Clinical Case Database / Category: Case Based Discussion
Management of first-episode psychosis in a young person
Publication details
Paul A.Tiffi MBBS B.Med.Sci (Hons) MRCPsych, Gagan D. Garg MBBS MRCPsych
Foundation Years Journal, volume 1, issue 5, p.207 (123Doc Education, London, September 2007)
Abstract
An eighteen year-old man presented in a distressed and agitated state, having been brought to the Accident and Emergency Department by his concerned mother.
His mother explained that until a few months ago her son had been his usual self, enjoying a college course and socialising with friends. After this time he gradually became increasingly reclusive, withdrawn and depressed. Over the preceding two weeks his behaviour had become bizarre and she had overheard him talking and “arguing†with himself in his bedroom. He also took to wrapping electrical items with kitchen foil and would only leave the house wearing sunglasses and a heavy coat.
On examination the young man presented as anxious, distracted and preoccupied. Generally his mood appeared low, although at times he smiled or laughed for no apparent reason. He specifially denied hearing “voices†but admitted he was frightened and felt he was in great danger. When asked about suicidal thoughts he said he had been thinking of “ending it all†to prevent “something worse†happening to him.
Access the Clinical Cases Database
A subscription is required to read the full article. Please subscribe using one of the options below.
| Product | Price | Subscription | |
|---|---|---|---|
| Foundation Years Clinical Cases Database | £29.00 | 6 months | |
| Foundation Years Clinical Cases Database | £39.00 | 12 months |
Authors
Paul A.Tiffi MBBS B.Med.Sci (Hons) MRCPsych (Corresponding author)
Consultant in the Psychiatry of Adolescence
The Newberry Centre
Westlane Hospital
Acklam Road
Middlesbrough
TS5 4EE
Gagan D. Garg MBBS MRCPsych
Specialist Registrar in Child & Adolescent Psychiatry
Westlane Hospital
Middlesbrough
References
3. Parker S, Lewis S. Identifiation of young people at risk of psychosis. Advances in Psychiatric Treatment 2006;12: 249-255
4. Poole, R. & Brabbins, C. Drug Induced Psychosis. British Journal of Psychiatry 1996; 168: 135-8
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.