Case Reports in Psychiatry最新文献_第3页

Psychosis, Catatonia and Tachypnoea Following Paliperidone Palmitate 3-Monthly Injection Error: Case Report. 棕榈酸帕利哌酮3个月注射后出现精神病、紧张症和呼吸急促1例。

Case Reports in Psychiatry Pub Date : 2026-08-18 eCollection Date: 2026-01-01 DOI: 10.1155/crps/4635562

Milla R McLean, Lee Hanley, M J Yoo

{"title":"Psychosis, Catatonia and Tachypnoea Following Paliperidone Palmitate 3-Monthly Injection Error: Case Report.","authors":"Milla R McLean, Lee Hanley, M J Yoo","doi":"10.1155/crps/4635562","DOIUrl":"10.1155/crps/4635562","url":null,"abstract":"Introduction: Paliperidone palmitate 3-monthly (PP3M) is a long-acting Injection (LAI) formulation of the anti-psychotic medication paliperidone, also known as 9-hydroxyrisperidone (9-OH-RIS). There is a notable absence of clinical guidelines or case reports pertaining to PP3M overdose and management of incorrect dosing.Patient concerns and clinical findings: We present the first reported case of PP3M administered at 1 monthly intervals for three consecutive months in the community setting and describe the inpatient management of psychosis and catatonia occurring in the context of this overdose.Diagnoses interventions and outcomes: During this patient's admission to an inpatient psychiatric unit, our team, involving specialised pharmacy, navigated the acute management of psychosis in the context of PP3M overdose in the absence of published guidelines. We share the use of electroconvulsive therapy (ECT) and oral lorazepam in managing this patient's acute psychosis and catatonia presentation and provide a rationale for the timing of safe recommencement of paliperidone oral medication. The patient was safely discharged home.Conclusions: We highlight the need for LAI overdose guidelines as an important area for review and development of clinical guidelines as we see increasing use of paliperidone palmitate 1-monthly (PP1M), PP3M, and paliperidone palmitate 6-monthly injection (PP6M) in the community.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"4635562"},"PeriodicalIF":0.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13482762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148788776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rapid Symptom Reduction Following Intramuscular Ketamine in Refractory Obsessive-Compulsive Disorder: A Case Report. 肌注氯胺酮治疗难治性强迫症后症状迅速减轻一例报告。

Case Reports in Psychiatry Pub Date : 2026-08-14 eCollection Date: 2026-01-01 DOI: 10.1155/crps/6450306

Maxwell Angel

{"title":"Rapid Symptom Reduction Following Intramuscular Ketamine in Refractory Obsessive-Compulsive Disorder: A Case Report.","authors":"Maxwell Angel","doi":"10.1155/crps/6450306","DOIUrl":"10.1155/crps/6450306","url":null,"abstract":"Introduction: Obsessive-compulsive disorder (OCD) is a chronic psychiatric condition that frequently presents with comorbid depressive disorders. For patients exhibiting treatment-refractory OCD and concurrent depressive disorder(s), there is growing clinical interest in the noncompetitive N-methyl-D-aspartate (NMDA) receptor antagonist ketamine as a rapid-acting intervention. This case report describes a 27-year-old female patient with severe, treatment-refractory OCD and comorbid depressive symptoms, detailing her response to a single intramuscular (IM) ketamine administration.Case presentation: The patient's primary compulsion was that of handwashing, which she would partake in for ~6 h per handwashing session at the time of the first ketamine administration. This occurred daily over a 3.5-month period, wherein a single day would consist of up to 18 total hours of handwashing. These extreme compulsions resulted in severe in-home isolation, precluding in-person psychotherapy and employment. Despite ongoing management by an independent telepsychiatrist, the patient reported no symptom relief from her prescribed regimen of fluoxetine (80 mg) and alprazolam (1 mg, four times daily)-a pharmacotherapeutic approach that may have been clinically suboptimal given the potential for high-dose benzodiazepines to exacerbate obsessive-compulsive symptoms. Given the severity of her condition, she subsequently pursued treatment at an unaffiliated outpatient ketamine clinic.Conclusion: Following a single IM ketamine administration, the patient experienced an acute, ~97% reduction in handwashing duration (from 6 h sessions to 5-10 min sessions) sustained over a 10-day period. This observation highlights an acute change in the patient's primary compulsive behavior. However, concurrent pharmacotherapy may confound the results, and prospective controlled trials are required to fully evaluate the efficacy of this intervention.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"6450306"},"PeriodicalIF":0.0,"publicationDate":"2026-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13474486/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148758179","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Near Total Resolution of Severe Refractory Chronic Cough With Low-Dose Sublingual Buprenorphine: Case Report. 低剂量丁丙诺啡几乎完全解决严重难治性慢性咳嗽：病例报告。

