Compulsive water drinking: A case report

In this article, it is aimed to present a 39-year-old woman with obsessive-compulsive disorder with excessive water drinking due to compulsions. This clinical condition; called as “compulsive water drinking”, “psychogenic polydipsia” and “water intoxication”. Psychogenic polydipsia which is characterized by excessive sensation of thirst and compulsive water drinking has been reported in 6-20% of patients in psychiatry clinics and most commonly seen (80%) in patients with diagnosis of schizophrenia. It can alsobe seen in patients with diagnosis of mental retardation, bipolar disorder, alcohol dependence, eating disorders and organic mental disorder. Cognitive behavioral therapy, drug therapies such as serotonin reuptake inhibitors, atypical antipsychotics and propranolol are the main treatment modalities.

PDF

___

Ergin H, Semiz S, Dağdeviren E. Psikojenik polidipsi : bir vaka takdimi. Çocuk Sağlığı ve Hast Derg 2006;49:319-21.
Dirican AC, Altunkaynak Y, Çelik S, Mutluay B, Çoşkun K, Köksal A, et al. Psikojenik polidipsinin neden olduğu bir hiponatremik ensefalopati olgusu. Cerrahpaşa tıp dergisi 2005;36(4):221-3.
Özgün F, Ertemir M, Ceylan E, Demir Ç. Stres ve Polidipsi. Klin Psikofarmokoloji Bülteni 2002;12:86-8.
lllowsky BP, Kirch DG. New information on polydipsia and hyponatremia in psychiatric patients. Am J Psychiatry 1988;145(8):1039.
Kruse D, Pantelis C, Rudd R, Quek J, Herbert P, McKinley M. Treatment of psychogenic polydipsia: Comparison of risperidone and olanzapine, and the effects of an adjunctive angiotensin-II receptor blocking drug (irbesartan). Aust N Z J Psychiatry 2001;35(1):65-8.
de Leon J, Verghese C, Stanilla JK, Lawrence T, Simpson GM. Treatment of polydipsia and hyponatremia in psychiatric patients-can clozapin be a new option? Neuropsychopharmacology 1995;12(2):133-8.
Kaya B, Ünal S, Çetinarslan B. Psikojenik aşırı su içme : Bir olgu sunumu Psychogenic polydipsia : A case report. Anadolu Psikiyatr Derg 2000;1(2):107-14.
Ozturk S, Ozsenel EB, Kazancioglu R, Turkmen A. A case of fluoxetine-induced syndrome of inappropriate antidiuretic hormone secretion. Nat Clin Pract Nephrol 2008;4(5):278-82.
Ferrier IN. Water intoxication in patients with psychiatric illness. Br Med J (Clin Res Ed) 1985;291(6509):1594-6.
Harrison RB, Ramchandani P, Allen JT. Psychogenic polydipsia: Unusual cause for hydronephrosis. AJR Am J Roentgenol 1979;133(2):327-8.
Costanzo ES, Antes LM, Christensen AJ. Behavioral and medical treatment of chronic polydipsia in a patient with schizophrenia and diabetes insipidus. Psychosom Med 2004;66(2):283-6.
Greendyke RM, Bernhardt AJ, Tasbas HE, Lewandowski KS. Polydipsia in chronic psychiatric patients: Therapeutic trails of clonidine and enalapril. Neuropsychopharmacology 1998;18(4):272-81.