Abstract | INTRODUCTION: CASE: The patient was a 47-year-old woman with no known past psychiatric history who had been medically admitted for gastroenteritis. On the day of discharge, a psychiatric consult was requested for " paranoia and bizarre behavior." The patient was seen making statements that she needed security and the FBI to escort her as she left the hospital. Another person in the patient's room was discovered to be the patient's mother who had been staying with her in the hospital. Evaluation of the patient along with observation of her mother revealed that the two shared a complex system of delusions revealing a diagnosis of shared psychotic disorder. Discussion. A shared psychotic disorder is a unique psychiatric diagnosis. It may be even rarer to diagnose in the inpatient medical setting because multiple individuals from a shared system are typically not seen. In this case, the patient and her mother had multiple clinical characteristics of a shared psychotic disorder, including an enmeshed relationship and social isolation. The treatment for shared psychotic disorders involves separation of the individuals and pharmacotherapy with antipsychotics. This case also presented a unique ethical dilemma as the psychiatric team was called to evaluate a patient and found a patient and another individual to have symptoms. CONCLUSION:
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Authors | Saumya Bhutani, Damir Huremovic |
Journal | Case reports in psychiatry
(Case Rep Psychiatry)
Vol. 2021
Pg. 5520101
( 2021)
ISSN: 2090-682X [Print] United States |
PMID | 34616580
(Publication Type: Case Reports)
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Copyright | Copyright © 2021 Saumya Bhutani and Damir Huremovic. |