Page 1 of 1: PSYCHIATRY :An eldely housewife lost her husband who died

nasaka · Credits: 3076 My Scrapbook

An eldely housewife lost her husband who died suddenly of MI a couple of years ago.About aweek after his death,she heard his voice.Subsequently,she heard his voice conversing with her and she would discuss her daily matter with him.This however provoked sadness of mood and anxiety when she was preoccupied with his thought.What is the diagnosis?What should be the treatment?

dg_ash · Credits: 590 My Scrapbook

if the duration is short it is grief reaction but if it is prolonged it would be ablnormal grief reaction. but detailed history needs to be taken to rule out depression severe with psychotic symptoms. if its abnormal grief reaction counselling would be beneficial.

blue_mars · Credits: 32025 My Scrapbook My Reading List 3 Books

DX will be pathological grief reaction. so she needs to be on anti depressants and psychological support

jayanta · Credits: 34262 My Scrapbook My Reading List 45 Books

IT IS A CASE OF SCHIZO-AFFECTIVE DISORDER.
TREATMENT CONSISTS OF:
1.HALOPERIDOL FOR SCHIZOPHRENIC PSYCHOSIS.
2.ALPRAZOLAM FOR MOOD ELEVATION+ANXIOLYTIC ACTION.
3.PSYCHOTHERAPY.
REGARDS.

dr_gautam_dushanbe · Credits: 548 My Scrapbook

I think it should be schiz.
she started hearing voices first and subsequently was preoccupied with thought which PROVOKED depression.
but time should be there to make it schiz.
management
Tab. haloperidol
Tab .Alprazolam

jabby · Credits: 3703 My Scrapbook

I think the ans should be depressive disorder e psychotic features (HALLUCINATION),although schiz is most common cause75% of hallucinations but as HX suggest an elderly women,and her husband's death then hallucinations i would prefer my option,otherwise if we may go towars hallucinations we should notice age of patient,sex of patient also,and if we exclude her husband's death then we might think about delirium first.Rx options :
Antidepressant
Anxiolytics
Antipsychotics
ECT
Light therapy

CHASING_DREAMS · Credits: 378 My Scrapbook

its abnormal grief reaction

psyavi · Credits: 704 My Scrapbook

Well Answer is Schizophrenia..
A close look at the Q indicates that the stressor that triggered the psychosis is a few yrs old..
So the presence of hallucinations for the period more 6 months satisfies both ICD n DSM 4.
I do not think it is Schizo affective.Cos she feels sad when she is preoccupied with thoughts of her husband.This is a appropriate emotional response andnot suggestive of a prolonged mood disorder.

OBAMA · Credits: 1833 My Scrapbook

I think the ans should be depressive disorder e psychotic features (HALLUCINATION),although schiz is most common cause75% of hallucinations but as HX suggest an elderly women,and her husband's death then hallucinations i would prefer my option,otherwise if we may go towars hallucinations we should notice age of patient,sex of patient also,and if we exclude her husband's death then we might think about delirium first.Rx options :
Antidepressant
Anxiolytics
Antipsychotics
ECT
Light therapy

agree

		Sign In New User? Sign Up Sign in to access your control panel and messenger!
				TechZone \| SpiderNevi \| HowTo? \| Scrapbook!