A woman has focal encephalitis in the anamnesis. Her spatial orientation is not disrupted. She has a sensation, as if "everything seems surreal: buildings are small, round or distorted; trees are upside down; people are very tall with thin limbs". Determine the psychopathologic syndrome:

Answer options

1. Oneiric
2. Cenestopathic
3. Depersonalization
4. Hallucinatory
5. Derealization

Explanation

In this task, there are indications of a history of encephalitis. In mental status: orientation in his personality is preserved. At the same time, the patient has a feeling of variability surrounding. The patient sees the objects of the world in the wrong shape and size. Thus, it can be said that the patient has derealization syndrome; that is, a change in the sensation of the surroundings while maintaining the correct perception of one’s personality. Psychiatry: [Textbook] V.L. Gavenko, V.M. Sinayko, G.A. Samardakova and others; reduction by V.L. Gavenko, – Kharkiv: Region-inform, 2006. – 33 P.