Psychiatry and Clinical Psychopharmacology

Childhood and adolescence disorders Clinical manifestations in a patient with a diagnosis of depression, and an impulse control disorder comorbidity who had been exposed to sexual, and physical abuse: a case report

Psychiatry and Clinical Psychopharmacology 2013; 23: Supplement S250-S250
Read: 591 Published: 17 March 2021

Impulsivity can be a normal behavior pattern or a psychopathological component of many psychiatric diseases. Impulse control disorder is defined as a specific group of mental diseases that is characterized by failure to resist a temptation, urge or impulse that may harm ownself or others; and it onsets mainly as recurrent impulsive acts. A 16-year-old female patient, who had stolen money and valuable items without consent of their possessors was referred to our outpatient clinic upon complaints of the people being robbed. After interviews with the patient, symptoms of unhappiness, malaise, failure to enjoy life were revealed, and from her medical history, it was learnt that she had been exposed to sexually and physically abusive acts when she was 9 years old. In this study, our aim is to discuss clinical manifestations, and treatment process of a patient with a diagnosis of depression, and an impulse control disorder comorbidity who had been exposed to sexual, and physical abuse The patient who was referred to the outpatients clinic of Pediatric Psychiatry, Uludag University Faculty of Medicine was evaluated by psychiatric interviews considering medical, and psychiatric history obtained from the patient, and her intimates, psychometric assessments, and DSM-4 TR diagnostic criteria. Consequently she was diagnosed to have depression associated with impulse control disorder, and WISC-R together with Kovacks depression inventory were applied, and detailed pediatric, and neurological examinations were performed. The diagnosis of impulse control disorder was based on DSM-IV-TR criteria. As a result of literature reviews, it has been concluded that serotonin levels decrease in impulsivity that accounts for its association with depression, and patients with impulse control disorder are at risk of depression in their early years of their lives. Therefore our case under selective serotonin reuptake inhibitor (SSRI) treatment was observed closely for the first 12 weeks. However lack of any change in her symptoms suggested impulsivity in the foreground with resultant shift to psychostimulant-antipsychotic combination therapy. At 9th month of psychotherapy supported with psychostimulants, and antipsychotics, and family education therapy, her symptoms partially improved. So she is attending high school 3th grade, and working in a shopping center as a part-time employer.
 

EISSN 2475-0581