Case Reports in Psychiatry Pub Date : 2026-08-13 eCollection Date: 2026-01-01 DOI: 10.1155/crps/1043995

David W Streem, Jessica Benovic, Akhil Anand

引用次数: 0

Possible Improvement of Tardive Dyskinesia and Negative Symptoms With Lurasidone Augmentation in a Treatment-Resistant Schizophrenia Patient. 鲁拉西酮增强治疗难治性精神分裂症患者迟发性运动障碍和阴性症状的可能改善

Case Reports in Psychiatry Pub Date : 2026-08-11 eCollection Date: 2026-01-01 DOI: 10.1155/crps/7121649

Umut Günay, Candost Demiröz, Fatma Seher Kocaayan, İlay Dalkıran, Elif Tatlıdil

{"title":"Possible Improvement of Tardive Dyskinesia and Negative Symptoms With Lurasidone Augmentation in a Treatment-Resistant Schizophrenia Patient.","authors":"Umut Günay, Candost Demiröz, Fatma Seher Kocaayan, İlay Dalkıran, Elif Tatlıdil","doi":"10.1155/crps/7121649","DOIUrl":"10.1155/crps/7121649","url":null,"abstract":"Tardive dyskinesia (TD) is a cluster of symptoms affecting orofacial, truncal, and extremity regions following prolonged exposure to antidopaminergic agents and may be life-threatening in severe cases. It is most commonly observed in patients receiving long-term antipsychotic treatment, such as individuals with schizophrenia. Lurasidone is a relatively novel antipsychotic that has been reported to induce tardive syndromes in patients with schizophrenia and bipolar disorder and has also been used as an augmentation strategy in treatment-resistant schizophrenia. In this report, we present an intriguing case in which TD improved following the addition of lurasidone to the patient's existing treatment, accompanied by a reduction in negative psychotic symptoms. The patient's Abnormal Involuntary Movement Scale (AIMS) score decreased from 20 to 8-9 after the initiation and subsequent dose increase of lurasidone. Additionally, the Positive and Negative Syndrome Scale (PANSS) total score decreased from 171 to 148, with particularly notable improvement in the negative symptom subscale. The beneficial effect of lurasidone on TD is hypothesized to be related to various receptor interactions of the current treatment, as well as 5-HT2A antagonism and preferential modulation of dopamine turnover in the prefrontal cortex rather than the striatum, as also observed with clozapine. Further studies are warranted to elucidate the underlying mechanisms of this phenomenon.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"7121649"},"PeriodicalIF":0.0,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13462658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148719904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Overlap of Dissociative Identity Disorder and Narcissistic Features in an Adolescent: A Case Report. 青少年分离性身份障碍与自恋特征的重叠：一例报告。

Case Reports in Psychiatry Pub Date : 2026-08-07 eCollection Date: 2026-01-01 DOI: 10.1155/crps/1403303

Buket Kılıç

{"title":"The Overlap of Dissociative Identity Disorder and Narcissistic Features in an Adolescent: A Case Report.","authors":"Buket Kılıç","doi":"10.1155/crps/1403303","DOIUrl":"10.1155/crps/1403303","url":null,"abstract":"Developmental trauma is a primary etiological factor in dissociative identity disorder (DID) and may lead to misdiagnosis due to symptom overlap with other psychiatric and neurological conditions. This case report describes an adolescent male with pronounced narcissistic vulnerability. The patient's background features an inconsistent parenting style-characterized by both overprotection and severe criticism-and significant paternal pressure to achieve academic success and embody an idealized, wise persona. Chronic exposure to these psychosocial stressors is hypothesized to have contributed to acute narcissistic rage, potentially associated with dissociative identity fragmentation. The initial clinical presentation involved functional neurological symptoms, which progressed to distinct identity states with amnesia. Treatment focused on supporting the patient's disrupted grandiose self-structure through an empathetic, mirroring psychotherapeutic approach. This intervention was associated with a marked reduction in dissociative symptoms. Further research is needed to clarify the complex role of narcissistic vulnerabilities in the development of dissociative identity presentations.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"1403303"},"PeriodicalIF":0.0,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148697100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Suicide Attempt by Dual Ethylene Glycol and Rat Poison Ingestion: Case Report. 双乙二醇和鼠药摄入自杀企图：病例报告。

Case Reports in Psychiatry Pub Date : 2026-07-30 eCollection Date: 2026-01-01 DOI: 10.1155/crps/5846563

Danah Atassi, Amanda Bernardini, Wesley Wang, Christie Richardson

{"title":"Suicide Attempt by Dual Ethylene Glycol and Rat Poison Ingestion: Case Report.","authors":"Danah Atassi, Amanda Bernardini, Wesley Wang, Christie Richardson","doi":"10.1155/crps/5846563","DOIUrl":"10.1155/crps/5846563","url":null,"abstract":"Understanding the substances used in an overdose is informative to potential physiological complications and provides a guide for treatment modalities. This case describes a patient who overdosed on both ethylene glycol and rat poison, leading to a complex recovery. A 57-year-old female patient with a past psychiatric history of depression and alcohol use disorder presented to the emergency department unresponsive after a suicide attempt. The patient was found to have severe high-anion-gap metabolic acidosis, was intubated, and started on a bicarbonate drip and emergent hemodialysis. There was suspicion of toxic ingestion of ethylene glycol, given that lactate on arterial blood gas was significantly higher than serum lactic acid, so intravenous fomepizole was started. The patient's family subsequently found a suicide note in the patient's bedroom alongside a bottle of ethylene glycol and rat poison. Brain imaging revealed multiple lacunar infarcts in the bilateral cerebral hemispheres and diffusion abnormality in the hippocampi. Following medical stabilization and continued cognitive improvement over the course of hospitalization, the patient was discharged and referred to a partial hospitalization program for further psychiatric treatment. Reflecting on the patient's unique hospital course, the overdose on both ethylene glycol and rat poison likely resulted in a physiological state similar to typical ethanol poisoning, with both acute and long-term sequelae. Per standard treatment of care, fomepizole and a bicarbonate drip were started for treatment of both toxicities. From a psychiatric standpoint, the patient's ongoing medical complications requiring hemodialysis resulted in difficulties with a direct discharge to an inpatient psychiatric facility following medical clearance; however, she was appropriate for a partial hospitalization level of care. This case highlights successful treatment that may be useful for those encountering similar patient case presentations.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"5846563"},"PeriodicalIF":0.0,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13420282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148629589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Rare Case of Cotard's Delusion Treated With Oral and Long-Term Injectable Antipsychotics: A Case Report. 口服和长期注射抗精神病药物治疗科塔尔妄想1例。

Case Reports in Psychiatry Pub Date : 2026-07-27 eCollection Date: 2026-01-01 DOI: 10.1155/crps/5079901

Shivani Senthil Kumar, Hayley Silverstein, Amoolya Vayalapalli, Taylor Pigg, Oliver M Glass, Hardeep Singh

{"title":"A Rare Case of Cotard's Delusion Treated With Oral and Long-Term Injectable Antipsychotics: A Case Report.","authors":"Shivani Senthil Kumar, Hayley Silverstein, Amoolya Vayalapalli, Taylor Pigg, Oliver M Glass, Hardeep Singh","doi":"10.1155/crps/5079901","DOIUrl":"10.1155/crps/5079901","url":null,"abstract":"Cotard's delusion is a relatively infrequent neuropsychiatric condition that presents as a form of extreme and abnormal thinking where an individual believes that they are dead, do not exist, or have lost parts of their body or internal organs. The primary descriptions of Cotard's delusion were associated with severe depressive illness; however, Cotard's delusion may also present in individuals with schizophrenia. Because Cotard's delusion often appears as part of an array of psychotic symptoms, it can be misdiagnosed or underdiagnosed in hospitals. As such, many reported cases of Cotard's delusion have been treated with electroconvulsive therapy (ECT), after failing to respond to pharmacologic treatments. However, there are some reported cases of Cotard's delusion that have achieved remission using medication. We describe the case of a 40-year-old male with a several-year history of schizophrenia who developed an acute psychotic episode characterized by nihilistic delusions consistent with Cotard-like symptoms. The individual believed that he was dead, that he did not exist, and that his throat had been cut. During this episode, the individual expressed somatic delusional thoughts in addition to the previously mentioned nihilistic delusional thoughts. Upon the onset of his psychotic episode, the individual demonstrated a unique euphoric mood, which seemed to be related to his beliefs regarding being dead. The patient was treated with oral risperidone, followed by long-acting injectable (LAI) paliperidone palmitate, resulting in the gradual resolution of symptoms during a short hospitalization. This case highlights the limited number of documented cases of Cotard's delusion in patients with schizophrenia and the potential role of LAI antipsychotic agents as a maintenance strategy for patients with schizophrenia and significant compliance issues who develop Cotard delusions.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"5079901"},"PeriodicalIF":0.0,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599311","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Seronegative Autoimmune Encephalitis: A Case Report and Literature Review on Psychiatric Presentations. 血清阴性自身免疫性脑炎1例报告及精神病学文献回顾。

Case Reports in Psychiatry Pub Date : 2026-07-26 eCollection Date: 2026-01-01 DOI: 10.1155/crps/9618597

Sercan Karabulut, Hüseyin Oğuz Uyaroğlu, Ebru Barçın

{"title":"Seronegative Autoimmune Encephalitis: A Case Report and Literature Review on Psychiatric Presentations.","authors":"Sercan Karabulut, Hüseyin Oğuz Uyaroğlu, Ebru Barçın","doi":"10.1155/crps/9618597","DOIUrl":"10.1155/crps/9618597","url":null,"abstract":"Autoimmune encephalitis (AE) is an immune-mediated disorder that may present with prominent psychiatric symptoms, posing diagnostic challenges, particularly in seronegative cases. We report a 57-year-old male presenting with acute behavioral changes, psychosis, and cognitive impairment, initially managed in a psychiatric setting without clinical improvement. Subsequent evaluation revealed EEG abnormalities and elevated cerebrospinal fluid (CSF) protein, while autoimmune antibody panels were negative, leading to a diagnosis of seronegative probable AE. The patient showed marked clinical improvement following immunotherapy. This case highlights the importance of considering AE in patients with atypical psychiatric presentations, particularly when accompanied by cognitive decline or neurological findings. At the same time, careful clinical judgment is essential, as overdiagnosis and indiscriminate testing may lead to unnecessary interventions. Early recognition, guided by clinical red flags and supported by objective findings, remains critical for optimal outcomes.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"9618597"},"PeriodicalIF":0.0,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13402879/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148599366","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Seizures Temporally Associated With SSRI Treatment: A Two-Case Report Exploring Agomelatine as a Treatment Alternative. 癫痫发作与SSRI治疗的暂时性相关：两例报告探索阿戈美拉汀作为治疗选择。

Case Reports in Psychiatry Pub Date : 2026-07-25 eCollection Date: 2026-01-01 DOI: 10.1155/crps/9178274

