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Schizo-obsessive disorder: a diagnostic dilemma

Author(s): Prasad S Shetty | Naresh Rathod

Journal: Andhra Pradesh Journal of Psychological Medicine
ISSN 2249-5851

Volume: 13;
Issue: 2;
Start page: 122;
Date: 2012;
Original page

Keywords: Schizo-obsessive disorder | schizophrenia | identification and treatment

Background: Obsessive-compulsive disorder (OCD) is a common co-morbid condition in schizophrenia. The clinical implications of this co-morbidity are uncertain. Schizo-obsessive patients were more likely to have paranoid symptoms and first-rank symptoms of schizophrenia.Case description: We present a case of 27 yr old man who initially presented with symptoms suggestive of schizophrenia not responding to treatment and who finally responded to addition of paroxetine to antipsychotics.Discussion: Comorbidity of Schizophrenia and OCD though prevalent is not often diagnosed. . The question of whether or not OCD has a deleterious effect on the outcome of schizophrenia has been often asked but never conclusively answered.Conclusion: The clinical issues in this case study highlights the importance of identification and treatment of OCD in schizophrenia. A detailed history is merited in patients especially those not rresponding adequately to conventional treatmentKey message: Schizo obsessive disorder can be detected and treated early to prevent the development of schizophrenia in future.

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