alexa Improved Treatment Acceptance and Adherence Following the Diagnosis of Multiple Malformations of Cortical Development in a Patient with Psychosis | OMICS International | Abstract
ISSN: 2168-975X

Brain Disorders & Therapy
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Case Report

Improved Treatment Acceptance and Adherence Following the Diagnosis of Multiple Malformations of Cortical Development in a Patient with Psychosis

Rachit Patel*, Kathleen M Stuarta and Draupathi Nambudiri
Department of Psychiatry, Stamford Hospital, Stamford, Connecticut, USA
Corresponding Author : Rachit Patel
Department of Psychiatry
Stamford Hospital
Stamford, CT 06904, USA
Tel: +1 2032767111
E-mail: [email protected]
Received: September 02, 2015; Accepted: November 18, 2015;Published:November 28, 2015
Citation: Patel R, Stuarta KM, Nambudiri D (2015) Improved Treatment Acceptance and Adherence Following the Diagnosis of Multiple Malformations
of Cortical Development in a Patient with Psychosis. Brain Disord Ther 4:192.doi:10.4172/2168-975X.1000192
Copyright: © 2015 Patel R, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

The increased use of neuroimaging has revealed a variety of malformations of cortical development (MCDs) presenting with a range of neuropsychiatric disorders, including psychotic illnesses. Non-adherence with antipsychotic medication is a common barrier to the effective treatment for psychosis. This case illustrates improved treatment acceptance and adherence following the diagnosis of two separate MCDs (bilateral periventricular heterotopia and focal cortical dysplasia) in a 48-year-old Caucasian male with psychosis. By incorporating the neuroimaging findings into a cognitive behavioral therapy approach, the patient was more amenable to accepting psychotropic medications including long-acting risperidone injection. This in turn led to an improvement in his overall functioning. Furthermore, this case adds to the literature by describing the first instance of psychotic symptoms occurring in the setting of both bilateral periventricular heterotopia and focal cortical dysplasia.

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