Her first contact with a psychiatrist was at 28 years due to depressive symptoms. The patient reported having the first symptom of depersonalization at 13 years of age. I feel as though I am not alive, everything feels unreal". She said: "I seem to be living in a world, which I recognise but don'tfeel. ![]() She also described feeling as if she were observing herself from the outside. The patient experienced persistent feeling of unreality, complaining of an increased feeling of detachment from surroundings, as though she were taking part in a movie or a dream. During the evaluation, fundamentally marked depersonalization symptoms were detected. Beck Depression Inventory ( 3) was used to screen for depression her BDI scores for depression was determined as 36. On mental status examination, her speech was slow, and there was evidence of psychomotor retardation. A screen for symptoms of major depression revealed that she had hopelessness, low energy, anhedonia, poor appetite, poor concentration, a strong sense of guilt and insomnia. She was treated for a major depressive episode and had not responded to a four-month course of duloxetine 60 mg per day. We report a case of depersonalization with treatment-resistant depression which responded to sertraline-lamotrigine combination.Ī 37-year old woman presented to our clinic complaining of depression. Depersonalization disorder is accompanied by other symptoms: anxiety, obsessive thoughts, rituals, somatic preoccupations, autoscopic experiences or subjective alterations in space and experience of time ( 2). Some authors have suggested that almost all of the patients with severe and chronic dissociative disorders are chronically depressed ( 1).
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |