Bangladesh Journal of Psychiatry最新文献

{"title":"When the mirror lies: body dysmorphic disorder","authors":"Afia Sharmin, Rubaiya Nahar Rakhi","doi":"10.3329/bjpsy.v37i1.72758","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i1.72758","url":null,"abstract":"Body dysmorphic disorder is a chronic disorder involving imagined or partial appearance defects that lead to significant impairment in everyday life. It is quite prevalent but often remains a clinically under diagnosed psychiatric condition. Severe cases of the body dysmorphic disorder were often camouflaged by concurrent diseases like major depressive disorder, obsessive compulsive disorder, substance use disorder and social anxiety disorder. The case presented here was a 17-years-old boy who was previously diagnosed as a case of obsessive-compulsive disorder. The constellation of symptoms prompted evaluation for body dysmorphic disorder and subsequently targeted treatment. This case report highlighted the complexities associated with diagnosing and providing treatment of body dysmorphic disorder. \u0000Bang J Psychiatry 2023;37(1): 23-24","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 62","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141824697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management difficulties in a patient with post-traumatic stress disorder and role of trauma focused cognitive behavior therapy","authors":"Mohammad Hasan, Romendra Kumar Singha, Susmita Roy, Md Arifuzzaman","doi":"10.3329/bjpsy.v37i1.72757","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i1.72757","url":null,"abstract":"Post-traumatic stress disorder is not uncommon but in practical ground it is really difficult to treat these patients. Multiple treatment options are in hand but psychological treatment is the first recommendation. Initially after the exposure or incident symptoms may be severe. In case of severe agitation, self-destructing behavior, intense psychological distress, extreme sleep disturbances or anger outbursts, pharmacological intervention as early as possible is needed.  Stress coping skills, relaxation therapies, psychological first aid and trauma focused cognitive behavior therapy (CBT) are important to treat the patient and get back full functional state.  Prevention of suicide and self-harm is vital. Risk assessment, presence of hostility and complete personal history guide psychiatrist to take measures. The case described below was a good example resolution by trauma focused CBT. In this case patient had severe symptoms, aggression and self-destructive behavior. By using pharmacological intervention and using all available resources of psychological therapy, patient improved. \u0000Bang J Psychiatry 2023;37(1): 20-22","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141825443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Depression, anxiety and stress among first year medical students in Sylhet division","authors":"Imdadul Magfur, Md Mahmudul Hasan, Rahat Imam, Abdullah Al Mamun, Mohammad Misbahul Islam, Shuvro Tuser Singha","doi":"10.3329/bjpsy.v37i2.72759","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i2.72759","url":null,"abstract":"Young adulthood is an identity-forming period in which individuals experience social and physical changes as well as conflicts in emotional, behavioral, sexual, economic, academic and social areas. High expectation, burden of vast syllabus, high level of competition, lack of recreational activities, lack of peer support, staying away from home, long working and study hours, sleep deprivation, as well as factors interfering in everyday personal life are common during medical life. So it’s no surprise that, medical students experience high rates of psychological morbidity when compared with students in other disciplines. Objectives of this study was to assess depression, anxiety and stress among 1st year medical students in Sylhet division and find out other correlates. This was a cross sectional study conducted in July 2022 to December 2022 in all the medical colleges of Sylhet division. Among all the students 563 students were consecutively selected as sample; among which 546 retained as sample. A predesigned semi structured questionnaire and Depression Anxiety Stress Scale 21 (DASS 21) were tools for the study. The results showed that, majority of the students were female 338 (62%). Among the participants, 73.8% of students hailed from an urban area, 67.6% students lived in various hostels and 73.1% lived in own home during 12th grade. Most (54.3%) of the students were from government medical college, 80% came from nuclear family, 26.9% reported over protective family, 8.6% had family history of psychiatric illness and 1.6% had illicit drug use history. 28.9% had depression, 37.5% had anxiety and 12.5% had stress.  Significant amount of them had overlapping symptoms and 45 (10.45%) of them had all three psychological domains (anxiety, depression and stress). Majority had moderate level of anxiety 97 (17.8%) whereas mild depression and stress were found in 16.7% and 9.5% respectively.  Depression was significantly associated with sex (p=0.040), anxiety was significantly associated with habitant (p=0.019), residential place (p=0.037) and residence in 12th grade (p=0.028).  