Hostname: page-component-586b7cd67f-2brh9 Total loading time: 0 Render date: 2024-11-20T07:14:50.031Z Has data issue: false hasContentIssue false
  • English
  • Français

Posttraumatic stress disorder with psychotic symptoms. A case report

Published online by Cambridge University Press:  13 August 2021

R. Galeron ,
M. Jiménez Cabañas ,
P. Albarracin ,
E. Herrero ,
M. Huete Naval  and
B. Serván Rendón-Luna
R. Galeron*
Affiliation:
Psychiatry And Mental Health, Hospital Clínico San Carlos, Madrid, Spain
M. Jiménez Cabañas
Affiliation:
Psychiatry And Mental Health, Hospital Clínico San Carlos, Madrid, Spain
P. Albarracin
Affiliation:
Psychiatry And Mental Health, Hospital Clínico San Carlos, Madrid, Spain
E. Herrero
Affiliation:
Psychiatry And Mental Health, Hospital Clinico San Carlos, Madrid, Spain
M. Huete Naval
Affiliation:
Psychiatry And Mental Health, Hospital Clínico San Carlos, Madrid, Spain
B. Serván Rendón-Luna
Affiliation:
Psychiatry And Mental Health, Hospital Clínico San Carlos, Madrid, Spain
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

We present a 29-year-old man with a family psychopathological history of depression and a personal history of Posttraumatic Stress Disorder after sexual and psychological abuse in childhood, depressive symptoms and substance use (cannabis), who experienced delusions that made him feel threatened and in danger, with huge anxiety and insomnia for one year after a heartbreak. In addition, the patient was dysphoric, verborrheic and presented ruminative thoughts and flashbacks of abuse suffered in childhood.

Objectives

To review the literature of Posttraumatic Stress Disorder with Psychotic Symptoms (PTSD-PS) and study the difference between PTSD-PS and other psychotic disorders.

Methods

Literature review of scientific articles searching in Pubmed and Medline. We considered articles in English and Spanish.

Results

Pharmacological treatment with antipsychotics and mood stabilizer was started with remission of anxiety and insomnia and recovery of euthymia. Delusions persisted but without affective and behavioral repercussions. With psychotherapeutic work in a psychiatric Day Hospital, complete remission and proper processing of traumatic experiences were achieved. The main psychotic symptoms in PTSD are hallucinations and delusions which tend to chronicity. The content is often paranoid and persecutory in nature but not complex or bizarre like those found in schizophrenia. These symptoms are not limited to flashback episodes and the content may or may not be trauma related.

Conclusions

Although the studies show PTSD-PS presents characteristic symptoms, more research about is needed.

Disclosure

No significant relationships.

Keywords

psychosisPosttraumatic Stress Disordertrauma
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S753 - S754
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
Submit a response

Comments

No Comments have been published for this article.