TY - JOUR T1 - Rare case report of Van Gogh syndrome in a patient with paranoid schizophrenia JF - General Psychiatry JO - Gen Psych DO - 10.1136/gpsych-2019-100095 VL - 33 IS - 1 SP - e100095 AU - Varchasvi Mudgal AU - Pali Rastogi AU - Vijay Niranjan AU - Ramghulam Razdan Y1 - 2020/01/01 UR - http://gpsych.bmj.com/content/33/1/e100095.abstract N2 - Self-mutilation is often associated with psychiatric disorders. We describe here a 22-year-old male Indian with decreased sleep, aggressive behaviour, self-muttering, disorganised behaviour, frequent spitting, biting and self-mutilation; he bit off his right ring finger and left thumb (Van Gogh syndrome). Self-harm behaviour was frequently evidenced by family members resulting in various injuries. The patient was diagnosed with paranoid schizophrenia and was treated with anti-psychotics which resulted in a decrease in his behavioural disturbances along with treatment for his self-mutilation injuries. Here we discuss Van Gogh syndrome’s presentation of self-mutilation in paranoid schizophrenia and its implications. ER -