Abstract
Alcohol-induced psychotic disorder (AIPD) is a diagnosis in the ICD 10. Previous studies of AIPD do not appear to have reported the co-morbid presence of depressive disorder in either prevalence studies or treatment studies. Five cases are presented with a dual diagnosis of AIPD and depressive disorder. These cases were assessed using the Brief Psychiatric Rating Scale (BPRS), Hamilton Depression Rating Scale (HDRS), Clinical Global Impression Severity score (CGI-S), Clinical Global Impression Improvement score (CGI-I), Drug Attitude Inventory 10 (DAI 10), Short Assessment Personality-Abbreviated Scale (SAPAS) and Modified Sainsbury Tool. Antidepressants and antipsychotics were chosen based on drug attitude scores from DAI 10. Cases demonstrate inpatient and outpatient treatment with good treatment outcomes after six months. Three cases demonstrate suicide risk. The majority did not have a personality disorder. These cases highlight the importance of treating a depressive disorder in AIPD and of tailored medication treatments for poor medication compliance.
Highlights
Elbelushi A., Muravec Z., Masood H., Masood B
Five cases are presented with a diagnosis of alcoholinduced psychotic disorder and depressive episodes
Presence of depressive and anxiety symptoms were recognised in a later study, the main emphasis of this study was to differentiate between Alcohol-induced psychotic disorder (AIPD) and schizophrenia, and so depressive disorder was not diagnosed clearly [4]
Summary
Eight weeks prior to his A&E presentation, his primary care physician prescribed citalopram 10mg which he took for 1 week but these seemed to worsen his auditory hallucinations and so he stopped it He reported one year of alcohol consumption of 6 units per day. He reported drinking alcohol because he felt low in mood He was treated for a depressive episode 2 years ago with citalopram 20 mg which he took for 3 months, and which had good effect. A 65-year-old male was referred by his primary care physician to the community psychiatry service with a 10-year history of consuming 40 units of alcohol per day which was reduced to 28 units per week for the last seven years He reported low mood, poor concentration, disturbed appetite, disturbed sleep, poor motivation, decreased energy, tiredness and visual hallucinations for seven years.
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