Outcome of Lorazepam-assisted Interview and Psychotherapy in a Middle-aged Female Patient with the Chronic Mixed Dissociative Disorder: A Case Report

Vishnuvardhan Gopalakrishnan; Sumanth T Parameshwaraiah; Vidhyavathi Mallyam; Subhashini Shanmugamurthi; Asha Chandahalli Sannappa

doi:10.5005/jp-journals-10045-00154

SEARCH WITHIN CONTENT

Online First

Outcome of Lorazepam-assisted Interview and Psychotherapy in a Middle-aged Female Patient with the Chronic Mixed Dissociative Disorder: A Case Report

Vishnuvardhan Gopalakrishnan, Sumanth T Parameshwaraiah, Vidhyavathi Mallyam, Subhashini Shanmugamurthi, Asha Chandahalli Sannappa

Keywords : Catharsis and positive suggestions, Chronic psychogenic aphonia, Dissociative amnesia, Lorazepam-assisted interview, Trans and possession

Citation Information : Gopalakrishnan V, Parameshwaraiah ST, Mallyam V, Shanmugamurthi S, Sannappa AC. Outcome of Lorazepam-assisted Interview and Psychotherapy in a Middle-aged Female Patient with the Chronic Mixed Dissociative Disorder: A Case Report. J Med Sci 2020; 6 (3):49-50.

DOI: 10.5005/jp-journals-10045-00154

License: CC BY-NC 4.0

Published Online: 29-09-2021

ARTICLE
REFERENCES

Abstract

Dissociation is a neurotic defense mechanism developed against severe emotional distress and excessive anxiety. Dissociative disorder (DD) is not a single entity, but a wide spectrum of disorders with various subtypes. Typically, patients present with any of one subtype, and cases like dissociative motor disorder comes to medical attention sooner. Contrarily here we are discussing a patient who has symptoms of three subtypes, persisting for a prolonged period. As literature regarding chronic psychogenic aphonia is scarce, we are highlighting the case of a 35-year-old woman with 8 months longstanding history of mixed DD (psychogenic aphonia, dissociative amnesia along with trans and possessional state) because of underlying childhood trauma and multiple conflicts with family members. The focus will be on how lorazepam-assisted interview along with psychotherapy (supportive, catharsis, positive suggestion, and resolution of conflicts) works effectively in a chronic mixed DD.

HTML PDF Share

Reddy LS, Patil NM, Nayak RB, et al. Psychological dissection of patients having dissociative disorder: a cross-sectional study. Indian J Psychol Med 2018;40(1):41–46. DOI: 10.4103/IJPSYM.IJPSYM_237_17.
Allin M, Streeruwitz A, Curtis V. Progress in understanding conversion disorder. Neuropsychiat Dis Treatm 2005;1(3):205–209.
Sikand M, Arshad R, Beniwal RP, et al. Perceived parental style, cognitive style, and resilience in females with dissociative disorder in India. Indian J Psychia 2019;61(2):177–183. DOI: 10.4103/psychiatry.IndianJPsychiatry_404_18.
Seo Y, Shin MH, Kim SG, et al. Effectiveness of lorazepam-assisted interviews in an adolescent with dissociative amnesia: a case report. Neur Regenerat Res 2013;8(2):186–190.
Chaturvedi SK, Desai G, Shaligram D. Dissociative disorders in a psychiatric institute in India – a selected review and patterns over a decade. Int J Soc Psychia 2010;56(5):533–539. DOI: 10.1177/0020764009347335.
Modak T, Singh S, Kumaran S, et al. Lorazepam-assisted interview in a resistant case of functional dysphonia. J Voice 2020;34(5):811.e7–811.e11. DOI: 10.1016/j.jvoice.2019.01.002.
Agarwal V, Sitholey P, Srivastava C, et al. Clinical practice guidelines for the management of dissociative disorders in children and adolescents. Indian J Psychia 2019;61(8):1. DOI: 10.4103/psychiatry.IndianJPsychiatry_493_18.
Subramanyam A, Somaiya M, Somaiya M, et al. Psychological interventions for dissociative disorders. Indian J Psychia 2020;62(2):280–289. DOI: 10.4103/psychiatry.IndianJPsychiatry_777_19.

PDF Share