SANRI BENZERİ SAPLANTILAR İLE SOMATİK SEMPTOMLARIN EŞLİK ETTİĞİ OBSESİF KOMPULSİF SEMPTOMLARIN AYIRICI TANISI, BİR OLGU SUNUMU

Obsesif Kompulsif Semptomlar, özellikle de zorlayıcı nedensiz obsesyonlarını açıklamada güçlük çeken çocuk ve ergenlerde olmak üzere sanrılar ile karışabilmektedir. Obsesyonlar, aşırı zihinsel uğraşlar ve sanrılar ile karışabilmektedir. Psikosomatik semptomlar çocuklar tarafından sıklıkla belirtilen bir durumdur ve sürekli baş ağrıları anksiyete bozukluğu olan kişilerde nadir değildir. Sürekli baş ağrıları terapotik yaklaşımı olumsuz olarak etkileyebilmektedir ve aynı zamanda doğru tedaviye de ulaşmayı güç- leştirmektedir. Bu olguda obsesif kompulsif semptoloji ile başvuran bir kız ergendeki tanısal güçlükleri ile bu semptomların psikoeğitim ve farmakoterapi ile başarılı bir şekilde tedavisi tartışılmaktadır. Aynı zamanda obsesif kompulsif bozukluğun (OCD) doğ- ru tanısı ile ergenler ile ailelerine psikoeğitim verilmesinin bu gençlerin öz güvenlerine kavuşmaları ve aileleri ile tekrar yapılandırılmış bir ilişki kurmaları için önemi tartışılacaktır. Bu yaş bireylerde OKB’nin farmakolojik tedavisinde seçilecek ajan Selektif Serotonin Geri Alım İnhibitöreleridir (SSRI). Son olarak bu olgunun anksiyete ile ilişkili bir durum olarak doğru şekilde tanımlanması ve psikolojik yaklaşımı ile farmakolojik yönetimi oldukça önemlidir

Anahtar Kelimeler:

Genç, Obsesif Kompulsif Bozukluğu, Selektif Serotonin Geri Alım İnhibitörü, Takıntı, Kuruntu

CASE REPORT: DIFFERENTIAL DIAGNOSIS OF OBSESSIVE-COMPULSIVE SYMPTOMS CONFOUNDED BY DELUSION-LIKE FIXATIONS AND SOMATIC SYMPTOMS IN AN ADOLESCENT

Obsessive-compulsive symptoms can at times be confounded by delusional symptoms, which can be especially challenging to interpret correctly in children and adolescents, who may struggle to articulate the intrusive or unreasonable nature of their obsessions. Obsessions, overvalued ideas and delusions can have an overlap. Persistent headaches are not uncommon amongst patients presenting with anxiety disorders and psychosomatic symptoms are frequently reported by children. Psychosomatic complaints, such as enduring headaches, can also have an undesirable impact on therapeutic approach and delay access to the correct treatment. In this case we discuss diagnostic pitfalls in an adolescent girl presenting with obsessive-compulsive symptomatology and a successful treatment of enduring symptoms with psycho-education and medication. We will argue that psycho-education for young people and their families based on a correct diagnosis of obsessive compulsive disorder (OCD) is essential to provide reassurance, to help young people regain self-confidence and re-establish constructive relationships within the family unit. Selective serotonin re-uptake inhibitors (SSRI) are the drug of choice for pharmacological treatment of OCD in this age group. We conclude that a correct diagnosis of the condition as "anxiety-driven" was of paramount importance for psychological approach and pharmacological management of this case.

Keywords:

Adolescent, Obsessive Compulsive Di-sorder, Selective Serotonin Re-uptake Inhibitor, Ob-session, Delusion,

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