Anorexia nervosa with chronic episodes for more than 30 years in a patient with a comorbid schizotypal personality disorder

Psychiatry Clin Neurosci. 2007 Aug;61(4):434-6. doi: 10.1111/j.1440-1819.2007.01670.x.

Abstract

Schizotypal personality disorder (SPD) has rarely been reported as an eating disorder-related personality trait. A 23-year-old woman was diagnosed as having anorexia nervosa binge eating/purging type. At the age of 53 years, she was admitted to Jikei University Hospital because of excessive bodyweight loss. She was diagnosed as having SPD based on bizarre behavior, ideation and a tendency to seek isolation. She was treated with low-dose antipsychotics, and her impulsive behavior improved. The patient's SPD was considered to have had a psychopathological contribution to her chronic episodes of anorexia nervosa.

Publication types

  • Case Reports

MeSH terms

  • Anorexia Nervosa / complications*
  • Anorexia Nervosa / psychology*
  • Antidepressive Agents, Second-Generation / therapeutic use
  • Benzodiazepines / therapeutic use
  • Body Weight
  • Bulimia / complications
  • Bulimia / psychology
  • Chronic Disease
  • Female
  • Hospitalization
  • Humans
  • Mianserin / therapeutic use
  • Middle Aged
  • Olanzapine
  • Paroxetine / therapeutic use
  • Schizotypal Personality Disorder / complications*
  • Schizotypal Personality Disorder / psychology*
  • Selective Serotonin Reuptake Inhibitors / therapeutic use

Substances

  • Antidepressive Agents, Second-Generation
  • Serotonin Uptake Inhibitors
  • Benzodiazepines
  • Mianserin
  • Paroxetine
  • Olanzapine