Purpose: The objective of this paper is to present the comorbidity of anorexia nervosa (AN) and obsessive-compulsive disorder (OCD) and to note the need for caution during the diagnostic process. Case description: We present a case of a 14-year old girl raised in a reconstructed family. The primary diagnosis was AN, which was changed to OCD in the course of hospitalisation. Symptoms of OCD and AN occurred in close time proximity and involved excessive focus on appearance, beautifying rituals disrupting circadian rhythm, rigid behaviours, school absence, and social isolation. In further therapy, schizotypal personality disorder was suspected. Pharmacotherapy involved SSRI drugs: sertraline followed by fluoxetine. Comment: OCD has a complex aetiology and a chronic course. However, proper management allows obtaining satisfactory control and enables the patient to function in society. The focus on anorexia in the diagnostic process can distract attention from the underlying disorders.

IntroductionThe authors present a comprehensive-efficacy of pharmacotherapy and rehabilitation in the social house for people with mental health disorders carried out systematically for many years in the 40 year old patient.ObjectivesPatient 40 years old, male, secondary education, imposed a total inability to work. The first episode of the disease was in his 25 years, a syndrome of depression in a moderate degree, the next episode of schizophrenia-catatonic. In the therapy was used first generation antipsychotics, despite regular medication had not obtained complete remission and frequent exacerbations were the cause of several subsequent hospitalizations. During the last hospitalization in 1997, recognizing the diagnosis was verified with paranoid schizophrenia. After discharge, the patient in accordance with the recommendation began rehabilitation in the social house for people with mental health disorders, which still continue. Because of side effects after the previously used antipsychotic drugs second-generation - ziprasidone was incorporated in 2005. The use of this drug caused a significant decrease in body weight, increased social activity (a return to artistic activities - painting), improving the quality of life. Due to persistent chronic anxiety has been further adjustment of treatment in 2008 included amisulpride and valproate.ConclusionsThe treatment used a comprehensive, full remission of symptoms generation, and a significant reduction in negative symptoms. Currently, the patient actively participates in all activities organized in the environmental treatment of self-help home, living independently in daily activities, carry out the artistic passion of winning prizes at exhibitions and presentations of work.