Conference paper

DIFFERENTIAL DIAGNOSIS OF PSYCHOTROPIC SIDE EFFECTS AND SYMPTOMS AND SIGNS OF PSYCHIATRIC DISORDERS

Mate Mihanović ; Psychiatric Hospital “Sveti Ivan”, Jankomir 11, 10090 Zagreb, Croatia
Davor Bodor ; Psychiatric Hospital “Sveti Ivan”, Jankomir 11, 10090 Zagreb, Croatia
Slobodanka Kezić ; Psychiatric Hospital “Sveti Ivan”, Jankomir 11, 10090 Zagreb, Croatia
Branka Restek-Petrović ; Psychiatric Hospital “Sveti Ivan”, Jankomir 11, 10090 Zagreb, Croatia
Ante Silić ; Psychiatric Hospital “Sveti Ivan”, Jankomir 11, 10090 Zagreb, Croatia

Abstract

Diagnostic recognition and distinguishing of psychotropic side effects which are phenomenological Identical/similar to symptoms and/or signs of psychiatric disorders undergoing psychotropic treatment, is an integral element within the general diagnostic procedure. Unrecognising and undistinguishing of psychotropicinduced
side effects from psychopathological phenomena and/or physical signs which are, according to relevant classification criteria, standard parts of psychiatric disorders, most frequently can cause increase the dose of the psychotropic medication, assigning of the unwarranted diagnoses, and/or addition of unnecessary
medications. Some of the most frequent side effects that can be caused by the diagnostic difficulties and/or misjudgements of the phenomenological recognition and differentiating side effects from psychiatric symptoms and signs are: druginduced akathisia, intensive anticholinergic pharmacodynamic effects including
delirium, neuroleptic induced Parkinsonism, paradoxically antidepressants-induced worsening or re-emerging depression, acute dystonia and tardive dyskinesia and others. In conclusion, differential diagnosis of these side effects requires careful
evaluation based on clinical experience and knowledge.

Keywords

psychotropic medication; side effect; psychopatological phenomena; physical sign; psychiatric disorder

Hrčak ID:

49631

URI

https://hrcak.srce.hr/49631

Publication date:

25.8.2009.

Visits: 1.387 *