Side effects, treatment resistance and reverse intermetamorphosis syndrome: A case report and theoretical review


Yığman F., DOĞAN BULUT S., Efe C.

Israel Journal of Psychiatry, cilt.57, sa.2, ss.59-62, 2020 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 57 Sayı: 2
  • Basım Tarihi: 2020
  • Dergi Adı: Israel Journal of Psychiatry
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.59-62
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

Background: Delusional misidentification syndromes include a group of beliefs that the person or objects around the patient change or have changed. There are four main types of delusional misidentification syndromes: Capgras, Fregoli, intermetamorphosis, and the syndrome of subjective doubles. Intermetamorphosis is a delusional misidentification syndrome associated with agnosia and characterized by the patient believing that a person or people around him/her have changed both physically and psychologically. Reverse intermetamorphosis is a subtype characterized by delusional misidentification that occurs in the person himself. Case report: This case report presents a patient with schizophrenia additionally diagnosed with reverse intermetamorphosis syndrome and who had side effects and resistance to many treatment options. She finally responded positively to electroconvulsive therapy (ECT). Conclusion: Recognizing delusional misidentification syndromes is difficult for many clinicians. In this case, we evaluated the approach to cases of reverse intermetamorphosis. There are no guidelines in clinical practice regarding the treatment and diagnosis of DMS. With this study, we sought to present a perspective by reviewing the theoretical information.