trying to recover from alcohol or in the remission phase. 1) the inability to think clearly, common symptoms being the inability to concentrate and impairment of abstract reasoning; 2) memory problems, particularly short-term memory; 3) emotional overreaction or numbness, which may alternate as the overreaction puts more stress on the nervous system than it can handle and there is an emotional shutdown; 4) sleep problems, often experienced as
Alcohol withdrawal syndrome: A group of symptoms which may range from mild to severe, usually occurring 6-24 hours after the last alcohol intake. The health issues involved in this syndrome are delirium tremens, seizures, Wernicke-Korsakoff syndrome, depression, liver disease, and electrolytes disturbances. The mild symptoms may be managed at the outpatient setting and there severe symptom in the hospital under close supervision and benzodiazepine therapy (McKeon, Frye & Delanty, 2008)
There are several mood disorders that falls under the umbrella of PPD which makes it vital to decipher between them.
This essay takes a glimpse into the comorbidity and condition in which a person diagnosed alcohol use disorder and depressive disorder concurrently. I diagnosed Anthony (a hypothetical patient) first with alcohol use disorder, however, it soon became apparent that there was something more menacing and complex going on with Anthony. Allow me to introduce Anthony, who is a 46-year-old Caucasian typical working class man, presenting to me severe withdrawal symptoms. He has an extensive history of using and has had periods of sobriety (mostly when incarcerated or in a facility) that I would like to further explore which spans over three decades.
Cahalan's traumatic disease first showed signs of paranoia when she discovered bug-bites on her left arm in 2009 when New York City was awash in a bed-bug scare. Her symptoms included snooping through
A “Substance Use Disorder” is new to the DSM-5. Previously, the terms “abuse” and “dependence” where used instead. In general, the DSM-5 considers a Substance Use Disorder to be recurrent drug use that causes impairment and continued use despite substance use related problems. The DSM-5 also focuses on how substance use causes a change in brain functioning. The change is primarily responsible for intense drug cravings, as well as repeated relapses. Finally, the DSM-5 divides the criteria for Substance Use Disorder into four groupings: impaired control (Criteria 1-4), social impairment (Criteria 5-7), risky use (Criteria 8 and 9), and pharmacological criteria (Criteria
According to the DMS-5, the Diagnostic and Statistical Manual of Mental Disorders issued by the American Psychiatric Association, the Alcohol Use Disorder is defined as “a problematic pattern of alcohol use leading to clinically significant impairment of distress, as manifested by at least two symptoms of the eleven in their diagnostic criteria occurring within a 12-month period. These symptoms demonstrates activities such as, alcohol being often taken in larger amounts over a long period of time, a persistent desire to cut down or control alcohol use, cravings to use alcohol, a great deal of time spent in activities necessary to obtain alcohol, use alcohol or recover from its effect, recurrent alcohol use in situations in which it is physically
The DSM–5 incorporates the two DSM–IV syndromes, alcohol abuse and alcohol dependence, into one disorder - alcohol use disorder (AUD). AUD has sub-classifications of minor, moderate, and severe. A person who meets one or more of the criteria for abuse within a 12-month period would receive the “abuse” diagnosis. Anyone with three or more of the “dependence” criteria (see items 5 through 11) during the same 12-month period would receive a “dependence” diagnosis ( American
The substance-related disorders are composed of two groups: the substance-use disorders (dependence and abuse) and the substanceinduced disorders (intoxication and withdrawal). Other substanceinduced disorders (delirium, dementia, amnesia, psychosis, mood disorder, anxiety disorder, sexual dysfunction, and sleep disorders) are included in the chapters with which they share symptomatology (e.g., substance-induced mood disorders are included in Chapter 6; substance-induced sexual dysfunction is included in Chapter 10, etc.).