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The challenges of managing psychiatric disorders in children with kidney transplant and end-stage renal disease: A case report

Published online by Cambridge University Press:  13 August 2021

O. Fodor ,
A.-M. Ciubotariu  and
I. Mihailescu
O. Fodor*
Affiliation:
Department Of Child And Adolescent Psychiatry, Prof. Dr. Al. Obregia Hospital, Bucharest, Romania
A.-M. Ciubotariu
Affiliation:
Child And Adolescent Psychiatry, “Alexandru Obregia” Clinical Psychiatry Hospital, Bucharest, Romania
I. Mihailescu
Affiliation:
Department Of Child And Adolescent Psychiatry, Prof. Dr. Al. Obregia Hospital, Bucharest, Romania
*
*Corresponding author.

Abstract

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Introduction

Chronic diseases have often been associated with depression or other psychiatric conditions. Despite the fact that renal transplantation offers children a chance at a better life, it could also raise some challenges. Dealing with a severe medical condition such as chronic renal disease and multidrug therapy with potential long term side-effects from the early years of life can affect a child’s emotional and social development.

Objectives

Reporting a case which represents a challenge in treating an adolescent with depression and renal failure.

Methods

Case Report

Results

A 15 year old male with multiple admissions (between the ages of 12 and 15) for recurrent feelings of inadequacy and worthlessness due to his appearance, impaired social skills, hostility towards society, suicide ideation and aggressive behaviour. Moreover, his medical history includes CRS (congenital renal disease), kidney transplant at the age of 2 followed with transplant rejection in 2019. Currently he is under haemodialysis and multiple drug prescriptions associated with his severe medical condition which interferes with the psychotropic treatment.

Conclusions

This case quests what the better choice of intervention is for depression associated with aggressive behavior in a child with kidney failure and with no significant improvement in psychotherapy?

Keywords

kidney failurechild and adolescent psychiatryMental disordersDepression
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S213
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 (http://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), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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