2005 suplement 1

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Volume 14, suplement 1

Case report

Obsessive-compulsive disorder in the course of schizophrenia - efficacy of clomipramine treatment

AGATA LISIECKA1, MAŁGORZATA ŚMIAROWSKA1, RYSZARD KAMIŃSKI1, MAGDALENA LETKIEWICZ1, KAROLINA KORWIN-PIOTROWSKA1
1. Katedry i Kliniki Psychiatrii Pomorskiej Akademii Medycznej w Szczecinie
Postępy Psychiatrii i Neurologii 2005; 14 (supl. 1/20): 81-106
Keywords: schizophrenia, obsessive-compulsive disorder

Abstract

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.

Address for correspondence:
Dr Agata Lisiecka, Katedra i Klinika Psychiatrii Pomorskiej Akademii Medycznej, ul. Broniewskiego 26, 71-460 Szczecin