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Psychogenic Polydipsia - Management Challenges.

M S Bhatia¹, Aparna Goyal¹, Rashmita Saha¹

¹Department of Psychiatry, University College of Medical Sciences & Guru TegBahadur Hospital, Dilshad Garden, Delhi, India.

Shanghai Archives of Psychiatry

|September 15, 2017

Summary

Psychogenic polydipsia, or compulsive water drinking, is rising in psychiatric patients. Early management with medication, fluid limits, and therapy can successfully treat this condition and prevent dangerous hyponatremia.

Keywords:

anxiety symptoms hyponatremia psychiatric sequelae psychogenic polydipsia seizure

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Area of Science:

Psychiatry and Internal Medicine
Endocrinology

Background:

Psychogenic polydipsia (compulsive water drinking) is increasingly prevalent in psychiatric populations.
Excessive water intake can lead to potentially life-threatening hyponatremia.

Observation:

A case of a 35-year-old adult diagnosed with psychogenic polydipsia is presented.
The patient exhibited symptoms associated with compulsive water consumption.

Findings:

Successful management was achieved through a multimodal approach.
Treatment involved pharmacotherapy, strict fluid restriction, and comprehensive psychosocial support.

Implications:

This case highlights the importance of early recognition and integrated management of psychogenic polydipsia.
A combined therapeutic strategy is effective in mitigating risks and improving patient outcomes.