Primary depersonalization disorder is believed to be resistant to treatment. However, we report the successful treatment of a case with desipramine and suggest that, because there is a link between depersonalization and anxiety disorders, tricyclic antidepressants may prove effective for depersonalization.
References
1.
Diagnostic and Statistical Manual of Mental Disorders, Third Edition, Revised.Washington, DC: American Psychiatric Association,1987.
2.
AcknerB.Depersonalization. I. Aetiology and phenomenology. II. Clinical syndromes.J Men Sci1954; 100: 838–872.
3.
DavidsonK.Episodic depersonalization: observation on seven patients.Br J Psychiatry1964; 110: 505–513.
4.
MeyerJ.Depersonalization in adolescence.Psychiatry1961; 24: 357–360.
5.
ShorvonJ.H.The depersonalization syndrome.Pro Royal Soc Med1946; 39: 779–792.
6.
SlaterE., RothM.Clinical psychiatry.Baltimore: Williams and Wilkins, 1969: 119–124.
7.
SchilderP.Treatment of depersonalization.Ball New York Academy of Medicine1939; 15: 258–272.
8.
SargantN., SlaterE.An introduction to physical methods of treatment in psychiatry.Baltimore: Williams and Wilkins, 1963.
9.
CattellJ.P.Depersonalization phenomena. In: AnieteS., ed. American handbook of psychiatry, Volume 3.New York: Basic Books, 1966: 88–100.
10.
KingA., LittleJ.C.Thiopentane treatment of the phobic anxiety-depersonalization syndrome.Proc Royal Soc Med1959; 52: 595–596.
11.
AndersonE.W.Prognosis of the depressions of later life.Journal of Mental Science1936; 82: 559–588.
12.
LewisA.Melancholia: a clinical survey of depressive states.J Ment Sci1934; 80: 277–278.
13.
SedmanG.Theories of depersonalization: a re-appraisal.Br J Psychiatry1970; 117: 1–14.
MyersD., GrantG.A study of depersonalization in students.Br J Psychiatry1972; 121: 59–65.
16.
OberndorfC.P.The role of anxiety in depersonalization.Int J Psychoanal1950; 31: 1–5.
17.
NoyesR.Jr, HoenkP.R., KupermanS., SlymenD.J.Depersonalization in accident victims and psychiatric patients.J Nerv Ment Dis1977; 164: 401–407.
18.
NoyesR.Jr, KlettiR.Depersonalization in response to life-threatening danger.Compr Psychiatry1977; 18: 375–384.
19.
RothM.The phobic anxiety-depersonalization syndrome.J Royal Soc Med1959; 52: 587.
20.
NoyesR.Jr.Psychopharmacological treatment of phobic disorder. In: BurrowG.D., NormanT.R., DaviesB., eds. Drugs in psychiatry.New York: Elsevier, 1987: 323–342.
21.
AmbrosinoS.V.Phobic anxiety-depersonalization syndrome.NY State J Med1973; 73: 419–425.
22.
WalshR.N.Depersonalization: definition and treatment.Am J Psychiatry1975; 132: 873–874.
23.
PareC.B.Differentiation of two genetically specific types of depression by the response to antidepressant drugs.Humangenetik1970; 9: 199–201.
24.
BreierA., CharneyD.S., HeningerG.R.The diagnostic validity of anxiety disorders and their relationship to depressive illness.Am J Psychiatry1985; 142: 787–797.