Rai, Rahul, Tromans, Samuel, Kapugama, Chaya, Chester, Verity, Gunaratna, Ignatius, Langdon, Peter E., Alexander, Regi T. (2018) A Phenomenological Approach to Diagnosing Psychosis in Autism Spectrum Disorder and Intellectual Disability: A Case Series. Advances in Autism, 4 (2). pp. 39-48. ISSN 2056-3868. (doi:10.1108/AIA-01-2018-0004) (KAR id:66425)
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Official URL: https://doi.org/10.1108/AIA-01-2018-0004 |
Abstract
Purpose: The diagnosis of psychosis in individuals with autism spectrum disorder poses a
unique clinical challenge. The presence of intellectual disability further complicates the
diagnostic picture. Reliable and timely diagnosis of psychosis in such individuals minimizes
the duration of untreated psychotic symptoms and the subsequent impact on the quality of life
of the patients concerned.
Design/methodology/approach: The authors present four patients with psychosis, autism
spectrum disorder and intellectual disability, who have received care within forensic mental
health and intellectual disability settings. These examples demonstrate the interaction
between these conditions, as well as issues pertaining to diagnosis and management.
Findings: In all four patients, sustained use of antipsychotic medication was objectively
associated with an improvement in psychotic symptoms and quality of life. In instances
where autistic phenomena were accentuated upon development of psychosis, such features
returned to the baseline levels evident prior to the onset of psychosis.
Practical implications: The discussion and related case examples could improve
understanding of the possibility of psychosis in individuals with autism spectrum disorder
and intellectual disability, and increase awareness of this diagnostic possibility among
healthcare professionals.
Originality/value: This is the first published case series illustrating the challenges of
diagnosing psychosis in individuals with autism spectrum disorder and intellectual disability.
Item Type: | Article |
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DOI/Identification number: | 10.1108/AIA-01-2018-0004 |
Uncontrolled keywords: | Schizophrenia, Autism spectrum condition, Learning disability, Mental disorder, Mental health, Comorbidity Chester, Verity; Tromans, Samuel; Kapugama, Chaya; Gunaratna, Ignatius; Langdon, Peter; Alexander, Regi |
Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
Divisions: | Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research > Tizard |
Depositing User: | Peter Langdon |
Date Deposited: | 15 Mar 2018 11:30 UTC |
Last Modified: | 10 Jan 2024 21:55 UTC |
Resource URI: | https://kar.kent.ac.uk/id/eprint/66425 (The current URI for this page, for reference purposes) |
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