Universität zu Köln

Schmidt, Stefanie J., Behar, Ayla and Schultze-Lutter, Frauke (2018). Asperger Syndrome and/or Clinical High Risk of Psychosis? A Differential Diagnostic Challenge. Prax. Kinderpsychol. Kinderpsychiatr., 67 (3). S. 274 - 294. GOTTINGEN: VANDENHOECK & RUPRECHT GMBH & CO KG. ISSN 2196-8225

Full text not available from this repository.

Abstract

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
Creators:	Creators Email ORCID ORCID Put Code Schmidt, Stefanie J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Behar, Ayla UNSPECIFIED UNSPECIFIED UNSPECIFIED Schultze-Lutter, Frauke UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-202810
DOI:	10.13109/prkk.2018.67.3.274
Journal or Publication Title:	Prax. Kinderpsychol. Kinderpsychiatr.
Volume:	67
Number:	3
Page Range:	S. 274 - 294
Date:	2018
Publisher:	VANDENHOECK & RUPRECHT GMBH & CO KG
Place of Publication:	GOTTINGEN
ISSN:	2196-8225
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language INTERNATIONAL NEUROPSYCHIATRIC INTERVIEW; AUTISM SPECTRUM DISORDERS; EARLY INTERVENTION; EPA GUIDANCE; PREVALENCE; ADOLESCENTS; CHILDREN; STATES; SCHIZOPHRENIA; RELIABILITY Multiple languages Psychology, Developmental; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20281