Citation

Skrzypulec A, Segiet S, Szuścik A, Krysta K, Krupka-Matuszczyk I. Postep. Psychiatr. Neurol. 2011; 20(1): 59-62.

Copyright

(Copyright © 2011, Instytut Psychiatrii I Neurologii)

DOI

unavailable

PMID

unavailable

Abstract

OBJECTIVEs. A case of a 20-year-old man with tic disorder is presented and the role of psychological factors in the development of his condition is discussed. Case report. The patient diagnosed with the Tourette syndrome at age 3 was repeatedly hospitalized in child psychiatry and neurology departments. Due to tics exacerbation he was submitted to tiopental-induced coma thrice. Differentiated pharmacotherapy resulted in transient outcomes. No psychotherapy has ever been attempted. The patient was diagnosed with immature personality, manifested anxiety and depressive behaviors and a low self-acceptance level. He had two suicide attempts and was a medication abuser. He responded to stressful situations with aggravation of somatic symptoms. Commentary. During the patient's most recent hospitalization a significant role of mental disorders in the development and exacerbation of his tic disorder was postulated. Cooperation between various health professionals, particularly psychiatrists, psychotherapists and neurologists is necessary both in the diagnostic process and treatment. © Instytut Psychiatrii i Neurologii.

Language: pl

Keywords

adult; human; male; case report; depression; suicide attempt; drug abuse; article; psychological aspect; personality disorder; child psychiatry; disease course; anxiety disorder; coma; disease exacerbation; Psychological factors; Gilles de la Tourette syndrome; tic; child hospitalization; thiopental; Tics; Tourette's syndrome