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Two of us live in this body

Published online by Cambridge University Press:  01 September 2022

M. Palomo Monge ,
M. Pérez Fominaya ,
M.V. López Rodrigo ,
A. Osca Oliver ,
M.F. Tascón Guerra ,
C. García Montero  and
V. Ros Font
M. Palomo Monge*
Affiliation:
Hospital Nuestra Señora del Prado, Psiquiatria, Talavera de la Reina, Spain
M. Pérez Fominaya
Affiliation:
Hospital Nuestra Señora del Prado, Psiquiatria, Talavera de la Reina, Spain
M.V. López Rodrigo
Affiliation:
Hospital Nuestra Señora del Prado, Psiquiatría, Talavera de la Reina, Spain
A. Osca Oliver
Affiliation:
Hospital Nuestra Señora del Prado, Psiquiatría, Talavera de la Reina, Spain
M.F. Tascón Guerra
Affiliation:
Hospital Nuestra Señora del Prado, Psiquiatria, Talavera de la Reina, Spain
C. García Montero
Affiliation:
Hospital Provincial de Ávila, Servicio De Psiquiatría, Ávila, Spain
V. Ros Font
Affiliation:
Hospital Nuestra Señora del Prado, Psiquiatria, Talavera de la Reina, Spain
*
*Corresponding author.

Abstract

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Introduction

The dissociative disorders are characterized by a disruption of and/or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior.

Objectives

We present the case of a 22-year-old patient, who has been following up for just over a year. The patient refers that two people inhabit her body, talk to each other, exchange opinions and both have control over the body, one giving the turn to the other depending on the circumstances. To this is added delusional symptoms of grandeur and sensorial-perceptual symptoms. In turn, depressive symptoms have appeared that have led the patient to have several suicide attempts throughout the follow-up time.

Methods

During this time, the patient has required hospital admission on two occasions due to the autolytic ideation. Treatment with neuroleptics and antidepressants has been established that have helped control delusions and thoughts of death, but not the dissociative clinic.

Results

Dissociative Identity disorder 300.14 (F44.81)

Conclusions

The different symptoms presented by the patient, as well as the social and occupational deterioration that he presents, make this an extremely complicated case, both in diagnosis and in treatment. Dissociative identity disorder has been very controversial, changing its diagnostic criteria over time. More studies are needed and perhaps future research can give us more clues about this disorder.

Disclosure

No significant relationships.

Keywords

Dissociative Identity disordermultiple personalitydissociative disordersdelusional symptoms
Type
Abstract
Information
European Psychiatry , Volume 65 , Special Issue S1: Abstracts of the 30th European Congress of Psychiatry , June 2022 , pp. S870
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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