A 32-year-old, primary school graduate, unemployed male patient applied to our polyclinic with the complaint of having the habit of eating glass for approximately 10 years. The patient, who had not made a psychiatric application before, has had an increasing craving for eating glass recently and had to make an application for treatment, since he was having difficulty with quitting. According to the anamnesis received, we learned that the patient, who has no feature in his premorbid life, has had the complaint for nearly 10 years; he constantly keeps glass pieces in his mouth during the day, chews and swallows them, feels restlessness and irritability whenever he does not have them, and embarks on a quest; this behavior of quest gradually increases with this craving. Also, he stated that the amount of glass eaten has showed an increase over time. There was no history of consuming alcohol or any other substance.
As a result of the psychometric examination; IQ was determined to be 86 (“dull normal”). It was determined that the patient had some anxiety periods during the day, which showed fluctuations and could not be associated with any reason. He stated that the eating of glass generally increased in these periods, and he felt relief. Suspicion, obsessions, and control compulsions were identified in the patient. He stated that he was never sure of some of his behaviors that were displayed during the day, had to examine constantly, and felt relief after at least three checks. This situation had been lasting for approximately 10 years; he did not make any application for treatment before and felt uncomfortable with his checks recently. Also, he also stated that he had excessive nervousness, as well as sudden, occasional, and repetitive tantrums and some impulsive behaviors such as harming things, or hitting his hand or head on the wall, which had increased, especially in recent times. The patient indicated that he could not prevent these behaviors, felt regret after these, but also felt relief in that moment. His psychomotor activity had increased. There was no delirium in the content of the thought and showed normal flow or speed of thought during the mental assessment. There was no perceptual defect. As a result of the physical examination, complete blood cell count performed on the patient, liver and kidney functions, thyroid hormone tests, iron and iron-binding capacity, vitamin B12, folic acid, and zinc levels were normal. The Mini-Mental exam conducted on the patient was normal, as well.
As a result of the radiological imaging, which was performed in an attempt to exclude organic reasons, and cranial MRI, dilution on the corpus callosum, dilation on the sylvian fissure depths and convexity of sulcus, and a minimal asymmetry and abnormal dilation on the third ventricle and lateral ventricles were determined.