A case presented with "as if" phenomenon

Abstract

A 22-year-old young male who was brought with a history of feeling of unreality, as if he himself and his surroundings had changed, since six months without any comorbid mental disorder or physical illness. Premorbidly he had some “obsessional traits”. Mental state examination revealed perceptual disorder in the form of depersonalization and derealization with insight grade VI. The patient was admitted and treated with pharmacotherapy and behavior therapy (relaxation exercise).

Depersonalization - derealization syndrome: A case report

“…Further, in the Indian context, secondary depersonalization symptoms had been reported to occur in other psychiatric conditions, and there are very few studies on primary depersonalization derealization syndrome and are mostly case reports. 10 Thus, there is scarce of literature from Indian context. In general, various factors quoted for the less prevalence is that many clinicians are unfamiliar with the clinical picture and consider these phenomenon to be occurring secondary to other psychiatric conditions even if these symptoms are dominating the clinical picture.…”