Stress was significantly associated with sex (p=0.008). Overprotective family and positive family history of psychiatric illness were significantly associated with depression, anxiety and stress (p=0.005, 0.000, 0.000 and p=0.004, 0.002, 0.002 respectively). This study highlighted importance to look after mental health of students from early medical life, which could ensure future productive doctor and patient satisfaction. \u0000Bang J Psychiatry 2023;37(2): 25-31","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of obsessive compulsive disorder among first year medical students in Sylhet division","authors":"Romendra Kumar Singha, Imdadul Magfur, A. R. Chowdhury, Susmita Roy, Muhammad Sayed Inam, Md Mubin Uddin Akhanji, Dipendra Narayan Das, Siddhartha Paul, Mohammad Shafiul Islam, S. K. Singha, Pran Krishna Basak, Md. Abdullah Sayed, Mohammad Hasan","doi":"10.3329/bjpsy.v37i1.72755","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i1.72755","url":null,"abstract":"Obsessive-compulsive disorder (OCD) is a chronic psychiatric disorder. High prevalence of emotional suffering and common mental disorders had been reported among medical students. The academic demands, increased responsibility, competition and lack of leisure time may lead to increased stress and anxiety. There is an immense scarcity of information about this common distressing and disabling disorder in Bangladeshi context. The objective of this study was to determine the prevalence of OCD among 1st year medical students in Sylhet division and find out other correlates. This was a cross sectional study done from 1st March 2022 to 31st January 2023 where 563 students were consecutively selected as sample; among which 546 retained as sample. A predesigned semi structured questionnaire, Obsessive-Compulsive Inventory - Revised (OCI-R), Yale-Brown Obsessive-Compulsive Scale Bangla (Y-BOCS); Depression, anxiety and stress scale 21 (DASS-21) and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) were used as tools. The results showed that, majority of the participants were female, from government medical college, came from overprotective family and 42% of students never heard of OCD. Obsessive-compulsive symptoms (OCS) was present in 280 (51.28%) and OCD was present among 84 (15.38%) students. Seventy five percent of them had mild to moderate symptom severity. An independent samples t-test was used to compare the mean OCI R score across categorical variables. The t-test was statistically significant for family history of psychiatric illness and those with over protective family. OCS was significantly associated with anxiety, depression and stress and those with positive OCS had higher level of anxiety, depression and stress than those with negative OCS (22% versus 7%; 28% versus 9.2% and 10.4% versus 1.8%). In OCS subscale, ordering (n=51, 20.2%) was most common followed by obsessing (n=50, 19.8%), checking (n=24, 9.5%), hoarding (n=18, 7.1%), washing (n=12, 4.7%) and neutralizing (n=10, 4%). OCD was significantly associated with family history of psychiatric illness (÷2: 21.146; p<0.001) and over protective family (÷2:  19.742; p<0.001). Merit score was not related with DASS-21 score or OCI-R score but a significant correlation was noted between OCI-R and DASS 21 score. Findings of this study hopefully would ensure periodic follow-up of student’s mental health and overall mental health promotion in the community. \u0000Bang J Psychiatry 2023;37(1): 6-13","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141826740","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vitamin D status in patients with mental disorders in Bangladesh: a cross sectional study","authors":"S. Algin, Rahelee Zinnat, Ahir Fahian, Amin Ahmad Mostafa Qudir","doi":"10.3329/bjpsy.v37i1.72754","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i1.72754","url":null,"abstract":"Vitamin D deficiency may contribute to the etiology of mental disorders by affecting the pathway of serotonin and catecholamine synthesis. Substantial research showed a relationship between mental illness and Vitamin D deficiency. The present study was aimed to see the status of vitamin D in different groups of patients with mental disorders. It was a cross-sectional study carried out from June 2020 to November 2021. Out of 220 patients who took telemedicine sessions, 205 were responded and included in the study. According to Clinical Practice Guidelines from the United States Endocrine Society, vitamin D categorical definitions were followed.  Among 205 study subjects, 67.3 % were females and their mean age was 34.55±15.2 years.  Among the mental disorder, obsessive compulsive disorder (OCD) patients were in the highest number (40.5%), followed by major depressive disorder (MDD) (17.36%), bipolar mood disorder (BMD) (12.7%), schizophrenia (10.7%), dual diagnosis (8.3%) and others 10.2%. Age and habitat of the patients had a significant association with vitamin D severity level. The mean Vitamin D level of the study subjects was 19.97±11.8 and the prevalence of hypovitaminosis was 87.80%. The severity of vitamin D status was; deficiency (<20ng/ml) 61.95%, and insufficiency (21-30ng/ml) 25.85% respectively. The mean vitamin D level among OCD (17.93±9.6) and schizophrenia (16.35±9.8) was much closer to each other. Vitamin D level was found to be significantly different among the groups of mental disorders i.e. between OCD versus MDD (p=0.021), BMD versus OCD (p=0.021). Vitamin D deficiency is an under-diagnosed entity, especially in treating patients with psychiatric disorders. Hopefully, further studies will come out exploring the issue in Bangladesh. \u0000Bang J Psychiatry 2023;37(1): 1-5","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 40","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141826767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rapid anti-suicidal effect of intravenous ketamine in resistant schizophrenia: a case report","authors":"Mohammad Shamsul Ahsan, Abul Bashar Md Siddique, Ananya Kar, Leuza Mubassara","doi":"10.3329/bjpsy.v37i2.72779","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i2.72779","url":null,"abstract":"Suicide in schizophrenia is a major risk of premature death. Ketamine has been frequently shown to have immediate antidepressant effect and has a significant role to prevent suicidal attempt and plan in unipolar and bipolar depression. Though use of ketamine in severe depression with psychosis has been proven but the use in psychotic diseases has been generally ignored due to the risk of exacerbating dissociative or psychotic symptoms. We provided a case of a 43-years-old female patient suffering from schizophrenia with significant suicidal ideation and showed that ketamine infusions intravenously at a subanesthetic dose of 0.5mg/kg with a syringe pump infusion had a strong anti-suicidal impact. Importantly, no relevant psychotic or dissociative symptoms occurred during the duration of the augmentation treatment, resulting in prolonged remission of suicidality. This intervention with ketamine was safe and showed significant alleviation of suicidality which might inspire future studies. \u0000Bang J Psychiatry 2023;37(2): 46-48","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring mental health needs, coping and suitable service modalities for people affected by coronavirus disease 19","authors":"F. H. Tamanna, A. Anik, Md Omar Faruk, Rubina Jahan, M. Mozumder, Ashique Selim","doi":"10.3329/bjpsy.v37i2.72778","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i2.72778","url":null,"abstract":"There was a general gap on coronavirus disease (COVID) 19 related mental health concerns and coping data from the peak period of pandemic. With the aim of ensuring evidence informed service delivery, this study explored mental health needs, coping mechanisms and preferred service modalities of the front-line healthcare workers (FLHWs), COVID 19 patients and family members of both patients and FLHWs. Sixty-three participants were included in this cross-sectional study which was conducted at the period from July 2020 to December 2020.  The FLHWs and patients were recruited using purposive sampling from a COVID 19 dedicated hospital in Narayanganj while the family members were selected through the contact detailed shared by the FLHWs and the patients. Three mental health professionals conducted the interviews over the phone using a semi-structured qualitative interview guide. The findings of the study were presented in three broad categories, namely a) concerns around psychosocial health and wellbeing, b) coping with COVID 19 and its impacts and c) preferred modalities for psychosocial service delivery. The results showed that, low mood was most common (68.3%) followed by irritability and anger (65.1%) and concerns about the future (61.9%) among the participants. A very high number of participants (74%) reported an increase in religious activity and faith. As strategies to cope with the pandemic crisis, the participants most commonly reported engagement in entertainment (27%), taking care of relationships (21%) and engagement in spirituality (17%). The most preferred modality of service was self-help materials (49%; online videos, booklets, posters/leaflets) followed by webinars (12%) and online counselling (10%). However, to enable evidence informed service delivery during any severe pandemic such as COVID 19, the mental health needs of FLHWS and their family members must be addressed. \u0000Bang J Psychiatry 2023;37(2):38-45","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141824415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adaptation and validation of Overall Anxiety Severity and Impairment Scale (OASIS) in Bangla","authors":"Muntasir Khan, Mohammad Tariqul Alam, Shahana Parveen, A. Sarkar","doi":"10.3329/bjpsy.v37i2.72768","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i2.72768","url":null,"abstract":"Anxiety disorders cast a significant shadow over individuals’ lives, affecting their physical, psychological, and social well-being. Several types of anxiety disorders are prevalent in Bangladesh. Using a disorder-specific scale for screening each anxiety disorder would be unwise in a busy healthcare setting. Recognizing the need for an effective screening and assessment tool for anxiety in the Bengali-speaking population, a cross-sectional validation study spanning from October 2018 to February 2023 successfully adapted and validated the overall anxiety severity and impairment scale (OASIS) for Bangla-speaking adults. OASIS is one of the shortest available anxiety screening tools and can assess multiple anxiety disorders within a short time. This ground-breaking study, conducted at the National Institute of Mental Health (NIMH) with approval from the Institutional Review Board (IRB), followed a meticulous adaptation process that included forward and backward translations, synthesis, and pilot testing.  