RT Journal Article
SR Electronic
T1 Insomnia treatment by Olanzapine. Is sleep state misperception a psychotic disorder?
JF Neurosciences Journal
JO Neurosciences (Riyadh)
FD Prince Sultan Military Medical City
SP 110
OP 112
VO 15
IS 2
A1 Habibolah Khazaie
A1 Leeba Rezaie
A1 Masoud Tahmasian
A1 David C. Schwebel
YR 2010
UL http://nsj.org.sa/content/15/2/110.abstract
AB Offering a new perspective on sleep state misperception, we discuss a patient who presented with sleep state misperception and was ultimately diagnosed with delusional disorder. A 60-year-old woman with chief complaints of insomnia, agitation, and suicidal ideation, was admitted to an inpatient psychiatric ward. Based on information from her family and a mental state examination, her primary diagnosis was sleep state misperception. She was treated with Trazodone. Because she was unresponsive to the treatment, a full psychiatric evaluation and wrist actigraphy report were undertaken, resulting in a revised diagnosis of delusional disorder. She was started on Olanzapine and, after 6 weeks was discharged with good improvement. Sleep state misperception might be considered not just as a sleep disorder, but also as a psychiatric disorder with psychotic symptoms. Further research is recommended.