Abstract
The child psychiatrist is frequently called upon to determine if psychotic-like phenomena in a child or developmentally disabled individual are part of normal development or part of a more concerning disorder. While it is true that phenomena such as imaginary friends may be part of normal development, some neurodevelopmental disorders include psychotic phenomenology and must be promptly identified. Certain underlying genetic disorders carry childhood-onset psychosis as hallmark symptoms. This is the case of a young woman with two genetic conditions as well as a complex history of trauma and disrupted attachment. Her difficult psychosocial circumstances resulted in misdiagnosis of her psychotic disorder which delayed appropriate treatment.
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Torres, A., Brownstein, C., Deo, A., Gonzalez-Heydrich, J. (2019). The Interface Between Rare Genetic Variation, Psychosis, and Trauma. In: Hauptman, A., Salpekar, J. (eds) Pediatric Neuropsychiatry. Springer, Cham. https://doi.org/10.1007/978-3-319-94998-7_9
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