IntroductionDissociative Amnesia remains an enigmatic and controversial entity. It is classically described as responsible for autobiographic amnesia associated with a traumatic event.ObjectivesTo report a clinical case and review the literature.MethodsWe collected data from the patient’s clinical file with his informed consent. We conducted a non-systematic review of the literature.ResultsA 46-years-old patient presents to the emergency department for sudden global retrograde amnesia, with multiple domain amnestic syndrome (impairing verbal and visual memory, processing speed, mental flexibility, calculus, executive functions and language). He was initially admitted for a suspected infectious meningoencephalitis, which was not confirmed. Later an autoimmune encephalitis was pursued. Brain MRI showed a nonspecific left temporal and hipocampal hyperintensity and the EEG a mild left temporal dysfunction. The autoimmune encephalitis panel was negative and the formal diagnostic criteria were not met. The neurologic examination at discharge presented only with autobiographical and semantic amnesia. On the mental state examination, he presented with depressive symptoms reactive to the situation. There was no evident traumatic event apart from a promotion received the day before the amnesia started. He was prescribed escitalopram 10 mg/day. The amnesia was maintained at 9 months follow-up.ConclusionsOur case report illustrates a case of amnesia without evident organic or psychogenic cause, assumed as a dissociative amnesia. Further studies are necessary to clarify the pathophysiology of this condition and develop specific treatments.DisclosureNo significant relationships.

Delusional parasitosis, also known as delusional infestation or Ekbom syndrome, is a somatic type of delusional disorder, usually mono‑symptomatic, in which patients are convinced they are being infested with animal parasites while no objective evidence to support their belief exists. Complaints are usually about skin infestation, but involvement of the gastrointestinal tract has also been described. We describe a case of a 59‑year‑old woman with delusional parasitosis claiming to be infected with Strongyloides stercoralis.

Introdução. O impacto da pandemia de COVID-19 na Saúde Mental tem vindo a ser reconhecido e destacado. Para ultrapassar as dificuldades no acesso aos cuidados da saúde durante este período têm surgido algumas estratégias, tais como a criação de Linhas de Apoio Psicológico e esta abordagem foi, assim, adotada pelo Serviço de Psiquiatria e Saúde Mental do Centro Hospitalar Vila Nova de Gaia/Espinho. O objetivo deste estudo é a caracterização sociodemográfica dos pacientes que acederam à Linha, a análise das patologias mais prevalentes e a reflexão sobre a importância da sua utilização em pacientes já acompanhados previamente por Psiquiatria. Material e Métodos. Foram registrados dados relativos a variáveis sociodemográficas e clínicas dos pacientes que recorreram à Linha e realizada uma análise estatística quantitativa e descritiva. Resultados. Dentre os 100 contatos realizados, 29% foram relativos ao agravamento de sintomatologia ansiosa e depressiva e 18% a alterações comportamentais decorrentes de exacerbação de sintomas psicóticos, havendo registos também de dúvidas relacionadas à prescrição e gestão de psicofármacos. A maioria das situações foram geridas telefonicamente com medidas psicoeducativas, 39% com recurso a ajustes terapêuticos minor e uma reduzida percentagem foi orientada para avaliação presencial. Conclusão. Os dados obtidos encontram-se de acordo com o reportado na literatura que demonstra que a sintomatologia ansiosa e depressiva são as mais prevalentes no contexto desta pandemia. É essencial que sejam dinamizadas mais estratégias por profissionais de saúde com experiência clínica e em articulação com os cuidados de saúde nos períodos de crise e que sejam realizados mais estudos para compreender de que forma este auxílio pode ser otimizado.

The SARS-CoV2 pandemic context and sanitary confinement measures have exposed the population to anxiety and depressive symptoms and became a permanent mark in children’s psychosocial and affective development. This effect was certainly evident in healthcare professional’s children that saw their parents being called to the battlefield front line against an invisible enemy and at the same time facing the media avalanche propelling fear and insecurity. Material and Methods: This state of restlessness and vulnerability promoted the development of therapeutic mindfulness groups for children or children and parents (healthcare professional related), from a Hospital Reference Center, over a period of eight weeks. Results: Throughout the sessions, high adherence to conscious attention techniques was observed, allowing the children to overcome physical distance obstacles in a virtual context used as a gateway to the living circumstances and the difficulties experienced at the time of the intervention. Discussion: In the end, improvements were reported in anxious and depressive symptoms with greater capacity for emotional regulation, interpersonal communication and impulse management. Conclusion: These results instigated an intervention protocol elaboration and a research project ongoing at the date of this publication.