Open AccessPsychotic-like experiences in conduct disorders – a case report
Author(s) -
Rafał Szmajda,
Aleksandra Lewandowska,
Agnieszka Gmitrowicz
Publication year - 2020
Publication title -
psychiatria i psychologia kliniczna
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.14
H-Index - 7
eISSN - 2451-0645
pISSN - 1644-6313
DOI - 10.15557/pipk.2020.0026
Subject(s) - psychiatry , psychology , psychosis , phenomenology (philosophy) , clinical psychology , schizophrenia (object oriented programming) , differential diagnosis , diagnosis of schizophrenia , psychotherapist , medicine , philosophy , epistemology , pathology
Psychotic symptoms in children and adolescents are an important and, at the same time, interesting issue. Current ICD-10 and DSM-5 criteria for mental disorders obviously fail to exhaust the richness of psychopathologies and to fully describe patient’s experiences. Differentiation of psychotic experiences is of particular importance in pediatric psychiatry. A number of phenomena that can be classified as psychotic either occur as a variant of normal or, as reported in studies, have no clinical significance. We describe a case of an adolescent who, with a thoughtless use of criteria, could have been easily diagnosed with schizophrenia; however, a more thorough interview and observation allowed for identification of the phenomenology of psychotic symptoms in the course of conduct disorders. The paper discusses the differential diagnosis, which allowed for the diagnosis of dissociative and conduct disorders in the described patient.