THERAPEUTIC APPROACH IN COEXISTENCE OF AVOIDANT PERSONALITY DISORDER AND PSYCHOTIC STRUCTURE IN ITS EARLY MANIFESTATIONS: A CASE REPORT

Abstract

Introduction: The first manifestations of a psychotic structure, generally in adolescence or early adulthood, are an important milestone in an individual's life. But, considering the concomitant signs and symptoms of an avoidant personality disorder can appear since childhood, there is a demand for more targeted and delicate attention from the team of healthcare professionals. Case summary: During the monitoring of the patient, a series of clinical signs and symptoms appeared that met the criteria of two simultaneous psychic conditions, one of them structural and the other personality related. With the aforementioned diagnoses, specific new pharmacological treatment tests were carried out, carrying positive effects and improving the patient's quality of life (introduction of antipsychotics instead of antidepressants as the pivot of therapy). Discussion: the onset of a psychotic condition in the trema phase associated with pre-existing avoidant/avoidant personality disorder demands balanced management between both conditions, using the strategies offered by both pharmacotherapies and psychotherapies. Conclusion: in order to adopt an appropriate treatment and management of the case, due to the complexity of diagnostic simultaneity, constant attention is required from the assistant team, so that continuous reassessments of hypotheses are made and, therefore, adjustments whenever necessary.