Question of the Week

For May 24, 2022

A 47-year-old woman is brought to clinic by her husband because she is responding only to the name “Jenny” when her name is actually Diane. In the clinic, she speaks with the cadences and tone of a young child, holds a teddy bear, and sucks her thumb. One year ago, she came to the clinic with a similar presentation.

Her husband reports that she has had short periods of mildly depressed mood, but she has never had psychiatric treatment. She has no known history of substance use or other medical illnesses. She has a documented history of sexual abuse during childhood. Her daughter recently left home for her freshman year of college.

Which one of the following diagnoses is most likely in this case?

Somatic symptom disorder
Conversion disorder
Dissociative identity disorder
Post-traumatic stress disorder
Dissociative amnesia with dissociative fugue

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