Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Borderline Personality Disorder with Infanticide and Denial of Pregnancy : A Case Report

영아살해와 임신거부증을 주소로 내원한 경계선 인격장애의 치료사례

  • Jung, Semina (Clinical Psychology Laboratory, Dankook Medical Center) ;
  • Paik, Ki Chung (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Lee, Jun Hyung (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Kim, Kyung Min (Department of Psychiatry, College of Medicine, Dankook University) ;
  • Doh, Jin Ah (Clinical Psychology Laboratory, Dankook Medical Center) ;
  • Lim, Myung Ho (Department of Psychiatry, College of Medicine, Dankook University)
  • 정세미나 (단국대학교병원 임상심리실) ;
  • 백기청 (단국대학교 의과대학 정신건강의학교실) ;
  • 이준형 (단국대학교 의과대학 정신건강의학교실) ;
  • 김경민 (단국대학교 의과대학 정신건강의학교실) ;
  • 도진아 (단국대학교병원 임상심리실) ;
  • 임명호 (단국대학교 의과대학 정신건강의학교실)
  • Received : 2012.05.30
  • Accepted : 2012.10.06
  • Published : 2012.10.30
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Abstract

Though infanticide, killing the baby after birth of the neonate and denial of pregnancy, are very rare psychiatric disorder, they have been receiving a lot of social concerns. We report and review infanticide and denial of pregnancy administration in a 19 year-old adolescent with bipolar disorder and borderline personality disorder. Patients with a young age, cognitive immaturity, an unwanted child, hid the pregnancy facts were consistent with the results of previous studies. In addition, the patient's impulsivity and emotional instability is affecting infanticide. After inpatient care with pharmacotherapy (escitalopram 20mg, alprazolam 1.5 mg, clonazepam 0.5 mg, valproate sodium 1,100-1,300 mg, and quetiapine 100-400 mg) and supportive psychotherapy, and there were significant improvement of clinical symptoms.

Keywords

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