Citation

Tan HT, Lal M, Tamam L. Case Rep. Psychiatry 2022; 2022.

Copyright

(Copyright © 2022, Hindawi Publishing)

DOI

10.1155/2022/9689732

PMID

unavailable

Abstract

Up to 23.5% of patients with schizophrenia have onset of illness after the age of 40. We report a case of a 57-year-old lady who had been sitting continuously on the toilet for 2.5 years because of persecutory delusions and somatic passivity symptoms. She was diagnosed with late-onset schizophrenia and her symptoms improved with risperidone. In this case report, we describe the phenomenology of her psychotic symptoms and explore the socio-cultural factors behind the long duration of untreated psychosis (DUP). We conclude that more can be done to improve mental health awareness and reduce the social stigma associated with mental illness. Copyright © 2022 Ho Teck Tan and Manu Lal.

Language: en

Keywords

adult; human; female; case report; schizophrenia; psychosis; suicide attempt; treatment outcome; disease severity; vitamin D deficiency; clinical article; fluvoxamine; cultural factor; sitting; middle aged; social aspect; somatic delusion; Singapore; mental patient; follow up; caregiver; risperidone; hospital discharge; irritability; outpatient department; phenomenology; agitation; physiotherapy; clonazepam; extraversion; social life; immobilization; auditory hallucination; drug dose reduction; Article; abdominal discomfort; persecutory delusion; family relation; visual hallucination; micturition disorder; therapy delay; calcium carbonate; abnormal sensation; walking difficulty; vitamin D; kyphosis; late onset disorder; tertiary care center; emaciation