FAMILY CASEWORK WITH A PERSON HAVING RECURRENT DEPRESSIVE DISORDER WITH DISSOCIATIVE FUGUE AND MARITAL CONFLICT abstract

Introduction: Dissociative fugue is a rare mental health condition reported with a significantly lower prevalence rate and presenting symptoms of amnesia along with the sudden onset of travelling without knowing about self and whereabouts. There will be psychological trauma and stressors in this health condition. The multidisciplinary team is effective in managing ongoing psychosocial stressors impacting the episode. The current case study focuses on the psychosocial aspect of the client who presented with such an illness. Assessment and diagnosis: This case focusing on a 37 year old female diagnosed with recurrent depressive disorder and dissociative fugue who had several psychosocial stressors in her family of origin and procreation. The client was treated with pharmacological and non-pharmacological interventions. The Therapist has done a psychosocial and family assessment and found poor functionality, assertiveness, and interpersonal skills at the individual level. At the family level, interpersonal relationship issues between client and spouse, poor communication, and poor understanding of the client’s condition among spouse and caregiver burden were identified. Interventions: The psychosocial intervention focuses on individual and family-level issues based on the assessment. Psychoeducation, activity Scheduling, supportive psychotherapy, and couple therapy are the primary interventions done during inpatient care. Conclusion: Psychosocial interventions are more significant in dealing with even complicated illnesses. Intervention in communication and interpersonal relationships will always give a better outcome. The multidisciplinary team approach is essential in dealing with mental health issues.