Alexandra Toteva

Clinic for General and Geriatric Psychiatry, Klinikum Oberberg, Gummersbach, Germany

Publications

• Case Report   
  Chronic low back pain in a patient with schizoaffective disorder and a remote history of substance abuse: A case report
  Author(s): Alexandra Toteva, Kim Heyne*, Ann-Kristin Braun, Fiona Choi, Lena Rademacher, Dianah Hayati, Fatemeh Zibaeenejad, Rishika Daswani, Reinhard Michael Krausz and Gemy Kuriakose
  
  The co-occurrence of chronic low back pain and severe psychiatric disorders presents significant diagnostic and therapeutic challenges in inpatient psychiatric settings. This case report describes a 58-yearold man with long-standing schizoaffective disorder, chronic low back pain due to degenerative lumbar spine changes, and a remote history of substance use, admitted for acute exacerbation of depressive and psychotic symptoms. Despite repeated adjustments to opioid-based analgesic therapy following pain consultations, pain relief remained limited and transient; neuroimaging revealed only moderate degenerative changes without nerve root compression. Although the patient engaged consistently in psychotherapeutic interventions and achieved psychiatric stabilization, pain-focused psychological interventions, such as structured pain-coping strategies, were not systematically implemented, .. Read More»
  DOI: 10.4303/JDAR/236507

  Abstract HTML PDF