Paranoid schizophrenia, combined with diseases of the digestive system. Clinical case

The article discusses the clinical case of schizophrenia occurring against a background of concomitant somatic pathology. As a clinical illustration, the patient’s medical history with the most common combination, schizophrenia and digestive diseases (chronic cholecystitis and persistent hepatitis), is described and analyzed. The authors present the patient’s history, describe therapeutic tactics, the change in the patient’s reaction over time in response to an exacerbation of concom itant somatic pathology. It is shown how the concomitant somatic pathology influences the features of the clinical course of schizophrenia, the formation of a type of remission, and, ultimately, the processes of social and social adaptation of the patient. The principles of pharmacotherapy and psychotherapeutic interventions aimed at correcting the subjective experiences of the patient and his immediate environment are given.