Abstract:

This paper is a clinical as well as diagnostic description of the presentation, investigation and pharmacological management of an 18-year-old young woman with first episode of mental illness; and recently diagnosed pituitary microadenoma (prolactin secreting type).

It brings to light the possible role of prolactin in the development of psychosis, the treatment difficulties commonly encountered in the choice of antipsychotics and / dopamine agonists and the need for an interdisciplinary team approach when patients presents with such complex symptoms.

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