Via practica 1/2019

The symptom of pain in psychotic patients

A lot of physicians have studied pain concernig somatic diseases. The author speaks about pain connected with psychiatric disorders, that has no organic base. The reason of this pain in psychotic patients (depressed, schizophrenic, schizoaffective) is the disturbance of the whole personality, the outcome of which especially perception, thinking and mood are fault. Various types of pains as illusions and hallucinations connected with dellusions of cancer or some infection are the leading symptomes of hypochondric psychotic syndrome. The author presents a case of a male-patient 32 years old. After his first sex he started to be very anxious and persuated about he had obtained HIV infection. He has got various pains without somatic disorder and other symptoms that led to the diagnosis of schizophrenia. He was treated with amisulprid and aripiprazol.

Keywords: pain, hypochondric psychotic syndrome, schizophrenia, AIDS-dellusion