Trichotillomania Comorbid with Schizophrenia
Introduction: Trichotillomania (TTM) is now part of DSM-5 classification of obsessive-compulsive and related disorders. A quarter of schizophrenia patients suffer from obsessive-compulsive symptoms (OCS) and the use of atypical antipsychotics may worsen or even induce new onset OCS. Objective: A...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Japan International Cultural Exchange Foundation
2019
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| Subjects: | |
| Online Access: | http://eprints.usm.my/45291/1/155-34Othman.pdf http://eprints.usm.my/45291/ http://www.seronjihou.co.jp/IMJ/backnumber-IMJ.html |
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| Institution: | Universiti Sains Malaysia |
| Language: | English |
| Summary: | Introduction: Trichotillomania (TTM) is now part of DSM-5 classification of obsessive-compulsive and related disorders. A
quarter of schizophrenia patients suffer from obsessive-compulsive symptoms (OCS) and the use of atypical antipsychotics may
worsen or even induce new onset OCS.
Objective: A 25-year old man who presented with TTM comorbid with schizophrenia was studied. The symptomatology and
treatment will be discussed.
Results: The patient had prominent anxiety and mild OCS during the prodromal phase of schizophrenia. While on atypical
antipsychotics treatments, he developed TTM which was partially reduced with addition of selective serotonin reuptake inhibitor
(SSRI).
Conclusion: Schizophrenia patient with prodromal OCS is probably at increased risk of developing TTM while on atypical
antipsychotics treatment. Atypical antipsychotics and SSRI combination therapy is a useful strategy in such patient. |
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