Valproic acid and Carbamazepine: a successful antipsychotic medication? The problem of diagnosis and its relevance for therapy.
This single-case study deals with a 24-year-old woman who suffered after a severe depressive episode from paranoid-psychotic symptoms, which did not respond to antipsychotic medication, but to antiepileptics. In this case report, it is elaborated why psychotic symptoms may not respond to antipsychotic medications and the utility of a polydiagnostic approach is shown. Psychotic symptoms based on dynamic instability may occur simultaneously in the pathogenesis of affective disorders and schizophrenia. It is demonstrated that the use of a polydiagnostic approach will lead to a more refined etiopathogenetic attribution.
Gutiérrez
K
K
Department of Psychiatry, University of Vienna, Austria.
Walter
H
H
Bankier
B
B
D000328:Adult; D000927:Anticonvulsants / Q000008:administration & dosage* / Q000009:adverse effects; D014150:Antipsychotic Agents / Q000008:administration & dosage* / Q000009:adverse effects; D002220:Carbamazepine / Q000008:administration & dosage* / Q000009:adverse effects; D003865:Major Depressive Disorder / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D011569:Psychiatric Status Rating Scales; D011618:Psychotic Disorders / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D012563:Schizophrenia, Paranoid / Q000175:diagnosis / Q000188:drug therapy* / Q000523:psychology; D016896:Treatment Outcome; D014635:Valproic Acid / Q000008:administration & dosage* / Q000009:adverse effects
D000927:Anticonvulsants; D014150:Antipsychotic Agents; D002220:Carbamazepine; D014635:Valproic Acid