FERNANDA SPEGGIORIN PEREIRA
Pós-graduanda do Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IPQ – HC-FMUSP)
MARCO A. MOSCOSO APARÍCIO
Médico Pesquisador do Projeto Terceira Idade (PROTER) do Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IPQ – HC-FMUSP)
JONIA LACERDA FELÍCIO
Psicóloga do Serviço de Psicologia do Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IPQ – HC-FMUSP)
DÉBORA PASTORE BASSITT
Médica-Assistente do Projeto Terceira Idade (PROTER) do Instituto de Psiquiatria do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (IPQ – HC-FMUSP)
Abstract:
Context: Interpersonal difficulties, affective instability, distortions of the clinician-patient relationship, and unpredictable responses to clinical interventions, are characteristics found in older adults as well as in younger patients with personality disorders. Case report: We report the case of a 68 years old patient with histrionic personality disorder and other psychiatric comorbidities. Conclusion: Personality disorders are frequently overlooked in the diagnostic workout of complex psychogeriatric syndromes, and require a comprehensive assessment of personality traits. The correct identification of personality disorders and their subtypes is critical for planning the therapeutic approach, including pharmacotherapy and psychological management.
Keywords:Personality disorders, elderly, diagnosis, comorbities.