A case of misdiagnosis and mismanagement in forensic psychiatry

TL;DR

This paper discusses a challenging case of a first-time offender with complex psychiatric conditions misdiagnosed and poorly managed in a forensic psychiatry setting.

Contribution

The paper introduces the term 'Psychosis Incognito' to describe hidden or misdiagnosed psychosis in forensic psychiatry.

Findings

A young male first-time offender was misdiagnosed due to limited clinical observation resources in prison.

The case highlights the complexities of multiagency follow-up and medical complications like Korsakoff syndrome.

The term 'Psychosis Incognito' is proposed to better understand hidden psychiatric conditions in forensic settings.

Abstract

A case of misdiagnosis and mismanagement in forensic psychiatry Speaker: Farzaneh Saeedzadeh Sardahaee, MD, PhD, Consultant Psychiatrist, Trondheim, Norway

Timely diagnosis and treatment for psychiatric illnesses in first time offenders in forensic psychiatry remains a challenge. Presenting a young male first-time offender with recent onset psychosis, ADHD and anxiety disorder, the speaker reflects upon the complexities around making the right diagnosis in a prison with very limited resources for clinical observation. Minting the term “Psychosis Incognito”, the speaker goes on to explore a complex multiagency follow up process faced by this offender and his treating team, as well as many medical complications including malnutrition and Korsakoff syndrome.

None Declared