A Case Report of Primary Derealization Disorder: Diagnostic and Treatment Challenges in a Pakistani Healthcare Setting

Depersonalization and derealization symptoms are often transient. Recurrent and persistent symptoms can result in a diagnosis of depersonalization/derealization disorder (DDD). Here, we reported a case of a 24-year-old adult male whose presentation was consistent with primary derealization disorder...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e55419
Main Authors: Mirjat, Muzamil H, Kamran, Maham, Ashraf, Hadiqa, Akhtar, Hareem, Lalwani, Aasish K
Format: Article
Language:English
Subjects:
Case reports
Complaints
Drug use
Head injuries
Medical diagnosis
Mental disorders
Patients
Post traumatic stress disorder
Psychiatry
Psychologists
Psychology
Psychotropic drugs
Public Health
Teenagers
Trauma
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Summary:Depersonalization and derealization symptoms are often transient. Recurrent and persistent symptoms can result in a diagnosis of depersonalization/derealization disorder (DDD). Here, we reported a case of a 24-year-old adult male whose presentation was consistent with primary derealization disorder only. He was referred with his consent by an ophthalmologist and neurologist for psychiatric opinion for the complaints of blackish discoloration of his vision for the last two years and feeling of unreality towards his surroundings for the last one and a half years in the absence of any comorbid physical illness and mental disorder. The patient was treated with fluoxetine, Lamotrigine, and psychotherapy, but there was only some improvement reported in his distress; however, primary complaints remained unchanged.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.55419