Evaluación y tratamiento ambulatorio de la acumulación compulsiva en un paciente con patología del espectro psicótico

Abstract

Patients with primary compulsive hoarding normally have a poor adherence and response to outpatient behavioral treatment, not knowing the role that comorbid psychotic spectrum psychopathology could exercise in its therapeutic approach. Likewise, the assessment of its severity and clinical course is usually limited to self-reports. CASE REPORT. We describe the case of a middle- aged male with a 30 years evolution of compulsive hoarding, which subsequently developed schizoaffective disorder. After implementing behavioral therapy monitored at home by the couple, a partial remission of compulsive hoarding was obtained during 12 months of outpatient treatment. DISCUSSION. The use of photographs is an assessment tool for determining more accurately the clinical diagnosis and the evolution of patients with compulsive hoarding. The presence of comorbid negative symptoms should stimulate psychotherapeutic supervision in patient's home. (English) [ABSTRACT FROM AUTHOR]