11th International Congress on Psychopharmacology 7th International Symposium on Child and Adolescent Psychopharmacology Case Reports Addendum

摘要

It is defined as childhood onset or early onset schizophrenia when it starts at the age of 13. Inthis presentation, a male patient who was diagnosed with schizophrenia at age 10 wasdiscussed.Case presentation: A 10-year-old male patient presented to our outpatient clinic withcomplaints of nervousness, aggression, introversion, and self-talk, which started about 9months ago. The parents reported observed disorganized behaviour in the form of self-talkand laughter, nightly fears, repetitive conversations and gestures, trusting people, andwanting to kill them, putting his hand in his mouth and butt, going under the table all thetime in class. The patient had aphonia, which started three days before he arrived in ouroutpatient clinic. No organic pathology was found in the neurological examination and hisbrain MRI exam was unremarkable. No psychiatric history in the family were reported.Parents reported that he started walking in 15 months, and he started speaking when hewas 5–6 years old. In his psychiatric examination, distraction of the patient during theinterview, incoherence, the blocks of thought, self-talk and laughter, and disorganizedbehaviour were remarkable. Patient was diagnosed with schizophrenia and olanzapinetreatment was started and he was followed regularly. Our case is important in terms ofstarting at an early age, quick onset of symptoms, and poor functionality. Due to the factsthat the age of our patient was young and his parents were not cooperating in thetreatment, these affected the clinical prognosis negatively. Treatment guidelines for earlyonset schizophrenia are based on adult literature and clinical experience, and thereforefurther studies are needed in the child age group for effective treatment.