Almaazmi Bashayer M, Aldweik Abdullah N, Mukhtar Mazin A
Psychiatry, Al Amal Psychiatric Hospital, Dubai, ARE.
Medicine, University of Sharjah, Sharjah, ARE.
Cureus. 2023 Sep 3;15(9):e44619. doi: 10.7759/cureus.44619. eCollection 2023 Sep.
This case report highlights the unique presentation of dissociative amnesia masking an underlying brief psychotic disorder, triggered by a very intense psycho-social stressor. Learning points from this report center around the importance of considering psychotic as well as affective disorders alongside a presentation of dissociative amnesia, and not only the expected anxious, post-traumatic or personality-oriented states. Our patient, a 37-year-old gentleman, was brought to our emergency department via police referral. He had gaps in his autobiographical memory that, upon receiving a regular dose of benzodiazepines, unraveled bizarre, uncooperative, and agitated behavior as well as marked fluctuations in his daily mental state examinations. Biological management through antipsychotic monotherapy, psychological management through insight-oriented therapy as well as psychological support, and social management revolving around the alleviation of surrounding stressors enabled his safe recovery.
本病例报告突出了分离性遗忘症掩盖潜在短暂精神病性障碍的独特表现，该障碍由非常强烈的心理社会应激源引发。本报告的学习要点集中在，除了预期的焦虑、创伤后或人格导向状态外，在出现分离性遗忘症时，考虑精神病性障碍以及情感障碍的重要性。我们的患者是一名37岁男性，通过警方转介来到我们的急诊科。他的自传体记忆存在空白，在接受常规剂量的苯二氮䓬类药物后，出现了怪异、不合作和激动的行为，以及日常精神状态检查中的明显波动。通过抗精神病药物单一疗法进行生物管理，通过洞察导向疗法以及心理支持进行心理管理，以及围绕减轻周围应激源进行社会管理，使他得以安全康复。
