@article{ref1,
title="Is there a major role for undetected autism spectrum disorder with childhood trauma in a patient with a diagnosis of bipolar disorder, self-injuring, and multiple comorbidities?",
journal="Case reports in psychiatry",
year="2019",
author="Carmassi, Claudia and Bertelloni, Carlo Antonio and Salarpi, Gianluca and Diadema, Elisa and Avella, Maria Teresa and Dell'Oste, Valerio and Dell'osso, Liliana",
volume="2019",
number="",
pages="e4703795-e4703795",
abstract="This case report highlights the relevance of the consequences of trauma in a female patient with an undetected autism spectrum disorder (ASD) affected by bipolar disorder (BD) with multiple comorbidities. A 35-year-old woman with BD type II, binge eating disorder and panic disorder was admitted in the Inpatient Unit of the Psychiatric Clinic of the University of Pisa because of a recrudescence of depressive symptomatology, associated with increase of anxiety, noticeable ruminations, significant alteration in neurovegetative pattern, and serious suicide ideation. During the hospitalization, a diagnosis of ASD emerged besides a history of childhood trauma and affective dysregulation, marked impulsivity, feeling of emptiness, and self-harm behavior. The patient was assessed by the Autism-Spectrum Quotient (AQ), Ritvo Autism and Asperger Diagnostic Scale (RAADS-R), the Adult Autism Subthreshold Spectrum (AdAS Spectrum), Trauma and Loss Spectrum (TALS-SR), and Ruminative Response Scale (RRS). Total scores of 38/50 in the AQ, 146/240 in the RAADS-R, 99/160 in the AdAS Spectrum emerged, compatible with ASD, 47/116 in the TALS-SR, and 64/88 in the RRS. We discuss the implications of the trauma she underwent during her childhood, in the sense that caused a complex posttraumatic disorder, a lifelong disease favored and boosted by the rumination tendency of high functioning ASD.<p /> <p>Language: en</p>",
language="en",
issn="2090-682X",
doi="10.1155/2019/4703795",
url="http://dx.doi.org/10.1155/2019/4703795"
}