Hallucinosis between neurosis and psychosis, report of clinical case

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2025-09-20

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Herrero Rodríguez, M. C., Imaz Roncero, C., Avellón Calvo, M., & Molina Areses, L. (2025). Hallucinosis between neurosis and psychosis, report of clinical case. Revista De Psiquiatría Infanto-Juvenil, 42(3), 24–39. https://doi.org/10.31766/revpsij.v42n3a4

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Vol. 42 No. 3 (2025): July-September

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Case reports

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Copyright (c) 2025 Revista de Psiquiatría Infanto-Juvenil

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This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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DOI:

https://doi.org/10.31766/revpsij.v42n3a4

Keywords:

psychosis, neurosis, hallucinosis, trauma

Abstract

Introduction: Emotional development during childhood and adolescence is determined by several factors and is a critical stage in personal and social progress. During this period, perceptual disturbances such as hallucinations may develop. They are relatively frequent and transitory, so their diagnosis is oriented towards a non-psychotic process process, although traditionally they have been linked to severe mental disorder. Description of clinical case: We present the clinical case of a male with auditory hallucinations at the age of 15 years, depressive symptoms, high anxiety and traumatic experiences with admissions in Child and Adolescent Psychiatry. The patient's symptomatology has fluctuated, reaching periods of stability, and it is crucial to carry out an adequate differential diagnosis because auditory hallucinations may be present in organic conditions, affective disorders, dissociative disorders, adaptive disorders, personality disorders, eating disorders, obsessive-compulsive disorders (OCD), post-traumatic stress disorder (PTSD) and psychotic disorders such as early-onset psychosis (EOP) or psychotic-like experiences (PLEs). In our case, the contact and evolution do not suggest a well-defined psychotic structure, rather, the symptomatology is characterized by affective, obsessive, dissociative, or trauma-related features, and occasionally psychotic nature. Discussion and conclusions: The patient's age, evolution and treatment will be the key in clarifying the potential progression towards chronicity or psychotic pathology.

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Author Biographies

María Cristina Herrero Rodríguez, Hospital Universitario Río Hortega

Hospital Universitario Río Hortega. Valladolid, España.

Carlos Imaz Roncero, Hospital Universitario Río Hortega

Hospital Universitario Río Hortega. Valladolid, España

Mónica Avellón Calvo, Hospital Universitario Río Hortega

Hospital Universitario Río Hortega. Valladolid.

Laura Molina Areses, Hospital Universitario Río Hortega

Hospital Universitario Río Hortega. Valladolid.

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