9 / 9
allied
academies
Page 36
July 01-02, 2019 | Paris, France
Brain Disorders and Therapeutics
6
th
International Conference on
Journal of Brain and Neurology | Volume: 03
Obsessive-Compulsive Disorder as a part of Prodromal Schizophrenia
AlKhatib Alsaadi, Waddah Alalmaei Asiri
and
Mundher Almaqbali
Sultan Qaboos University, Oman
P
rodromal schizophrenia presents with a wide variety of
psychiatric symptoms including obsessive-compulsive
disorder (OCD) or obsessive-compulsive symptoms (OCS).
However, this differentiation between a sole diagnosis of
OCD and prodromal schizophrenia seems challenging in
some settings. We present a sixteen-year-old male with
six-months history of recurrent intrusive images and
fearfulness, in addition to decreased socialization. He was
managed as a case of prodromal schizophrenia and was
treated with antipsychotics. His obsessions decreased
but he continued to exhibit negative schizophrenia
within two years of follow-up. Acknowledging the
diversity of prodromal schizophrenia presentations rather
than treating symptoms as a cross-sectional diagnosis
(especially in high-risk population for psychosis) is crucial
for a better management.
Discussion
: This case illustrates the complexity of the
diagnosis of an officially established disorder that is
OCD with well-defined criteria and controversial labeling
prodromal schizophrenia with several presentations
including OCD. The impact of OCD/OCS among prodromal
schizophrenia or at-risk people for psychosis was revealed
in some studies by having a higher clinical impairment,
more depressive symptoms and suicidality.
Conclusion
: Our patient was managed as a case of
prodromal schizophrenia rather than solely OCD based
on the associated features (aloofness, progressive social
and academic decline, slowed psychomotor functions and
dysprosody). Positive family history of schizophrenia in
addition to praecox feeling further confirmed the patient’s
condition. The following two years of the patient’s course
revealed the necessity of considering the full detailed
presentation of prodromal schizophrenia rather than the
spot diagnosis of OCD to benefit from early intervention
psychosis services and minimize the clinical deterioration.
e:
scosh.squ@gmail.com