Clinically diagnosed 150 adults with anxiety disorder from the outpatient department who were administered an adapted version of OASIS, the Generalized Anxiety Disorder Scale 7 (GAD 7), and the WHO 5 wellbeing index (WHO-5) to assess the reliability and validity of OASIS Bangla version and data were analyzed using statistical package for social sciences (SPSS) 23 and classical and Bayesian instrument development (CBID) software. A significant strong positive correlation (r=0.861) was found between OASIS and GAD-7 which suggested strong convergent validity. Likewise, a strong negative correlation (r=-0.837) between OASIS and WHO-5 suggested strong divergent validity. Internal consistency measured by Cronbach’s alpha found was 0.834 and split-half reliability measured by Spearman Brown Coefficient found was 0.836. Confirmatory factor analysis of the proposed one-factor model had a chi-square/df value of less than 3; Root mean square error of approximation (RMSEA) value of 0.073; comparative fit Index (CFI) value of 0.997 and Tucker Lewis index (TLI) value of 0.994. An exploratory factor analysis by principal component analysis method with varimax rotation identified one factor with eigenvalues more than 1.0 and it explained 60.8% of the variance. All five items had factor loads of more than 0.60 and the final analysis yielded a single component. When the results were considered as a whole, the OASIS Bangla was found a valid and reliable tool to assess anxiety severity along with impairment for Bangladeshi people. \u0000Bang J Psychiatry 2023;37(2): 32-37","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141825047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variation of depressive and anxiety disorder among government and private old care home residents: a comparative study","authors":"HM Mahmud Harun, M. A. Shah, M. Mullick, Ahsan Uddin Ahmed, Himadri Mohajan, Mahjabeen Aftab Solaiman, Samima Akter","doi":"10.3329/bjpsy.v37i1.72756","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i1.72756","url":null,"abstract":"The older population is rapidly growing throughout the world. Though Bangladesh has a long cultural and religious tradition of looking after the elders, but rapid socioeconomic and demographic transitions, mass poverty, changing social and religious values, influence of western culture and other factors have broken down the traditional extended family and community care system. Most of the elderly people in Bangladesh suffer from some basic human problems, such as poor financial support, senile diseases, and absence of proper health and medicine facilities, negligence, deprivation and socioeconomic insecurity. Increase care based on old homes both government and private variation may be more able to improve the quality of life of elderly people as well as old care home residents. This study was done to find out the depressive and anxiety disorder variation among the elderly people living in old care home. This cross-sectional study was conducted from January 2018 to September 2019, among the residents of two different old care homes of Bangladesh.  One was government, run by ministry of social welfare and another was private. Total 138 respondents (20 from government and 118 from private institution) irrespective of their sex were interviewed with a socio-demographic questionnaire at first. Then both structured clinical interview for DSM-IV (SCID) and depression anxiety stress scale (DASS) 21 Bangla version were applied to them to find out the depression and anxiety as well as their severity. The results showed that, the respondents were predominantly male (58.7%). More than half of the respondents were from urban background (52.2%) and most of them came from nuclear family (79.7%). Among the respondents, 10.87% had major depressive disorder, 5.07% had dysthymic disorder, 6.52% had generalized anxiety disorder, 3.62% had panic disorder, 2.17% had social phobia, 1.45% had obsessive compulsive disorder and 0.75 % had specific phobia. Apart from this, 15% of government old care home residents were suffering from any kind of depression, which was 16.1% among private. Also 15.3% old care home residents from private and 10% from government were suffering from any kind of anxiety disorder.  Regarding within level or severity of depression in government old care home residents, it was found normal (22.9%), mild (19.4%), moderate (7.9%), severe (0%), extremely severe (18.8%) which was found in private old care home as normal (77.1%), mild (80.6%), moderate (92.1%), severe (100%), extremely severe (81.2%). According to the level or severity of anxiety in government old care home was found normal (24.4%), mild (17.1%), moderate (4.5%), severe (0%), extremely severe (33.3%). In comparison to private old care home which was found normal (75.6%), mild (82.9%), moderate (95.5%), severe (100%), extremely severe (66.7%). It was seen that depression and anxiety was more common among private old care home residents. Also, Private institution was prone to be associa","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141825964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Subacute sclerosing panencephalitis with disorganized behavior: a case report from psychiatry ward","authors":"Mahabuba Rahman, Sifat E Syed, N. Morshed, Hafizur Rahman Chowdhury","doi":"10.3329/bjpsy.v37i2.72780","DOIUrl":"https://doi.org/10.3329/bjpsy.v37i2.72780","url":null,"abstract":"Subacute sclerosing panencephalitis (SSPE) is a late onset, rare and slowly progressive viral encephalitis with a mandatory fatal outcome. The disease initially presents with myoclonic jerks and seizures, ocular manifestations, cognitive decline and behavioral disturbances.  However, few rare cases of SSPE had been reported with the initial presentation of sole psychiatric symptoms creating a diagnostic dilemma. We hereby reported a case of an 18 years-old male presented with a history of disorganized behavior who was further evaluated as a case of SSPE. The importance of a holistic approach to rule out organic causes before diagnosing a psychiatric disorder had been highlighted in this report. \u0000Bang J Psychiatry 2023;37(2): 49-51","PeriodicalId":243407,"journal":{"name":"Bangladesh Journal of Psychiatry","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}