{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T07:55:09Z","timestamp":1766735709960,"version":"3.48.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"vor","delay-in-days":25,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,12,24]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>We describe a case report of a 71-year-old with a long history of Paranoid Schizophrenia presenting with psychogenic polydipsia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Psychogenic polydipsia is a rare and challenging complication of Paranoid Schizophrenia. Research is limited with regards to how to treat this effectively, however the management normally involves fluid restriction and behavioural therapy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>We looked through his history and liaised with multiple specialities to compile this report.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>This patient has long history of psychogenic polydipsia. More recently he presented with his chronic hyponatremia. To aid reduction of his hyponatraemia, his duloxetine was stopped, and his olanzapine dose reduced.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>There is evidence in the role of naltrexone in reducing compulsive drinking. We trialled this at 25\u00a0mg and the patient\u2019s drinking behaviour has reduced in the community.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/omcr\/omaf278","type":"journal-article","created":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T13:17:35Z","timestamp":1763731055000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report: the challenges of psychogenic polydipsia"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-2263-3648","authenticated-orcid":false,"given":"Anirban","family":"Raha","sequence":"first","affiliation":[{"name":"Older Peoples Liaison Psychiatry Team, The Longley Centre, Norwood Grange Drive, Sheffield, S5 7JT, Sheffield Health Partnership University NHS Foundation Trust ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aparna","family":"Mordekar","sequence":"additional","affiliation":[{"name":"Older Peoples Liaison Psychiatry Team, The Longley Centre, Norwood Grange Drive, Sheffield, S5 7JT, Sheffield Health Partnership University NHS Foundation Trust ,","place":["UK"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,12,26]]},"reference":[{"key":"2025122602501889600_ref1","doi-asserted-by":"publisher","first-page":"e47719","DOI":"10.7759\/cureus.47719","article-title":"Treatment of psychogenic polydipsia and hyponatremia: a case report","volume":"15","author":"Hurwit","year":"2023","journal-title":"Cureus."},{"key":"2025122602501889600_ref2","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1007\/s11920-007-0025-7","article-title":"Psychogenic polydipsia review: Etiology, differential, and treatment","volume":"9","author":"Dundas","year":"2007","journal-title":"Curr Psychiatry Rep"},{"key":"2025122602501889600_ref3"},{"key":"2025122602501889600_ref4","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s40697-016-0111-z","article-title":"Atypical antipsychotic medications and hyponatremia in older adults: a population-based cohort study","volume":"3","author":"Gandhi","year":"2016","journal-title":"Can J Kidney Health Dis"},{"key":"2025122602501889600_ref5","doi-asserted-by":"publisher","first-page":"E3","DOI":"10.1176\/appi.neuropsych.11090213","article-title":"Psychogenic polydipsia and bupropion","volume":"24","author":"Arora","year":"2012","journal-title":"J Neuropsychiatry Clin Neurosci"},{"key":"2025122602501889600_ref6","doi-asserted-by":"publisher","first-page":"e5320","DOI":"10.7759\/cureus.5320","article-title":"Role of naltrexone in improving compulsive drinking in psychogenic polydipsia","volume":"11","author":"Rizvi","year":"2019","journal-title":"Cureus."},{"key":"2025122602501889600_ref7","doi-asserted-by":"publisher","first-page":"e44766","DOI":"10.7759\/cureus.44766","article-title":"The catastrophic effects of psychogenic polydipsia: a case report","volume":"15","author":"Evanson","year":"2023","journal-title":"Cureus."},{"key":"2025122602501889600_ref8","doi-asserted-by":"publisher","first-page":"180","DOI":"10.11919\/j.issn.1002-0829.216106","article-title":"Psychogenic polydipsia - management challenges","volume":"29","author":"Bhatia","year":"2017","journal-title":"Shanghai Arch Psychiatry"},{"key":"2025122602501889600_ref9"},{"key":"2025122602501889600_ref10","volume-title":"The Maudsley: Prescribing Guidelines in Psychiatry","author":"Taylor","year":"2015","edition":"12th"}],"container-title":["Oxford Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/12\/omaf278\/66128262\/omaf278.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/omcr\/article-pdf\/2025\/12\/omaf278\/66128262\/omaf278.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T07:50:23Z","timestamp":1766735423000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/omcr\/article\/doi\/10.1093\/omcr\/omaf278\/8404883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2025,12,24]]}},"URL":"https:\/\/doi.org\/10.1093\/omcr\/omaf278","relation":{},"ISSN":["2053-8855"],"issn-type":[{"value":"2053-8855","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,12]]},"published":{"date-parts":[[2025,12]]},"article-number":"omaf278"}}