Title: Dissociative Disorder in a Patient with Schizophrenia
Authors: Dr Sabita Dihingia, Dr Bitupan Kalita, Dr Abhilekh Das
DOI: https://dx.doi.org/10.18535/jmscr/v5i11.216
Abstract
The prevalence of dissociative disorders is around 10.2% among psychiatric in-patients. Presence of dissociative symptoms in Schizophrenia has been studied but co occurrence of both Dissociative disorder and Schizophrenia is rare. Our patient was a 32 year old Hindu housewife of Indian Origin, mother of one 7yr old boy, brought by her husband with complains of refusal to identify her husband and her son with child like behaviour for about six months. On detailed evaluation it was found that the patient had been behaving abnormally for about last two years. Patient had no history of any psychiatric illness in the past. Her family history was also insignificant. In Mental Status Examination, she was found to be apathetic and indifferent with decreased psychomotor activity and poor grooming and hygiene sense. She was found to be harbouring persecutory delusions and auditory hallucinations with impaired judgement and poor insight. She was diagnosed as per ICD-10 to be case of Schizophrenia with Dissociative disorder. Her positive symptoms had increased her vulnerabilities for dissociative symptoms and led to the emergence of such a rare clinical diagnosis.
Keywords: Dissociative Disorder, Schizophrenia, Delusion, Hallucination, Judgement, Insight.
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