Hypothyroidism is one of the most important causes of
organic psychosis and sometimes can be missed. There are some cases showing
extreme degree of hypothyroidism leading to psychiatric illnesses like mania,
depression and psychosis. In present case, a 21year old well-functioning female
developed hypothyroidism initially with symptoms of Myxedema which was
undiagnosed for 2 years. She had psychotic features after 2 years in form of
hallucinatory behavior, poor self-care, persecutory and referential delusions, episodes
of violent behavior and suicidal attempts. Thyroid supplementation was given in
therapeutic dose but there was no improvement in her clinical profile. It was
decided by experts to add antidepressant and antipsychotic medicines. Patient
had marked improvement. She started talking with family, her aggression
subsided. Only persecutory delusion and memory impairment persisted so doses of
antipsychotic medicine was gradually built up.
Click here to View Case Report Journal of Scholarena
No comments:
Post a Comment