TY -的A2 -克鲁格,迈克尔盟通,古德温盟——新郎,基兰AU -沃德,路易莎非盟- Naeem穆罕默德PY - 2021 DA - 2021/05/03 TI -“这不是最初的时间表”:一个案例报告的一个扩展的离解集在一个健康的年轻男性伴随着严重的精神状态下降SP - 6619579六世- 2021 AB -分离是一个人的思想之间的断开,记忆,情绪,行动,或他或她是谁。解离障碍可以被描述和理解使用的结合五个核心症状:失忆,人格丧失,derealisation,身份混淆,或身份变更。他们经常与经验相关的创伤。挑战在诊断和普通人群的患病率约10%和临床精神病学设置确保这种情况的相关性。我们写一个21岁的绅士与自闭症和强迫症的历史,但没有明显的病史了急诊科增加焦虑,后来发展到风潮,踱来踱去,成为非语言。没有明显的研究结果发现在实验室血液检测(除了催乳素737亩/ L和磷酸盐0.35更易/ L),腰椎穿刺,或者大脑成像。因此,他承认精神单位评估。病人继续呈现严重迷失方向,有限的演讲,并与偶尔spastic-like运动改变的意识状态。抗精神病药和苯二氮卓类药物药物开始,表示没有显著变化。病人继续游荡,语无伦次。 First signs of improvement came 21 days postadmission with brief conversation and lucidity. This continued to improve over the next 7 days where he was reported to be at his baseline mental state. Environmental stressors including university examinations, the COVID-19 pandemic, and recent contact with his estranged father were possible precipitants to the episode. The patient reported almost complete unawareness of the psychiatric admission. A diagnosis of dissociative disorder, unspecified, was given. This case shows the management and diagnostic challenges of patients presenting with the aforementioned symptoms. There are no formal guidelines for the management of treating dissociative episodes, and this case report suggests the possible benefits of a drug-free period of watchful waiting upon admission. SN - 2090-682X UR - https://doi.org/10.1155/2021/6619579 DO - 10.1155/2021/6619579 JF - Case Reports in Psychiatry PB - Hindawi KW - ER -