Objective. A case is reported of compulsive-obsessive disorder in the course of schizophrenia treated with clomipramine.
Case. A male patient with paranoid schizophrenia preceded by pseudo-neurotic and depressive symptoms occurring for many months. Despite neuroleptic treatment and abatement of psychotic experiences, symptoms regarded as obsessive thoughts and compulsive behaviours persisted in the clinical picture. Clomipramine was added to the antipsychotic treatment, which has evidently improved the patient 's functioning.
Commentary. Addition of clomipramine to antipsychotics may be beneficial in patients with obsessive-compulsive disorder in the course of schizophrenia.