Differential diagnosis of psychosis in a deaf inpatient with language dysfluency: A case report

Courtney Weiler, Sarah A. Landsberger, David Diaz

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

This case report demonstrates challenges diagnosing psychosis in language dysfluent deaf patients. Treatment of a 34-year-old deaf man on an inpatient psychiatric unit is described. He had a history of physical aggression and possible symptoms of paranoia and thought disorganization, in addition to learning difficulties and minimal language skills. The patient was placed on a combined hearing/deaf inpatient unit, received specialized programming for deaf patients and was prescribed risperidone and divalproex sodium to treat his aggressive behavior and possible psychosis. Uncertainty if the patient were having psychotic symptoms remained throughout his hospitalization, although he improved behaviorally and was discharged after 13 months of treatment. The patient's pre-existing language deficits made accurate diagnosis and appropriate treatment challenging. It is important for clinicians to be aware of the frequency of language dysfluency in the deaf inpatient population and have a strategy for evaluating and treating this complex subgroup of deaf people.

Original languageEnglish
Pages (from-to)42-45
Number of pages4
JournalClinical Schizophrenia and Related Psychoses
Volume7
Issue number1
DOIs
StatePublished - Apr 2013

Fingerprint

Psychotic Disorders
Inpatients
Differential Diagnosis
Language
Paranoid Disorders
Risperidone
Valproic Acid
Aggression
Hearing
Uncertainty
Psychiatry
Hospitalization
Therapeutics
Learning
Population

Keywords

  • Communication barriers
  • Deafness
  • Differential diagnosis
  • Language
  • Psychotic disorders

ASJC Scopus subject areas

  • Psychiatry and Mental health

Cite this

Differential diagnosis of psychosis in a deaf inpatient with language dysfluency : A case report. / Weiler, Courtney; Landsberger, Sarah A.; Diaz, David.

In: Clinical Schizophrenia and Related Psychoses, Vol. 7, No. 1, 04.2013, p. 42-45.

Research output: Contribution to journalArticle

@article{ae793a10044249409db8e136525221bf,
title = "Differential diagnosis of psychosis in a deaf inpatient with language dysfluency: A case report",
abstract = "This case report demonstrates challenges diagnosing psychosis in language dysfluent deaf patients. Treatment of a 34-year-old deaf man on an inpatient psychiatric unit is described. He had a history of physical aggression and possible symptoms of paranoia and thought disorganization, in addition to learning difficulties and minimal language skills. The patient was placed on a combined hearing/deaf inpatient unit, received specialized programming for deaf patients and was prescribed risperidone and divalproex sodium to treat his aggressive behavior and possible psychosis. Uncertainty if the patient were having psychotic symptoms remained throughout his hospitalization, although he improved behaviorally and was discharged after 13 months of treatment. The patient's pre-existing language deficits made accurate diagnosis and appropriate treatment challenging. It is important for clinicians to be aware of the frequency of language dysfluency in the deaf inpatient population and have a strategy for evaluating and treating this complex subgroup of deaf people.",
keywords = "Communication barriers, Deafness, Differential diagnosis, Language, Psychotic disorders",
author = "Courtney Weiler and Landsberger, {Sarah A.} and David Diaz",
year = "2013",
month = "4",
doi = "10.3371/CSRP.WELA.032513",
language = "English",
volume = "7",
pages = "42--45",
journal = "Clinical Schizophrenia and Related Psychoses",
issn = "1935-1232",
publisher = "Walsh Medical Media, LLC",
number = "1",

}

TY - JOUR

T1 - Differential diagnosis of psychosis in a deaf inpatient with language dysfluency

T2 - A case report

AU - Weiler, Courtney

AU - Landsberger, Sarah A.

AU - Diaz, David

PY - 2013/4

Y1 - 2013/4

N2 - This case report demonstrates challenges diagnosing psychosis in language dysfluent deaf patients. Treatment of a 34-year-old deaf man on an inpatient psychiatric unit is described. He had a history of physical aggression and possible symptoms of paranoia and thought disorganization, in addition to learning difficulties and minimal language skills. The patient was placed on a combined hearing/deaf inpatient unit, received specialized programming for deaf patients and was prescribed risperidone and divalproex sodium to treat his aggressive behavior and possible psychosis. Uncertainty if the patient were having psychotic symptoms remained throughout his hospitalization, although he improved behaviorally and was discharged after 13 months of treatment. The patient's pre-existing language deficits made accurate diagnosis and appropriate treatment challenging. It is important for clinicians to be aware of the frequency of language dysfluency in the deaf inpatient population and have a strategy for evaluating and treating this complex subgroup of deaf people.

AB - This case report demonstrates challenges diagnosing psychosis in language dysfluent deaf patients. Treatment of a 34-year-old deaf man on an inpatient psychiatric unit is described. He had a history of physical aggression and possible symptoms of paranoia and thought disorganization, in addition to learning difficulties and minimal language skills. The patient was placed on a combined hearing/deaf inpatient unit, received specialized programming for deaf patients and was prescribed risperidone and divalproex sodium to treat his aggressive behavior and possible psychosis. Uncertainty if the patient were having psychotic symptoms remained throughout his hospitalization, although he improved behaviorally and was discharged after 13 months of treatment. The patient's pre-existing language deficits made accurate diagnosis and appropriate treatment challenging. It is important for clinicians to be aware of the frequency of language dysfluency in the deaf inpatient population and have a strategy for evaluating and treating this complex subgroup of deaf people.

KW - Communication barriers

KW - Deafness

KW - Differential diagnosis

KW - Language

KW - Psychotic disorders

UR - http://www.scopus.com/inward/record.url?scp=84876362172&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876362172&partnerID=8YFLogxK

U2 - 10.3371/CSRP.WELA.032513

DO - 10.3371/CSRP.WELA.032513

M3 - Article

C2 - 23538291

AN - SCOPUS:84876362172

VL - 7

SP - 42

EP - 45

JO - Clinical Schizophrenia and Related Psychoses

JF - Clinical Schizophrenia and Related Psychoses

SN - 1935-1232

IS - 1

ER -