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A Case of Concomitant Pseudocyesis and Couvade Syndrome Variant
Srinagesh Mannekote Thippaiah1, Vinu George1, Badari Birur1
1Mannekote Thippaiah, MD, Assistant Professor of Psychiatry, Zucker Hillside Hospital, NY. George, MD, Director, Otsuka Pharmaceuticals, Development & Commercialization, Inc., Philadelphia, PA. Birur, MD, Assistant Professor of Psychiatry, University of Alabama, Birmingham, AL. Pandurangi, MD, Virginia Commonwealth University, Department of Psychiatry Professor and Vice Chair, Richmond, VA 23298.
Abstract:
Per DSM-V, pseudocyesis is included under the category "other specified somatic symptom and related disorder" and is defined as a false belief of being pregnant that is associated with objective signs and reported symptoms of pregnancy. The male counterpart of pseudocyesis is Couvade syndrome, also called "sympathetic pregnancy" where a man experiences symptoms of pregnancy when his female partner is pregnant. There are extensive reports on pseudocyesis and Couvade syndrome in psychiatric literature but none with features of both, in a single case. Here we present a unique case of a fifty-eight-year-old mother who presented with symptoms of concomitant pseudocyesis and Couvade syndrome concurrently when her daughter was pregnant. This case report discusses the epidemiology, course of symptoms and common comorbidities associated with this interesting diagnosis.
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