Kasıtlı olarak kendine zarar verme davranışı (KZVD), kişinin özkıyım amacı gütmeden, kendi bedenine doğrudan fiziksel bir zarar vermesidir. KZVD, DSM-IV-TRde ayrı bir tanı kategorisi olarak yer almasa da, madde bağımlılığı dahil olmak üzere, psikiyatride pek çok hastalıkla birlikte görülmektedir. KZVD, var olan psikiyatrik hastalığın tedavisi için engel oluşturabilmektedir. Bu yazıda, eroin bağımlılığı nedeniyle AMATEMde (Alkol Madde Araştırma Tedavi ve Eğitim Merkezi) yatarak tedavi gören ve dişlerini sökme, cilt yolma ve göze mikrop bulaştırma şeklinde ender görülen KZVD bulunan, bu davranışları nedeniyle kapalı psikiyatri servisinde izlenmek zorunda kalınan ve ayaktan terapi programlarını sürdürmekte zorluk yaşayan bir olgu sunulmuştur.
Self-mutilation has been defined as deliberate, direct destruction of body tissue without conscious suicidal intent. Although self-mutilative behaviors (SMB) has not been described as a distinct diagnostic category within DSM-IV-TR, it represents a frequent comorbidity with many psychiatric disorders, including drug dependency. SMB may disturb the treatment of psychiatric disorders. In this report, we present a case who had been hospitalized in AMATEM (Alcohol and Drug Research, Treatment and Training Center) for the treatment of heroin addiction and had unusual SMB such as tooth extraction, skin picking and autoinfection of the eyes. Due to these SMB, the patient had to be transferred to general psychiatry service and had difficulties to adherence for the outpatient therapy program.
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