[Asperger Syndrome and/or Clinical High Risk of Psychosis? A Differential Diagnostic Challenge].

Schmidt, Stefanie; Behar, A; Schultze-Lutter, Frauke (2018). [Asperger Syndrome and/or Clinical High Risk of Psychosis? A Differential Diagnostic Challenge]. Praxis der Kinderpsychologie und Kinderpsychiatrie, 67(3), pp. 274-293. Vandenhoeck & Ruprecht 10.13109/prkk.2018.67.3.274

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Asperger Syndrome and/or Clinical High Risk of Psychosis? A Differential Diagnostic Challenge This case-study deals with the often difficult differential diagnosis of Asperger syndrome and a clinical high risk state of psychosis, in particular as indicated by attenuated psychotic symptoms, as well as with its therapeutic implications. The presented case is a 10-year old girl, who has not been diagnosed with an autism spectrum disorder before being referred to a specialized center for early detection of psychosis due to possible hallucinatory experiences and delusional ideas. We demonstrate how to perform a context-sensitive differential diagnosis to distinguish between specific interests as well as related behaviors and unusual thought content as well as perceptive abnormalities, between paranoid ideas and biased interpretations of the behaviors of others typical for autism, and between disorganized symptoms and autistic unusual communication and social behavior. The resulting dual diagnoses in our case-study formed the basis for a complex differential indication, which considered both the increased stress vulnerability associated with an increased risk for the development of psychosis as well as the rigid thinking style associated with autism. Our case-report shows that such a precise differential indication can lead to stabilization over the long-term, even in patients with dual diagnoses.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Child and Adolescent Psychiatry and Psychotherapy

UniBE Contributor:

Schmidt, Stefanie and Schultze-Lutter, Frauke

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0032-7034

Publisher:

Vandenhoeck & Ruprecht

Language:

German

Submitter:

Livia Hug

Date Deposited:

25 Apr 2018 08:40

Last Modified:

25 Apr 2018 08:40

Publisher DOI:

10.13109/prkk.2018.67.3.274

PubMed ID:

29546821

URI:

https://boris.unibe.ch/id/eprint/114449

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