19 year old girl brought with behavioral changes such as cla
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Dr. Saleem PK
19 year old girl brought with behavioral changes such as claiming she is pregnant, stitching clothes for unborn baby, using special diets and walking carefully in order to avoid any harm to baby.On examination she found repeating her claim that she is pregnant inspite of having regular cycles, she can sense her baby moving inside abdomen,taking stethoscope from table and asking permission to hear her babies heart beat herself (she had seen her cousin dr doing so to her patients).Euthymic,PMA adequate,Talk relevant and coherent.No AH, Tell her abdomen is little distended and showing the same to examiner. Past history revealed she once absconded from her school with her female friend two years back and went for councelling,at that time nothing unusual found except mother found a diary in which she has written a lotes notes in a 'code ' language . Mother is asking permission to get her examined by a gynecologist too.

What is your diagnosis and how you proceed?
M●●●●a S and 16 others like this
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Dr. S●●●●m PK
Dr. S●●●●m PK Psychiatry
Parents not ready to accept escalating dosage so maintained on 50 mg. No insight, core psychopathology remains bit not affecting her functioning and acting out behaviours disappeared.
Jun 12, 2017Like
Dr. S●●●a A●●a
Dr. S●●●a A●●a Psychiatry
Psychoeducation is the key!
Jun 12, 2017Like1
Dr. S●●●●m PK
Dr. S●●●●m PK Psychiatry
True
Jun 12, 2017Like