Anorexia nervosa with chronic episodes for more than 30 years in a patient with a comorbid schizotypal personality disorder.
Schizotypal personality disorder (SPD) has rarely been reported as an eating disorder-related personality trait. A 23-year-old woman was diagnosed as having anorexia nervosa binge eating/purging type. At the age of 53 years, she was admitted to Jikei University Hospital because of excessive bodyweight loss. She was diagnosed as having SPD based on bizarre behavior, ideation and a tendency to seek isolation. She was treated with low-dose antipsychotics, and her impulsive behavior improved. The patient's SPD was considered to have had a psychopathological contribution to her chronic episodes of anorexia nervosa.
Nagata
Tomoyuki
T
Department of Psychiatry, Jikei University School of Medicine, Tokyo, Japan. t.nagata@jikei.ac.jp
Ono
Kazuya
K
Nakayama
Kazuhiko
K
D000856:Anorexia Nervosa / Q000150:complications* / Q000523:psychology*; D018687:Antidepressive Agents, Second-Generation / Q000627:therapeutic use; D001569:Benzodiazepines / Q000627:therapeutic use; D001835:Body Weight; D002032:Bulimia / Q000150:complications / Q000523:psychology; D002908:Chronic Disease; D005260:Female; D006760:Hospitalization; D006801:Humans; D008803:Mianserin / Q000627:therapeutic use; D008875:Middle Aged; D000077152:Olanzapine; D017374:Paroxetine / Q000627:therapeutic use; D012569:Schizotypal Personality Disorder / Q000150:complications* / Q000523:psychology*; D017367:Selective Serotonin Reuptake Inhibitors / Q000627:therapeutic use
D018687:Antidepressive Agents, Second-Generation; D001569:Benzodiazepines; D008803:Mianserin; D000077152:Olanzapine; D017374:Paroxetine; D017367:Selective Serotonin Reuptake Inhibitors