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Tijdschrift voor Psychiatrie 57 (2015) 8, 608 - 612

Case report

Hallucinations and obsessive behaviour in an infant with autism spectrum disorder: diagnostic problems

J. Devriese, M. Dhar, D. Walleghem, D. Van West

Regular non-medical treatment of a 6-year-old female patient with autism spectrum disorder failed due to comorbid compulsions and hallucinations. Differential diagnosis included obsessive-compulsive disorder and psychosis. The patient’s young age complicated accurate diagnosis and management. In this case we opted for a diagnostic follow-up, resulting in treatment with a selective serotonin reuptake inhibitor because of the patient’s frequent compulsions. This reduced the symptoms significantly.

keywords autism spectrum disorder, obsessive-compulsive disorder, psychosis