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The association of post-traumatic stress disorder (PTSD) with psychosis has important diagnostic and treatment implications. We present a case of a 13-year-old girl with illness duration of 3 months characterized by decreased social interaction, anger outbursts, decreased self-care, and separation anxiety with fearfulness and self-muttering behavior on serial observations pointing towards a possible psychotic disorder, which improved with risperidone 6 mg. Persistence of separation anxiety with possibility of trauma sequalae leads to diagnosis of PTSD. Attempt to taper antipsychotic resulted in the resurfacing of psychotic symptoms. She attained stable improvement with a combination of sertraline 150 mg and aripiprazole 20 mg.
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Dutta et al. (2024) studied this question.
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