Abstract
Childhood psychosis is an extremely rare condition. We describe the case of 6.5 yr old male child who presented with symptoms suggestive of psychosis and later responded well to antipsychotic clozapine. This case study reveals that the identification of very early onset psychosis is challenging and treatment is crucial for prevention of long-term disability.
Highlights
We describe the case of 6.5 yr old male child who presented with symptoms suggestive of psychosis and later responded well to antipsychotic clozapine
Psychosis is rare in children with a prevalence of 0.2 to 0.4/10,000.1 Childhood psychosis can present with wide array of symptoms comprising of positive symptoms, negative symptoms, cognitive and affective symptoms and it’s challenging to differentiate the psychopathology of childhood onset psychosis with disorders such as autism, mood disorders.[2]
Clinical manifestation of psychosis is a result of interaction between environmental demands and characteristics of the individual and prevalence of positive symptoms ascends with the increasing age.[5]
Summary
Psychosis is rare in children with a prevalence of 0.2 to 0.4/10,000.1 Childhood psychosis can present with wide array of symptoms comprising of positive symptoms, negative symptoms, cognitive and affective symptoms and it’s challenging to differentiate the psychopathology of childhood onset psychosis with disorders such as autism, mood disorders.[2]. CASE - HISTORY 6.5 years male born out of non-consanguineous marriage, with unremarkable birth history and normal developmental milestone presented with insidious onset of illness of one year duration, with history of regression of speech and behavior. His academic activities declined and unlike before most of the time he started to engage in solitary activities. As there was no family history of mental illness, patient was not referred for genetic testing. He was diagnosed as other nonorganic psychotic disorder (F28) as per ICD-10. J Psychiatrists’ Association of Nepal Vol .9, No.1, 2020 activity scheduling and Family therapy was instituted in addition to pharmacotherapy
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