| Autor: |
Fragoeiro, C., Ribeiro, N., Frias, P., Fernandes, E. Palha, Valente, P., Milheiro, C., Brito, L., Mota, I., Patrício, L. |
| Předmět: |
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| Zdroj: |
European Psychiatry; 2022 Special issue S1, Vol. 63, pS479-S479, 1/3p |
| Abstrakt: |
Introduction: Dissociative symptoms are present in various psychiatric disorders, both in those with a psychotic and a neurotic background. Although categorized in current classification systems with close proximity to neurotic disorders, dissociative disorders can overlap with psychotic disorders, suggesting that these symptoms are positioned at the border between neurosis and psychosis. Objectives: We present a clinical case from our Day Hospital, then discuss difficulties in the differential diagnosis when dissociative symptoms are present, as well as the value of dissociative symptoms per se. Methods: Description of the clinical case and literature revision using PubMed and the keywords "dissociative psychotic" and "dissociative neurotic". Results: We present the case of a 25-year-old woman admitted to our Psychiatric Day Hospital following a two-month stay in an Acute Psychiatric Ward in the context of suicidal ideation and dissociative episodes with behavioural changes, hetero-agression and speech alterations, from which she was discharged with the diagnosis of Borderline Personality Disorder. She had a previous diagnosis of Schizoaffective Disorder from another Acute Inpatient admission seven years before, after presenting with a similar clinical picture along with hallucinations. At admission to our service, she presented depressed mood, with no suicidal ideation, but maintaining great anxiety and the described dissociative episodes. Both psychotic and neurotic disorders have been discussed as possible causes for this patient's symptoms. Conclusions: Distinguishing between neurotic and psychotic causes of dissociative symptoms may prove itself challenging in some patients, but is a crucial step to develop an adequate treatment plan. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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