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Case Report

An Atypical Presentation of Panic Disorder Masquerading as Possession Trance

Bibliographic Data

ID15526150
AuthorsHoward Cai Hao Khoe (0000-0002-8012-4884, Singapore General Hospital, corresponding author), Alakananda Gudi (Singapore General Hospital)
Year2022
Volume12
Pages819375-819375
Publication date2022-01-12
Open AccessYes
TypeARTICLE
VenueFrontiers in Psychiatry (JOURNAL)
Journal identifiersISSN: 1664-0640 • E-ISSN: 1664-0640
PublisherFrontiers Media (PUBLISHER • CH)
DOI10.3389/fpsyt.2021.819375
PMID35095622
OpenAlexW4206279684
LanguageEN
Citations received1
References cited16

This case report demonstrates an atypical presentation of panic disorder which masqueraded as episodes of possession trance. Patient X is a 62-year-old Chinese female who presented with recurrent episodes of uncontrollable screaming and shaking of all four limbs. During these episodes, she reported auditory hallucinations (Buddhist chanting) and visual hallucinations (a rotting corpse) which she attributed to the influence of "evil spirits." She was diagnosed with panic disorder with culture-specific symptoms on a background of major depressive disorder. With an understanding of the patient's belief system and an empathetic approach during psychoeducation, she eventually accepted the use of pharmacotherapy. She was prescribed escitalopram (started at 2.5 mg OM) and clobazam (10 mg ON) with good clinical effect and cessation of episodes afterward

Anxiety · Clobazam · Escitalopram · Panic · Panic disorder · Psychiatry · Psychoeducation · Psychotherapist · Screaming · Trance · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Mental Health Treatment and Access · Psychology · Psychosomatic Disorders and Their Treatments

  • Trapped Between Theological and Medical Notions of Possession

    Open Access•Igor J Pietkiewicz, Urszula Kłosińska et al.•Frontiers in Psychiatry•2022

  • The Making of Psychological Anthropology

    George D Spindler•Making of Psychological…•1978

  • Pathological spirit possession as a cultural interpretation of trauma-related symptoms

    Tobias Hecker, Eva Barnewitz et al.•Psychological Trauma Theory…•2016

  • Phenomenology of Trance States Seen at a Psychiatric Hospital in Singapore

    Open Access•Beng-Yeong Ng•Transcultural Psychiatry•2000

Citations per year0.25
Citation span2022 - 2022 (1)
Highly citedNo

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