[Dissociative identity disorder or schizophrenia?].
We present a case of dissociative identity disorder in which Schneiderian first rank symptoms were present besides of various states of consciousness. Thus the diagnosis of schizophrenia had to be considered. Formally, the symptoms met ICD-10 criteria for schizophrenia. However, taking into account the lack of formal thought disorder and of negative symptoms as well as a typical history of severe and prolonged traumatisation, we did not diagnose a co-morbid schizophrenic disorder. There is good evidence for the existence of psychotic symptoms among patients with dissociative disorders. However, in clinical practice this differential diagnosis is rarely considered.
Tschöke
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Zentrum für Psychiatrie Weissenau, Abt. Psychiatrie I der Universität Ulm. stefan.tschoeke@zfp-weissenau.de
Steinert
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D014150:Antipsychotic Agents / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004213:Dissociative Disorders / Q000175:diagnosis* / Q000523:psychology* / Q000628:therapy; D006801:Humans; D008297:Male; D010551:Personality; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000175:diagnosis* / Q000628:therapy; D012565:Schizophrenic Psychology; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology; D013406:Suicide, Attempted / Q000523:psychology; D055815:Young Adult
D014150:Antipsychotic Agents