PARANOID SCHIZOPHRENIA [ICD-10 – F20.0] BASED ON PANSS AND DSM – 5 CRITERIA WITH UNCONTROLLED TYPE -2 DIABETES MELLITUS: A CASE REPORT

Dr. M. Anusha, L. Sadvika*

ABSTRACT

Prominent delusions and hallucinations, especially persecutory delusions, are hallmarks of paranoid schizophrenia, a severe, long-term mental illness. A person's thoughts, perceptions, and behaviors are significantly disrupted by the disorder, which can seriously hinder social and professional functioning. Because delusions and auditory hallucinations play a major part in the presentation of the condition, the DSM-5 places paranoid schizophrenia within the more general category of schizophrenia spectrum disorders. However, schizophrenia becomes more challenging to treat, control, and comprehend when combined with co-occurring medical illnesses like Type 2 Diabetes Mellitus (T2DM). People with schizophrenia frequently have type 2 diabetes (T2DM), which is characterized by insulin resistance and hyperglycemia. This is especially true for those receiving antipsychotic medication, which can cause weight gain and metabolic problems. The relationship between PANSS symptom ratings, uncontrolled type 2 diabetes, and paranoid schizophrenia was examined by a comprehensive analysis of clinical research and case reports. The focus was on how uncontrolled blood glucose levels can lead to the development of metabolic and mental symptoms, as well as how doctors should use the DSM-5 criteria and PANSS scale to maximize therapy for this population with multiple diagnoses. To fully comprehend the extent of this complicated illness, literature from the fields of psychiatry, endocrinology, and psychopharmacology was included. A 28years old male patient was admitted in the Malla Reddy hospital at with the chief complaints of hearing voices that others cannot hear (auditory hallucination) from 6months. Reduced social interactions and withdrawal from family. Poor personal hygiene. Difficulty in concentrating and episodes of aggregation. Behavioural changes women. Increased thirst, frequent urination, unchanged weight loss- 3 months. After physical examination and other investigation, he was diagnosed with paranoid schizophrenia with type 2 diabetes mellitus.

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