ABSTRACT
This case of a 65-year-old male with dermatillomania, diffuse anxiety symptoms, and avoidant personality disorder (PD) illustrates the interference of attention-deficit hyperactivity disorder (ADHD) in the diagnostic process and during schema-focused therapy. In conclusion, ADHD in older adults and interference with PD is a subject of clinical importance and worth further investigation.
Subject(s)
Anxiety Disorders , Attention Deficit Disorder with Hyperactivity , Behavior Therapy/methods , Aged , Anxiety Disorders/complications , Anxiety Disorders/diagnosis , Anxiety Disorders/psychology , Anxiety Disorders/therapy , Attention Deficit Disorder with Hyperactivity/complications , Attention Deficit Disorder with Hyperactivity/diagnosis , Attention Deficit Disorder with Hyperactivity/psychology , Attention Deficit Disorder with Hyperactivity/therapy , Compulsive Behavior , Diagnostic and Statistical Manual of Mental Disorders , Humans , Male , Personality Assessment , Personality Disorders/complications , Personality Disorders/diagnosis , Personality Disorders/psychology , Personality Disorders/therapy , Psychiatric Status Rating Scales , Treatment OutcomeABSTRACT
A 57-year-old man was referred to the Department of Psychiatry & Psychology of a university hospital because of recurrent depressive episodes. He claimed to have had a total amnesia for approximately the first 30 years of his life following an incident resembling a fugue. This case of a focal retrograde amnesia shows the limitations of a dichotomic view of organic, psychogenic and intentional factors.