Differential Diagnosis of Psychosis in a Deaf Inpatient with Language Dysfluency

Weiler, Courtney; Landsberger, Sarah A.; Diaz, David R.
April 2013
Clinical Schizophrenia & Related Psychoses;Apr2013, Vol. 7 Issue 1, p42
Academic Journal
This case report demonstrates challenges diagnosing psychosis in language dysfluent deaf patients. Treatment of a 34-year-old deaf man on an inpatient psychiatric unit is described. He had a history of physical aggression and possible symptoms of paranoia and thought disorganization, in addition to learning difficulties and minimal language skills. The patient was placed on a combined hearing/deaf inpatient unit, received specialized programming for deaf patients and was prescribed risperidone and divalproex sodium to treat his aggressive behavior and possible psychosis. Uncertainty if the patient were having psychotic symptoms remained throughout his hospitalization, although he improved behaviorally and was discharged after 13 months of treatment. The patient's pre-existing language deficits made accurate diagnosis and appropriate treatment challenging. It is important for clinicians to be aware of the frequency of language dysfluency in the deaf inpatient population and have a strategy for evaluating and treating this complex subgroup of deaf people.


Related Articles

  • Differential Diagnosis of Auditory Deficits–A Review of the Literature. Reichstein, Jerome; Rosenstein, Joseph // Exceptional Children;Oct1964, Vol. 31 Issue 2, p73 

    The differential diagnosis of young children with communication disorders is one of the more difficult and germinal tasks confronting speech and hearing personnel today. Audiological assessment should provide quantitative and qualitative information about auditory responses and behavior that can...

  • Importance of Pre-Educational and Post-Educational Language Tests and Effect of Training on the Diagnosis of Auditory Processing Disorders (APDs) in Children. Muluk, Nuray Bayar; Yalcinkaya, Fulya // Journal of International Advanced Otology;2011, Vol. 7 Issue 1, p386 

    No abstract available.

  • Symptom Assessment in Schizophrenic Prodromal States. Miller, Tandy J.; McGlashan, Thomas H.; Woods, Scott W.; Stein, Kelly; Driesen, Naomi; Corcoran, Cheryl M.; Hoffman, Ralph; Davidson, Larry // Psychiatric Quarterly;Dec1999, Vol. 70 Issue 4, p273 

    Individuals who develop schizophrenia often suffer long standing deficits. All too often available treatments remain palliative and do not improve the long-term course of illness. The neurobiological deficits associated with the onset of schizophrenia may be most active and damaging in the early...

  • Psychiatry in the Elderly.  // Current Medical Literature: Psychiatry;2009, Vol. 20 Issue 3, p74 

    The article discusses research which established the stability of DSM-IV diagnoses in patients who were previously examined in the McLean-Harvard International First-Episode Project. It references a study by P. Salvatore et al, published in a 2009 issue of the "Journal of Clinical Psychiatry."...

  • Early detection and intervention of psychosis in children and adolescents: urgent need for studies. Schimmelmann, Benno; Schultze-Lutter, Frauke // European Child & Adolescent Psychiatry;May2012, Vol. 21 Issue 5, p239 

    The authors discuss strategies to fight the devastating consequences of psychotic disorders. They emphasize that child and adolescent psychiatry is far from having a sufficient evidence base for creating appropriate strategies for the early detection and intervention in psychosis. They suggest...

  • Logopenic aphasia in Alzheimer's disease: clinical variant or clinical feature? Ahmed, Samrah; de Jager, Celeste A.; Haigh, Anne-Marie F.; Garrard, Peter // Journal of Neurology, Neurosurgery & Psychiatry;Nov2012, Vol. 83 Issue 11, p1056 

    Background Primary progressive aphasia (PPA) is a clinical syndrome characterised by progressive decline in components of the language system. Recent evidence suggests that the logopenic/phonological (LPA) variant is a reliable in vivo marker of Alzheimer related pathology. The aim of this study...

  • Preliminary standardization of the Minnesota test for differential diagnosis of adult aphasia in the Greek population. Tafiadias, Dionysios // Annals of General Psychiatry;2006 Supplement 1, Vol. 5, pS183 

    A conference paper about preliminary standardization of the Minnesota test for differential diagnosis of adult aphasia (MTDDA) in the Greek population is presented. Results reveal that the battery appears to be sensitive to adult aphasic symptomatology in the Greek presentation and presents...

  • Alucinaciones viscerales y cenestopáticas en el diagnóstico diferencial de síntomas médicamente inexplicados. Cruzado, Lizardo; Córdova, Rubén; Vizcarra, Óscar // Revista Medica Herediana;Jul-Sep2012, Vol. 23 Issue 3, p193 

    Unexplained medical symptoms represent an important percentage of medical consultations and result in a significant investment of resources and personal suffering. A considerable proportion of these symptoms are attributed to the somatomorphic disorder categories, but may also be attributed to...

  • Evaluating Language Intervention Approaches: Contrasting Perspectives. Creaghead, Nancy A. // Language, Speech & Hearing Services in Schools;Oct99, Vol. 30 Issue 4, p335 

    Focuses on the views of clinicians on language intervention approaches. Improvements on auditory function from behavioral test of auditory processing; Ethical responsibility of the clinicians; Treatment methods used by clinicians.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics