Dissociative Fugue: A Case Report
DOI:
https://doi.org/10.51338/rppsm.272Keywords:
amnesia, dissociative disordersAbstract
A dissociative fugue occurs when an individual with dissociative amnesia wanders away from their familiar surroundings, maintaining self‑care and apparently normal behavior to observers, lasting from hours to months in a row. New identities can be assumed and even organized travel can occur. While dissociative amnesia by itself may have a prevalence of around 7.2%, dissociative fugue is a rare entity, with unknown prevalence, and there are few reports in the literature. In this article, we describe a case of dissociative fugue in a 34‑year old woman that lasted eight months. Dissociative amnesia with fugue remains an interesting topic for further research since it can present a diagnostic challenge, there are currently no evidence‑based pharmacological treatments and prognosis varies greatly between patients.
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References
Loewenstein RJ. Dissociation debates: everything you know is wrong. Dialogues Clin Neurosci. 2018;20:229‑42.
Staniloiu A, Markowitsch HJ. Dissociative amnesia. Lancet Psychiatry. 2014;1:226‑41. doi: 10.1016/S2215‑0366(14)70279‑2.
Kihlstrom JF. Dissociative disorders. Annu Rev Clin Psychol. 2005;1:227‑53. doi: 10.1146/annurev.clinpsy.1.102803.143925.
Helmes E, Brown JM, Elliott L. A case of dissociative fugue and general amnesia with an 11‑year follow‑up. J Trauma Dissociation. 2015;16:100‑13. doi: 10.1080/15299732.2014.969469.
Mamarde A, Navkhare P, Singam A, Kanoje A. Recurrent dissociative fugue. Indian J Psychol Med. 2013;35:400‑1. doi: 10.4103/0253‑7176.122239.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed. Arlington: APA; 2013.
World Health Organization. International Classification of Diseases for Mortality and Morbidity Statistics ‑ 11th revision [Internet] 2021 [cited 2021 Nov 10]. Available from: https://icd.who.int/browse11/l‑m/en.
Igwe MN. Dissociative fugue symptoms in a 28‑year‑old male Nigerian medical student: a case report. J Med Case Rep. 2013;7:143. doi:
1186/1752‑1947‑7‑143.
MacDonald K, MacDonald T. Peas, please: a case report and neuroscientific review of dissociative amnesia and fugue. J Trauma Dissociation. 2009;10:420‑35. doi: 10.1080/15299730903143618.
Raval CM, Upadhyaya S, Panchal BN. Dissociative fugue: Recurrent episodes in a young adult. Ind Psychiatry J. 2015;24:88‑90. doi: 10.4103/0972‑6748.160944.