Differentiation of dissociative psychosis, delirious mania and unspecified dissociative disorder in an adolescent case: a case report

Dissociative psychosis is a condition that typically follows trauma, where psychotic and dissociative symptoms appear together, leading to disorganized behaviors, loss of insight, and worsening hallucinations. It usually resolves suddenly over several days to weeks, and most patients remain amnesic for the episode. A sixteen-year-old female adolescent presented with severe manic and psychotic complaints that began suddenly a week earlier. During hospitalization, she exhibited passivity, delusional misidentification, disorganized speech and behavior. Her symptoms regressed in the fourth week, and she was amnesic for the episode. This report discusses the differential diagnosis and treatment of dissociative psychosis, delirious mania, and unspecified dissociative disorder in an adolescent.

Study at a glance

Abstract

Dissociative psychosis is, it is a condition that usually occurs after a trauma, when psychotic and dissociative symptoms occur together.In this process, disorganized behaviors increase, insight is lost, and hallucinations become worse.It usually results in sudden improvement over a period of several days to several weeks and most patients remain amnesic into the dissociative psychosis phase. A sixteen-year-old female adolescent was brought in with severe manic and psychotic complaints that started suddenly a week ago.In-mental-status-examination; her associations, thought content and perception examination were particularly striking.During-the-hospitalization-process, passivity, delusional delusions of misidentification, and disorganized speech and behavior were also observed.The adolescent, whose complaints regressed in the fourth week, was amnesic during the episode.This study aims to present the differential diagnosis and treatment process of dissociative psychosis, delirious mania, and unspecified dissociative disorder in an adolescent female.