2011 issue 1

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Volume 20, issue 1

Case report

Does the sentence „I feel I am being watched” always have the same meaning? Clinical significance of erroneous description and attribution of their states by patients treated for schizophrenia – a case report

Maciej Karaszewski1, Sławomir Murawiec1, Małgorzata Sosnowska1
1. Centrum Zdrowia Psychicznego, Instytut Psychiatrii i Neurologii, Warszawa
Postępy Psychiatrii i Neurologii 2011, 20(1): 63–67
Keywords: schizophrenia, pharmacotherapy, psychology, cognitive deficits

Abstract

Objectives. The aim of the paper was to discuss the phenomenon of statements occasionally made by patients treated for schizophrenia – such comments concerning undesirable side effects of medication, or resembling paranoid ideation are related to stressful situations currently experienced by the patient.
Case report. A case is presented of a 35-year old female patient diagnosed with schizophrenia and treated for the past few years, currently in remission. When confronted with difficulties connected with her decision-making about getting a job or in other stressful situations the patient reported brief, transitory episodes of her "eyes skittering away" (which resembles post-neuroleptic acute tardive dyskinesia), or similarly short-lasting feelings of being watched by other people (resembling delusions of reference).
Commentary. If patients in stable remission suddenly report side effects of their medication, or develop short-term psychotic symptoms, psychological background of their complaints should be explored and appropriate help provided to the patient.

Address for correspondence:
Dr Maciej Karaszewski
Centrum Zdrowia Psychicznego, Instytut Psychiatrii i Neurologii,
Al. Sobieskiego 9, 02-957 Warszawa
tel. 0-22-4582717