Multiple self-mutilations in adult attention deficit hyperactivity disorder

Alper Evrensel, Gokce Comert
2015 The Journal of Neurobehavioral Sciences  
although he had no damage in his scalp it was thought that neuronal damage occurred due to the blast effect. No epileptic seizures were observed. Levatiracetam (1000 mg/day) treatment was prescribed to him. His impulsive behaviors have been decreased after treatment. Although abnormal impulsivity and poor self control are Dear editor, Self harm behavior is a frequently reported maladaptive behavior in the general population. The association of attention deficit hyperactivity disorder (ADHD)
more » ... disorder (ADHD) with self harm behavior is rare. In this paper, a case with ADHD was mentioned. Twenty-four-year-old married male patient was admitted with complaints of irritability. Six years ago, he committed suicide by shooting to the right temporal region with a blank cartridge pistol. Scars which are in 1.3 cm diameter were present in his on the right temporal scalp (Figure1). In addition, there were self-mutilation incision scars on the arms, forearms, abdomen and chest (Figure 2) . In order to close the incision scars he had tattoo in his left forearm. He had difficulty maintaining his attention at work. He worked disorganized and could not complete his work on time. Therefore, he has been warned by his boss. He suffered from forgetfulness, irritability, restlessness and losing his belongings. He talked excessively and interrupted others. He hated traffic congestion and was cutting in and out of traffic. According to DSM-5 he was diagnosed adult ADHD. Right temporal bioelectrical disruption was detected in his EEG (electroencephalogram). After the suicide attempt, Figure 2: Self-mutilation incision scars on the arms, forearms, abdomen and chest. Figure 1: Scars which are in 1.3 cm diameter were present in his on the right temporal scalp.
doi:10.5455/jnbs.1423224664 fatcat:pbqrnlnbpza5hg2usebzdyumwu