[Misdiagnosed PTSD and zeldox pharmacotherapy in case of a political prisoner].
Treatment of survivors of political terror is an emerging and difficult field. Reports on posttraumatic stress disorder (PTSD) in political prisoners within the former Eastern Block countries is low and mostly restricted to German sources. During the totalitarian period administrative and clinical decisions often had to take into account political realities not found in other treatment environments. That practice might have lead to biased professional training, lack of experience extending into the post-communist era and leading to current underpresentation of PTSD. The authors present a case report of a Hungarian political prisoner with long history of PTSD who had a "carry over" diagnosis of paranoid schizophrenia even 15 years after the collapse of the communist regime. After decades of continuous administration of antipsychotic and antidepressive medications, either alone or in combination, Zeldox monotherapy has proven to be the most effective treatment for this patient.
Frecska
Ede
E
Országos Pszichiátriai és Neurológiai Intézet, Budapest. efrecska@hotmail.com
Keresztes
Mária
M
Gaszner
Gábor
G
D014150:Antipsychotic Agents / Q000494:pharmacology / Q000627:therapeutic use*; D003148:Communism; D003951:Diagnostic Errors; D006801:Humans; D006814:Hungary; D008297:Male; D008875:Middle Aged; D010879:Piperazines / Q000494:pharmacology / Q000627:therapeutic use*; D011329:Prisoners; D012563:Schizophrenia, Paranoid / Q000175:diagnosis / Q000188:drug therapy; D058830:Serotonin 5-HT2 Receptor Antagonists; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use; D013313:Stress Disorders, Post-Traumatic / Q000188:drug therapy* / Q000209:etiology / Q000523:psychology*; D013844:Thiazoles / Q000494:pharmacology / Q000627:therapeutic use*
D014150:Antipsychotic Agents; D010879:Piperazines; D058830:Serotonin 5-HT2 Receptor Antagonists; D017367:Selective Serotonin Reuptake Inhibitors; D013844:Thiazoles; C092292:ziprasidone