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+--- Thread: q.....? - ahmad12801 (/showthread.php?tid=805980)
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q.....? - ahmad12801 - ArchivalUser - 04-26-2015
A 47-year-old woman is brought to the emergency room after she jumped off an overpass in a suicide attempt. In the emergency room she states that she wanted to kill herself because the devil had been tormenting her for many years. After stabilization of her fractures, she is admitted to the psychiatric unit, where she is treated with risperidone and sertraline. After 2 weeks she is no longer suicidal and her mood is euthymic. However, she still believes that the devil is recruiting people to try to persecute her. In the past 10 years, the patient has had three similar episodes prior to this one. Throughout this time, she has never stopped believing that the devil is persecuting her.
Which of the following is the most appropriate diagnosis for this patient?
a. Delusional disorder
b. Schizoaffective disorder
c. Schizophrenia, paranoid type
d. Schizophreniform disorder
e. Major depression with psychotic features
0 - ArchivalUser - 04-26-2015
BB???
0 - ArchivalUser - 04-26-2015
C?
paranoid hallucination and bizarre delusions...despite treatment with antipsychotics(risperidone)... 40% of patients relapse. 80% relapse without treatment.
0 - ArchivalUser - 04-26-2015
Bb
0 - ArchivalUser - 04-26-2015
Cc
0 - ArchivalUser - 04-26-2015
dd ?
0 - ArchivalUser - 04-26-2015
Correct answer ...BB
0 - ArchivalUser - 04-26-2015
please can someone explain why it is not c? thanks
0 - ArchivalUser - 04-27-2015
Schizoaffective disorder is diagnosed when the required criteria for schizophrenia are met (delusions, hallucination, disorganized speech or behavior, and/or negative symptoms; duration of the disturbance, including prodromal and residual period, of at least 6 months with at least 1 month of active symptoms) and the patient experiences at some point in the course of the illness a major depressive episode or a manic episode. The woman in this question meets all these criteria. She has continuing psychotic symptomatology, interspersed with psychiatry episodes of a major mood disorder. Notably, she has never had the mood symptoms without the psychotic symptoms, ruling out major depression with psychosis as the diagnosis. Delusional disorder is not accompanied by decline in functions or significant affective symptoms. Individuals with schizoid personality disorder do not experience psychotic symptoms. Bipolar disorder is differentiated from schizoaffective disorder by the absence of periods of psychosis accompanied by prominent affective symptoms
0 - ArchivalUser - 04-27-2015
So what's the final answer??