A PECULIAR CHALLENGING CASE OF SCHIZOPHRENIA PRESENTING WITH DISSOCIATION TO A TERTIARY CENTRE

Dr Amitabh Saha; Dr Nidhi Kumar; Dr Ritwik Mishra

Volume : VII, Issue : XI, November - 2017

A PECULIAR CHALLENGING CASE OF SCHIZOPHRENIA PRESENTING WITH DISSOCIATION TO A TERTIARY CENTRE

Dr Amitabh Saha, Dr Nidhi Kumar, Dr Ritwik Mishra

Abstract :

Dissociative state in a setting of an acute psychotic state can be very challenging to the physician. It not only allows the physician to address the treatment challenges of schizophrenia and its entire gamut of rehabilitation and cognitive behavioural therapy but also the doctor is required to address the issues of dissociative states. Depersonalization is state of unreality which at times is infrequently encountered in patients with schizophrenia. Although it is extremely hard to elicit these symptoms readily in a functional case of schizophrenia , especially when they present in an acute setting, it nevertheless presents a persistent challenge to the treating physician to address all the problems not only related to schizophrenia management but also he would need to address the symptomatology of depersonalization in such cases.