27th National Clinical Education Symposium Presentation Abstracts

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29 APRIL 2025, MONDAY
13:00-14:00 POSTER PRESENTATION SESSION-2

A Life in the Spiral of Alcohol Use Disorder and Eating Disorders

Seray Çınar Yıldırım1, Aslihan Bilge Bektas1, Esin Erdogan1

1. S.B.Ü. İzmir Şehir Hastanesi, Psikiyatri Ana Bilim Dalı, İzmir, Türkiye

DOI: 10.5080/kes27.abs147 Page 173
OBJECTIVE:Alcohol use disorder and eating disorders are interconnected psychiatric conditions that present significant diagnostic and therapeutic challenges. Their co-occurrence is often associated with impulsivity, impaired impulse control, and psychogenic polydipsia. This report discusses the case of a patient with both conditions, highlighting clinical management strategies and the importance of a multidisciplinary approach. CASE (The patient consent must be provided and specified with appropriate terms.): The patient's consent has been obtained. A 24-year-old female factory worker, living with her family, attempted suicide by ingesting multiple medications after excessive alcohol consumption. She was admitted to intensive care and later transferred to the psychiatry ward. Her history revealed a previous similar attempt, psychiatric follow-up since age 13, and treatment for anxiety and anger control. She was hospitalized in 2023 for alcohol use disorder and had recently experienced severe stress. Psychiatric evaluation indicated an anxious and dysphoric mood, auditory and visual hallucinations, delusions of reference, tremors, and cravings. Alcohol detoxification was initiated with benzodiazepines, olanzapine was increased to 10 mg/day for psychotic symptoms, and valproic acid was introduced for impulse control. As symptoms improved, olanzapine was reduced due to increased appetite, and risperidone was prescribed. During hospitalization, she developed alcohol withdrawal symptoms, hypotension, dizziness, and electrolyte imbalances, requiring replacement therapy. Further assessment revealed a history of self-induced vomiting since age 14, amenorrhea, and significant weight loss. Psychogenic polydipsia was diagnosed, requiring fluid restriction. Electrolyte balance improved with ongoing monitoring. DISCUSSION:The strong link between alcohol use disorder and eating disorders involves genetic, neurobiological, and psychosocial factors. Impulsivity, anxiety, and emotional dysregulation contribute to this comorbidity. A comprehensive approach, integrating psychiatric stabilization, nutritional management, and pharmacological interventions, is crucial for effective treatment. This case highlights the need for individualized and multidisciplinary therapeutic strategies.