Bar, K.-J., Jochum, T., Hager, F., Meissner, W., & Sauer, H. (2005). Painful Hallucinations and Somatic Delusions in a Patient With the Possible Diagnosis of Neuroborreliosis. The Clinical Journal of Pain, 21(4), 362-363.
This is the first study I have encountered concerning chronic pain and psychosis. This is a case study about a 61-year-old lady who sustained a severe pain syndrome for 2 years after bitten by ticks and treated for neuroborreliosis, a tick-borne infection of the nervous system. At the beginning, depressive symptoms including suicidal ideology and hypochondria were the dominant psychiatric symptoms although she also reported delusional ideology thinking her gastrointestinal tract was no longer working. Her symptoms improved substantially after she was treated with antidepressant and neuroleptic medication. However, 6 months after, the patient went into a relapse of psychotic episode where psychotic symptoms such as referential ideology and delusions of persecution were reported.
Essentially, the key point of this study is that, the doctors were not sure whether the psychosis was the primary or secondary condition. 8-O lol sigh
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