José Alfonso Ontiveros Sanchez De La Barquera, Luis Alberto De La Garza Garcia, Guillermo Sanchez Torres, Leopoldo Iván Santacruz Torres, Arturo Alejandro Vera Vidaurri

{"title":"Seizures Temporally Associated With SSRI Treatment: A Two-Case Report Exploring Agomelatine as a Treatment Alternative.","authors":"José Alfonso Ontiveros Sanchez De La Barquera, Luis Alberto De La Garza Garcia, Guillermo Sanchez Torres, Leopoldo Iván Santacruz Torres, Arturo Alejandro Vera Vidaurri","doi":"10.1155/crps/9178274","DOIUrl":"10.1155/crps/9178274","url":null,"abstract":"Selective serotonin reuptake inhibitors (SSRIs) are widely used as first-line treatments for major depressive disorder (MDD) and anxiety disorders, with common adverse effects, including sexual dysfunction, anxiety, insomnia, and appetite changes, although seizures have also been reported, particularly in the presence of risk factors such as older age, family history of epilepsy, neurological comorbidities, and high antidepressant dosages. We describe two patients who developed generalized tonic-clonic seizures associated with SSRI therapy. The first case is a man with SSRI-resistant MDD and multiple medical comorbidities who experienced five generalized tonic-clonic seizures while receiving various antidepressants. The second case is a woman with generalized anxiety disorder (GAD) who developed two generalized tonic-clonic seizures temporally related to paroxetine use. In both cases, extensive investigations, including laboratory tests, electroencephalogram (EEG), CT, and MRI, yielded normal results, suggesting a potential drug-associated etiology. Both patients were subsequently switched to the atypical antidepressant agomelatine, which was followed by a complete cessation of seizures and marked improvement in mood and anxiety symptoms. These observations underscore the need to consider seizures as a potential adverse event of SSRIs and suggest that agomelatine could be considered an alternative pharmacological option for patients at risk of antidepressant-associated seizures.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"9178274"},"PeriodicalIF":0.0,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13401160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148590555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Case Report of Hemomania: Recurrent Bloodletting and Blood Consumption From Self and Others. 狂躁症1例：反复放血和自我及他人血消耗。

Case Reports in Psychiatry Pub Date : 2026-07-22 eCollection Date: 2026-01-01 DOI: 10.1155/crps/6417116

Sifat E Syed, Nishat Tamanna Nur, Shabnam Saba, Nahid Mahjabin Morshed

{"title":"Case Report of Hemomania: Recurrent Bloodletting and Blood Consumption From Self and Others.","authors":"Sifat E Syed, Nishat Tamanna Nur, Shabnam Saba, Nahid Mahjabin Morshed","doi":"10.1155/crps/6417116","DOIUrl":"10.1155/crps/6417116","url":null,"abstract":"Hemomania is a proposed term for incontrollable urges to see, release, or ingest blood which is not a formally recognized diagnostic entity. This behavioral phenomenon overlaps with nonsuicidal self-injury (NSSI), impulse control disorders, and elements of clinical vampirism. We present the case of a 22-year-old female with a longstanding history of bloodletting using syringes, blood ingestion, and collection. The patient collected blood in vials, sometimes mixed them with water and drank it. She also collected and consumed blood from other individuals and animals occasionally. These behaviors did not align with existing diagnostic categories, therefore, conceptualized within the proposed construct of hemomania. She had comorbid major depressive disorder with psychotic features, borderline personality disorder (BPD), and schizotypal traits. Her problems intensified following recent marital discord, which acted as a key emotional trigger. Treatment comprising pharmacotherapy and psychotherapy resulted in partial improvement of symptoms but relapsed within a few months. This case describes an atypical, chronic presentations of exceptionally rare pattern of behavior and highlights the conventional diagnostic and therapeutic challenges underscoring the need for precise diagnostic framing, thorough differential assessment, and individualized treatment approaches for such complex psychiatric presentations.","PeriodicalId":9631,"journal":{"name":"Case Reports in Psychiatry","volume":"2026 ","pages":"6417116"},"PeriodicalIF":0.0,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13392497/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148577228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0