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
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