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All Journal Psychosocia : Journal of Applied Psychology and Social Psychology
Yusmadewi, Aaliyah
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Health Professions Medicine & Pharmacology Social Sciences

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Suicide Ideas as Dissociative Symptoms in Patients with Severe Depression: A Case report Makka, Isna Meirilla Zahara Al; Yusmadewi, Aaliyah; Fatwa, Ahmad Misbahul Ulum; Billah, Illa; Imron, Muhammad Istio Hadi Al; Suwarti, Ariyani Sri; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 1 (2025): January 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i1.755

Abstract

Dissociative symptoms such as depersonalization, derealization, and amnesia frequently occur in patients with severe depression and significantly heighten suicide risk, particularly when childhood trauma is present. This case report presents a 20-year-old woman with major depressive disorder and dissociative symptoms including unintentional self-harm, hallucinations, and nightmares related to past abuse. Clinical data were collected via structured clinical interviews, direct observation, and patient self-report, with diagnostic confirmation using DSM-5 criteria. The case illustrates how dissociation, trauma, and disrupted emotional regulation interact to intensify hopelessness and impulsivity. Comprehensive treatment, including trauma-focused cognitive behavioral therapy (CBT), pharmacotherapy, and emotional expression techniques such as journaling, led to gradual symptom relief. This case highlights the importance of early identification of dissociative symptoms in depressed individuals with trauma history to reduce suicide risk.
Fantasy, Dissociation, or Hallucination? Clinical Challenges in the Assessment of Childhood Psychopathology: A Case Report Fatwa, Ahmad Misbahul Ulum; Merilla, Isna; Yusmadewi, Aaliyah; Imron, Muhammad Istio Hadi Al; Billah, Illa; Suwarti, Ariyani Sri; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i2.758

Abstract

Childhood trauma is increasingly recognized as a major contributor to psychopathological outcomes such as hallucinations, dissociative symptoms, and maladaptive fantasy use. This case report explores a 20-year-old female patient with a history of recurrent trauma since early childhood, who developed auditory hallucinations commanding self-harm, dissociative episodes, and persistent escapist fantasy as coping mechanisms. Using a case study approach supported by literature review, we examined the clinical trajectory, psychological symptoms, and coping strategies used by the patient. Findings suggest that early and prolonged trauma may distort reality monitoring and identity integration, with dissociation and fantasy serving as maladaptive emotional regulation tools. This case adds to the understanding of how childhood trauma can produce overlapping features of dissociative and psychotic-like symptoms. The report emphasizes the importance of early screening for dissociation and fantasy-based coping in trauma-exposed adolescents, particularly when hallucinations are present. Early interventions, including trauma-informed psychotherapy and family support, may prevent progression to chronic psychiatric disorders.
Dissociative and Hallucination as Main Symptoms of Borderline Personality Disorders: A Case report Yusmadewi, Aaliyah; Fatwa, Ahmad Misbahul Ulum; Makka, Isna Meirilla Zahara Al; Billah, Illa; Imron, Muhammad Istio Hadi Al; Suwarti, Ariyani Sri; Algristian, Hafid
Psychosocia : Journal of Applied Psychology and Social Psychology Vol. 3 No. 2 (2025): April 2025
Publisher : Indonesian Scientific Publication

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61978/psychosocia.v3i2.759

Abstract

Borderline Personality Disorder (BPD) is a complex psychiatric condition often accompanied by dissociative symptoms and hallucinations. These symptoms are not merely comorbid features but appear to be integral aspects of the disorder's pathology. This case report presents a 20-year-old female patient with a history of childhood trauma and persistent emotional distress, who exhibited dissociation and auditory hallucinations as primary clinical features. Approximately 75–80% of individuals with BPD experience dissociation, while 30–50% report hallucinations, particularly under emotional stress. In this case, dissociative states such as depersonalization and amnesia preceded hallucinatory experiences, suggesting a causal link. The patient demonstrated episodes of memory loss, out-of-conscious behavior, and auditory command hallucinations, which significantly impaired her functioning. These symptoms were exacerbated by academic pressure and unresolved trauma. The interplay between dissociation and hallucination highlights the importance of trauma-informed, emotion-regulation-focused interventions. Clinicians should assess these symptoms systematically, as their presence may indicate a more severe clinical profile and the need for integrative therapeutic strategies.
Co-Authors Algristian, Hafid Billah, Illa Fatwa, Ahmad Misbahul Ulum Imron, Muhammad Istio Hadi Al Makka, Isna Meirilla Zahara Al Merilla, Isna Suwarti, Ariyani Sri