Indian Journal of Psychological Medicine
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CASE REPORT
Year : 2014  |  Volume : 36  |  Issue : 3  |  Page : 326-328

Doing psychiatry right: A case of severe avoidant personality disorder with obsessive-compulsive personality disorder, obsessive compulsive disorder, intermittent explosive disorder and sexual paraphilias


Department of Psychiatry, Rajarajeswari Medical College, Bengaluru, Karnataka, India

Correspondence Address:
Dr. Sudhir Hebbar
Department of Psychiatry, Rajarajeswari Medical College, Bengaluru, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7176.135392

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Over dependence on pharmacotherapy in psychiatry, known as biological imperialism, is a world-wide phenomenon. Some authors have opined that the inadequate and ineffective utilization of psychotherapeutic interventions and only dependence on pharmacotherapy amounts to institutional malpractice. Here is an example of such a case. A young male mainly received multiple psychotropic medicines, including clozapine (and also a failed psychotherapy) over a period of 4 years, without any benefit. His global assessment of function score remained at 30. However, with proper diagnosis and effectively conducted psychotherapy a significant improvement in Global assessment of functioning score of 70 was achieved, over a period of 1½ years.


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