Trichexyphenidyl Induced Psychosis in Patient with Borderline Personality Disorder and Comorbid Alcochol Abuse Disorder: Case Report

Activity: Talk or presentation types › Poster presentation

Description

Anticholinergic medication like trihexyphenidyl is prescribed to treat side effects associated with long-term antipsychotic drug treatment, however, they should not be prescribed as a prophylactic treatment in patients receiving second-generation antipsychotic therapy without indication of extrapyramidal side effects. Patients with borderline personality disorder have an increased risk of substance abuse and have problems with impulse control, mood lability, and self-harming behavior. A borderline personality disorder is also associated with visual and auditory hallucinations. Prescribing anticholinergic medication for patients with borderline personality disorder unnecessarily increases the risk of intentional drug overdose which can result in central anticholinergic symptoms caused by a decrease in cholinergic activity which may present as visual and auditory hallucinations. Distinguishing between signs of anticholinergic drug-induced hallucinations and perception disorders by the illness may be difficult. Presentation with visual and auditory hallucinations without disclosing the abuse of trihexyphenidyl mixed with alcohol may be a cause for misdiagnoses, as in this case the patient was first diagnosed with bipolar disorder and after presenting with symptoms of perceptions disorder – with schizoaffective disorder. This case report focuses on a patient who has struggled with psychiatric symptoms since childhood, on this admission he presented with acute visual and auditory hallucinations. On later admission, he explained how he uses trihexyphenidyl and alcohol to achieve euphoria, which may have explained the acute psychotic symptoms on the previous admission and may have led to an inappropriate diagnosis of schizoaffective disorder.. .. .. .
Period29 Mar 2023
Event titleRSU International Research Conference 2023: Knowledge for Use in Practice
Event typeConference
OrganiserRīga Stradiņš University
LocationRiga, LatviaShow on map
Degree of RecognitionInternational

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