Department of Psychiatry, Military Hospital, Danapur, Patna, Bihar, India.
M. A. Psychology, Research Scholar, Veer Kunwar Singh University, Patna, Bihar, India.
Indian J Psychiatry. 2014 Apr;56(2):185-7. doi: 10.4103/0019-5545.130505.
A young lady presents to the psychiatry out-patient department with depressive symptoms. Evaluation revealed long standing stressor in the form of a foul odor emanating from her body and over a period of time resulting in social withdrawal and depression with significant impairment of day-to-day functioning. A diagnosis of trimethylaminurea (fish odor syndrome) and adjustment disorder was arrived at. Careful empathetic handling with psychoeducation, behavioral and cognitive counseling and a short course of antidepressants helped her improve significantly with return to almost normal functioning.
一位年轻女士因抑郁症状到精神科门诊就诊。评估发现，她长期以来一直受到身体散发恶臭的压力源的影响，随着时间的推移，导致她社交退缩和抑郁，严重影响了日常生活功能。最终诊断为三甲胺尿症（鱼腥综合征）和适应障碍。通过细心的同理心处理、心理教育、行为和认知咨询以及短期的抗抑郁药物治疗，她的病情显著改善，几乎恢复到正常功能。
