ABSTRACT | PDF

CASE
Dissociative disorder
Debjit Roy
Author is Postgraduate Trainee of Psychiatry at Silchar Medical College Hospital, Silchar

Twenty two years old female presented to the casualty with chief complaints of episodic apparent unresponsiveness, inability to recognize family members and recall personal information for last five days, which was sudden in onset and precipitated by a quarrel with husband. The patient got married four months back against her parents' will and the marriage was not accepted by her family till date. No history of head injury in the recent past. She also had a family history of suicide in her elder sister and substance abuse in elder brother (opioids). She had an extrovert kind of premorbid personality. Mental status examination revealed a childish silly behaviour, partially cooperative attitude with an unestablished rapport with speech sample revealing a childish tone, occasional irrelevant answers, with an euthymic mood, an appropriate reactive, stable affect which had full range. No formal thought disorder but there was somatic preoccupation. Her attention and concentration were impaired and she was easily distractible just like a child. Immediate and recent memories were intact but remote was impaired. She had level one insight. Provisional diagnosis was mixed dissociative [conversion] disorder (F44.7) (dissociative amnesia and dissociative convulsions).

 

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