Case report, 2022
Can PMDD cause brief psychotic episodes in young adolescents?
This case describes a 15-year-old girl who experienced brief psychotic episodes every time she had premenstrual symptoms, with hallucinations and confused speech appearing 2-3 days before menstruation.
What they did
Doctors described one 15-year-old girl who had severe premenstrual symptoms since her first menstrual period and developed brief psychotic episodes during the premenstrual phase.
What they found
The girl had premenstrual stomach cramps, tender breasts and back pain along with uncontrollable anger and sadness. These symptoms appeared 2-3 days before menstruation and went away when her period started. She also experienced psychotic symptoms during this time, such as hallucinations and confused speech. Over a three-month observation period, she had brief psychotic episodes with every PMDD cycle.
What it means for you
This case shows that premenstrual dysphoric disorder in adolescents can sometimes include brief psychotic episodes that go away when menstruation begins. This is a very rare and serious condition. A major limitation is that this is one girl's experience over three months, so we cannot know whether this pattern is common or how to best treat it.
15
girl's age in years
2-3 days
time before menstruation when symptoms began
three months
observation period
About the study
- Original title
- Case Report of Premenstrual Dysphoric Disorder with a Brief Psychotic Episode
- Authors
- Diana Indah Lestari Christin, Mustafa M. Amin
- Journal
- Open Access Macedonian Journal of Medical Sciences
- Year
- 2022
- Study design
- Case report
- What was tested
- Observation and monitoring.
- Open access
- Yes
- Read the paper
- doi.org/10.3889/oamjms.2022.9242
Topics
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