Schizophrenia in Mentally Retarded Patients, Diagnostic Consideration and Practical Experience

Authors: K. Pavlíková
Authors‘ workplace: Psychiatrické oddělení Fakultní nemocnice Ostrava prim. MUDr. J. Svobodová, Ph. D.
Published in: Čes. a slov. Psychiat., 105, 2009, No. 6-8, pp. 275-280.
Category: Comprehensive Reports


The clinical work with mentally retarded patients may expose a whole range of suddenly altered behavior. Although behavioral disorders are a part of the diagnosis itself; they may be a manifestation of more serious associated illnesses, such as the suspicion of a psychotic disorder that can require a further in-depth diagnostic investigation. With the degree of mental retardation, the requirements for the diagnostic procedure substantially increase, due to the problems in communication with the patient. In this respect, we are forced to gather more information not only from the subjective experience of the patient but also mainly from the patient’s record, by observation or an interview with the relatives. A correct diagnostics will determine an accurate diagnosis with better harmonization of medication, resulting in effective treatment.

Key words:
mental retardation, psychotic conditions, schizophrenia, behavioral disorders, epilepsy, comorbidities, mental disorders.


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Addictology Paediatric psychiatry Psychiatry
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