TY  - JOUR
PY  - 2021//
TI  - Psychotic PTSD? Sudden traumatic loss precipitating very late onset schizophrenia
JO  - BMJ case reports
A1  - McIntosh, Iris
A1  - Story, Giles W.
SP  - e235384
EP  - e235384
VL  - 14
IS  - 1
N2  - Early theories of schizophrenia considered the illness as a fragmentation of mental content in response to psychological trauma. Here we present a case of very late onset schizophrenia in a previously high-functioning man in his mid-60s, precipitated by having lost his family in a terrorist attack, while he was living in Africa. He presented with symptoms consistent with post-traumatic stress disorder, however also exhibited visual and auditory hallucinations and marked deterioration in daily functioning. He showed mild impairment on cognitive testing, however brain imaging and screening for reversible causes of cognitive impairment were normal. The case highlights the need for a formulation-based approach to understanding and managing responses to severe trauma, from resolution through to psychotic disintegration.<p />  <p>Language: en</p>
LA  - en
SN  - 1757-790X
UR  - http://dx.doi.org/10.1136/bcr-2020-235384
ID  - ref1
ER  -