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Psychogenic coma: case report.

Cynthia L Baxter1, William D White

  • 1University of Calgary, Alberta, Canada. cynthiabaxter@shaw.ca

International Journal of Psychiatry in Medicine
|April 20, 2004
PubMed
Summary
This summary is machine-generated.

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Psychogenic coma, a dissociative disorder, presents as unresponsiveness without a medical cause. Management focuses on supportive care, reassurance, and educating others that the condition is real.

Area of Science:

  • Psychiatry
  • Neurology
  • Dissociative Disorders

Background:

  • Coma is defined by unresponsiveness and unarousability.
  • Psychogenic coma is a diagnosis of exclusion when medical causes are ruled out.
  • It is classified under dissociative disorders in the DSM-IV-TR.

Observation:

  • A clinical case of psychogenic coma is presented.
  • Literature review on psychogenic coma is conducted.
  • Key features include unresponsiveness without organic pathology.

Findings:

  • Psychogenic coma is a dissociative disorder not otherwise specified.
  • Management is primarily supportive, emphasizing reassurance and avoiding painful stimuli.
  • Patient and professional education regarding the reality of symptoms is crucial.

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Implications:

  • Psychiatric evaluation is vital when medical causes of coma are absent.
  • Supportive care and psychoeducation are central to managing psychogenic coma.
  • Short-term anxiolytics or antipsychotics may aid in regaining consciousness.