Monday, October 13, 2008

Case 5 - The Case of the Quiet Zombie

An eleven-year-old girl asked her mother to take her to a psychiatrist because she feared she might be "going crazy." Several times during the last two months she has awakened confused about where she is until she realizes she is on the living room couch or in her little sister's bed, even though she went to bed in her own room. When she recently woke up in her older brother's bedroom, she became very concerned and felt quite guilty about it.

Her younger sister says that she has seen the patient walking during the night, looking like a "zombie," that she didn't answer when she called her, and that the patient has done that several times, but usually goes back to her bed.

The patient fears she may have "amnesia" because she has no memory of anything happening during the night.

There is no history of seizures or of similar episodes during the day. An electroencephalogram and physical examination prove normal. The patient's mental status is unremarkable except for some anxiety about her symptoms and the usual early adolescent concerns. School and family functioning are excellent.

No comments: