Hostname: page-component-8448b6f56d-wq2xx Total loading time: 0 Render date: 2024-04-16T20:46:43.390Z Has data issue: false hasContentIssue false

I don’t know where I’m going or where I come from. Self-disorders in schizophrenia.

Published online by Cambridge University Press:  19 July 2023

M. D. C. Vallecillo Adame*
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
L. Rodríguez Andrés
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
C. de Andrés Lobo
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
T. Jimenez Aparicio
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
M. Queipo de Llano de la Viuda
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
G. Guerra Valera
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
A. A. Gonzaga Ramirez
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
M. Fernández Lozano
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
M. J. Mateos Sexmero
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
N. Navarro Barriga
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
B. Rodríguez Rodríguez
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
M. P. Pando Fernández
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
M. Calvo Valcárcel
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
P. Martínez Gimeno
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
M. A. Andreo Vidal
Affiliation:
Hospital Clínico Universitario Valladolid, Valladolid
I. D. L. M. Santos Carrasco
Affiliation:
Hospital Infanta Leonor, Madrid, Spain
*
*Corresponding author.

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Introduction

In the early stages of schizophrenia the person experiences feelings of strangeness about themselves, difficulty in making sense of things and difficulty in interacting with their environment. Based on this, self-disorder assessment instruments have been developed and empirical studies have been conducted to assess people at risk of developing a schizophrenia spectrum disorder. These studies show that self-disorders are found in pre-psychotic stages and that their manifestation can predict the transition to schizophrenia spectrum disorders.

Objectives

We present the case of a patient with multiple diagnoses and mainly dissociative symptoms who, after years of evolution, was diagnosed with schizophrenia.

Methods

Bibliographic review including the latest articles in Pubmed about self-disorders and schizophrenia.

Results

We present the clinical case of a 51-year-old woman with a long history of follow-up in mental health consultations and with multiple hospital admissions to the psychiatric unit, with several diagnoses including: dissociative disorder, histrionic personality disorder, adaptive disorder unspecified psychotic disorder and, finally, schizophrenia. The patient during the first hospital admissions showed a clinical picture of intense anxiety, disorientation and claiming to be a different person. The patient related these episodes to stressors she had experienced, and they improved markedly after a short period of hospital admission. Later, psychotic symptoms appeared in the form of auditory and visual hallucinations and delusional ideation, mainly of harm, so that after several years of follow-up and study in mental health consultations and in the psychiatric day hospital, she was diagnosed with schizophrenia and treatment with antipsychotics was introduced, with a marked clinical improvement being observed.

Conclusions

It is important to take into account this type of symptoms (self-disorders), as they allow the identification of individuals in the early stages of the disorder and create the opportunity for early therapeutic interventions.

Disclosure of Interest

None Declared

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press on behalf of the European Psychiatric Association
Submit a response

Comments

No Comments have been published for this article.