¿QUÉ ES EL SINDROME DE DESPERSONALIZACIÓN?: se ve en personas que tienen esquizofrenia

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👉 El Dr. Ricardo Corral, presidente de la Asociación de Psiquiatras, discute el síndrome de despersonalización en el contexto del reciente incidente donde una mujer atropelló y mató a una persona. El experto explica que este síndrome es común en personas con psicosis y que puede afectar la capacidad para conducir. También aborda las dificultades para prever este estado y la importancia de la conciencia sobre la enfermedad para iniciar un tratamiento adecuado.  👉 Seguí en #ElNoticieroDeA24 📺 a24.com/vivo

Transcript

00:00Communication with Dr. Corral, psychiatrist, president of the Association of Psychiatrists.

00:05Ricardo, how are you? Good morning.

00:07Good morning to everyone, to the whole audience. How are you?

00:10Good. Now we were reading from a clinical page what is the depersonalization syndrome,

00:19that there is a rumor, at least according to what the lawyer would have said,

00:23that it is one of the, I don't know if excuse or what, how to call it,

00:28that this woman is suffering, and that's why what happened yesterday happened to her,

00:33to run over a person and kill her.

00:35Can a person handle this syndrome?

00:38Well, the depersonalization phenomenon is a syndrome that occurs a lot in people

00:46who have what we call psychosis, and it can happen, but not so unexpectedly,

00:52but it is a whole process of development that occurs over time.

00:57This is seen a lot in some people who suffer, for example, schizophrenia or some other psychosis.

01:04Yes, and let's say, let's see, can you handle this disease, this condition?

01:13Well, this question that you ask me is precisely interesting,

01:16because a person who has a mental illness, but who is in treatment,

01:21actually has their abilities that can work,

01:24they can even do activities, study, work, drive a vehicle.

01:28Yes.

01:29That is, the issue here happens because what we always say,

01:32a person, no matter how much they suffer from a mental illness,

01:35that does not imply that they are disabled,

01:37but that they have to be evaluated for each special activity.

01:40In the particular case of the issue of handling,

01:43you know that in order to have a driving license,

01:45you have to do a medical evaluation, a psychological, psychiatric evaluation,

01:49and then the people who are in condition, beyond their pathology, can drive vehicles.

01:55Yes.

01:56Of course, if a person is under the effects, as we always know,

01:59well, now with the party, with the issue of alcohol or some psychopharmacist,

02:02that has to be avoided.

02:05In this case, one thinks that a person who has a psychotic process

02:10and has a medication, in reality, should not drive.

02:14Now, doctor, can this state be foreseen?

02:18Can one have a feeling or something that makes you understand

02:23that it is coming to that moment of disengaging from reality

02:28or does it come from one second to another?

02:30No, people who have what we call psychosis,

02:34in reality, one of the convenient things there is,

02:36is that they are not aware of the disease.

02:38So one of the first difficulties that doctors and families have

02:42when they consult us, is to be able to achieve that the person is aware of the disease

02:47so that they can start treatment.

02:49That is, the person often does not realize that he has a psychotic process

02:52because he is out of critical criteria and is not aware of the disease,

02:56which we call precisely as a definition of psychosis.

02:59But that person who is in treatment, on the contrary,

03:02can have a normal and daily life and develop their life in a suitable way,

03:07totally outside of society.

03:09If you had a patient, or a patient, who has this problem,

03:13this depersonalization syndrome,

03:17you as a doctor, and also obviously as a psychiatrist,

03:20would you recommend that he do not drive?

03:23Yes, of course.

03:25A person who is in a critical moment,

03:27with a picture of depersonalization, of derealization,

03:30a psychotic phenomenon, is not in a condition, of course, to drive

03:34and is not in a condition to do many things.

03:36For example, one could say, well, he is not in a condition to sell his property

03:40or to do a real estate operation.

03:42And why then does the lawyer go for that strategy?

03:47I don't say strategy, maybe, until I confess this fact.

03:51Did it happen to her because she has this disease?

03:56Well, actually, I don't know what happens to this woman,

03:59but what is true is that if a person is qualified to drive,

04:04theoretically, he is qualified because he was evaluated from a medical and psychological point of view.

04:09Now, obviously, the health of people is something dynamic.

04:13One can get sick in that course of that moment,

04:17but in reality there may be some signal.

04:20I don't know if this woman lives with her family or has loved ones,

04:24because in general these things appear suddenly while one drives.

04:28Now, there is an interesting fact,

04:30that she does not press the brake,

04:33which they are analyzing, because if you have an impact,

04:37the first thing you tend to do is to brake.

04:39I mean, can there be some alteration of reality or some hallucination

04:42that, let's say, prevents what comes out of you innately,

04:46which is to press the brake?

04:49The times that I have been consulted for some traffic accident

04:52or some of those kinds of things that happen in an unforeseen way,

04:56in general, they are not issues, as you say, of depersonalization,

05:00but they are other types of pathologies, such as epilepsy,

05:04which can occur at some point without prior notice,

05:07or some loss of knowledge as a result of a vascular problem.

05:11Sometimes there are people who have had a stroke while driving,

05:14or a heart attack,

05:16or in a state of confusion due to the consumption of some substance.

05:20It is not something very common for a person who suffers from some psychosis

05:25and for that to generate a depersonalization syndrome,

05:27that he is driving and commits an accident.

05:29In general, they are other types of pathologies that usually happen,

05:32unfortunately, it usually happens,

05:34and sometimes the accident comes from that lack of control of impulses,

05:38but as a result of a different disease.

05:41Very well.

05:42Doctor, a big hug and thank you.

05:44Thank you very much. Goodbye.

05:46See you later.

05:47Dr. Ricardo Corral, psychiatrist and president of the Association of Psychiatrists.

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