par Skalli Houssaini, G.;Nicolis, Hélène 
Référence Revue médicale de Bruxelles, 41, 5, page (286-289)
Publication Publié, 2020-10-01
Référence Revue médicale de Bruxelles, 41, 5, page (286-289)
Publication Publié, 2020-10-01
Article révisé par les pairs
| Résumé : | Early schizophrenia is a serious disorder that can occur in childhood or adolescence. It can be associated with severe psychopathology and resistance to treatment. The guidelines for therapeutic management emphasize that early interventions with appropriate psychological and pharmacological methods, specific at the stage of disease development can lead to better results and improve the potential for recovery. Therefore, it is important to identify the main predictors of resistance to treatment during a first episode of decompensation, as well as the causes of therapeutic ineffectiveness before considering other therapeutic strategies. We present the case of a 14-year-old girl admitted in child psychiatry following behavioral disorders evolving for six months, with a state of destructuring state and disorganized thinking, quirks, discordant laughter, auditory hallucinations, severe self-harm by bites, and disinhibition. Following a comprehensive review, the diagnostic hypothesis of early-onset schizophrenia was done. The patient's condition was difficult to stabilize, due to resistance to the various pharmacological treatments instituted. Maintaining a therapeutic alliance with the family positively affected the course of the disease. |
