Post-Traumatic Stress Disorder (Pstd) and Intellectual Disability (Id): A Litera-ture Review on Dual Diagnosis and Case Study Presenting Fetal Alcohol Spectrum Disorder (Fasd)

Abstract

Issack BIYONG, Nancy Maltez, Irene Coretta Ngo Beguel, Raymond Tempier and Rene Ducharme

This article focuses on a detailed case study of a 36-year-old female with a dual diagnosis combining intellectual disability and post-traumatic stress disorder (PTSD). The interest of this case is to show the complexity of differential diagnosis and biopsychosocial therapeutic management in this type of patient.

The patient underwent a thorough psychiatric evaluation using psychometric scales, leading to the diagnosis of PTSD with psychotic symptoms comorbid with generalized anxiety and depression, against a background of moderate to severe intellectual disability. Multimodal treatment combining pharmacotherapy, cognitive-behavioral therapies (CBT and EMDR) and psychosocial intervention was instituted over several months, leading to a marked improvement in symptoms as assessed by follow-up psychometric evaluations. This case illustrates the need for a high level of diagnostic suspicion and specialized interdisciplinary care for this population vulnerable to trauma and mental disorders.

PDF