Persecutory delusions

A 23-year-old man was permitted to the psychiatric service with persecutory delusions and ideas of reference. His family reported that he had lost more than 13 kgs before the presentation. He developed symptoms consistent with a catatonic episode during hospitalisation, including mutism, stupor, and catalepsy. His catatonia improved with electroconvulsive treatment, and he began to eat food by mouth. As a result, the patient was interpreted with catatonic schizophrenia (DSM-IV-TR criteria). Over the following six weeks, long-acting injectable risperidone was initiated and concomitant paliperidone only for the first four weeks of treatment with risperidone.

 

The patient continued taking long-acting injectable risperidone 37.5 mg every two weeks along with citalopram 20 mg/day. Citalopram stood as a modestly effective medication in treating his negative symptoms. Fourteen months later, his body was found to be increased drastically from his baseline.

A 23-year-old man was permitted to the psychiatric service with persecutory delusions and ideas of reference. His family reported that he had lost more than 13 kgs before the presentation. He developed symptoms consistent with a catatonic episode during hospitalisation, including mutism, stupor, and catalepsy. His catatonia improved with electroconvulsive treatment, and he began to eat food by mouth. As a result, the patient was interpreted with catatonic schizophrenia (DSM-IV-TR criteria). Over the following six weeks, long-acting injectable risperidone was initiated and concomitant paliperidone only for the first four weeks of treatment with risperidone.

 

The patient continued taking long-acting injectable risperidone 37.5 mg every two weeks along with citalopram 20 mg/day. Citalopram stood as a modestly effective medication in treating his negative symptoms. Fourteen months later, his body was found to be increased drastically from his baseline.