BRIEF PSYCHOTIC DISORDER. A CASE IN FAMILY MEDICINE

Introduction Psychiatric disease continues to be affected by prejudice in society, so often patients and their families try to hide their illness and their difficulties. The relationship of the family physician (FP) with its patients, allows patients who are not able to seek support, to be brought to the FP by other members of the family. Method: Woman, 43 years old, married, 12 years schooling, unemployed, one child, belonging to a nuclear family, life cycle Duval III, Graffard class IV. Pathological history of Reactive Depression in 2013, abandoning therapy in 2014 by apparent improvement. No other personal background or relevant family. Sporadic alcohol consumption. Denies other consumption. The patient came to a scheduled appointment, accompanied by her husband, who showed concern for his wife's behavior change from 3 weeks ago. His wife since that, was agitated, suspicious, sometimes with incongruous and illogical speech. The patient denied the charges, accusing his husband of poisoning attempt. During clinical interview was observed paranoid content speech. The patient agreed to be referred to the Braga hospital emergency service. The patient was observed and admitted with the following assumptions of diagnosis: Delusional Disorder and Brief Psychotic Disorder. Conclusion: In the activity of the FP, there is a holistic approach to the patient. The role of the FP, often goes through conflict management and/or identify existing problems in some of the family members. In this case, the role of FP was to distinguish what were personal beliefs, family conflicts and pathological behavior.