The patient lives with her roommate in a condominium.The roommate has observed her leaving the condo wearing seductive clothing quite different from her usual wardrobe and returning 12 to 24 hours later,after which she sleeps for 8 to 12 hours.Episodes have also occurred in which the patient and her roommate have argued about household matters,and the patient has gone to sit on the floor in the corner of the kitchen.While seated there,she has spoken like a young child.The patient's problem can be assessed as being consistent with DSM-IV-TR criteria for:

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Dissociative identity disorder involves the development of alter personalities which sometimes assume control of the individual,submerging the person's primary or "real" personality for a period of time.Symptoms include behaving as if he or she is a different person at times and behaving inconsistently with or contradictory to usual behavior,particularly when under stress.Dissociative fugue states involve moving to another area for weeks or months,accompanied by periods of amnesia,first for the earlier life and later for the "new" life lived while absent from the original setting.Body dysmorphic disorder refers to preoccupation with some imagined defect in appearance in a normal-appearing person.Depersonalization disorder involves alteration in perception of self,such as feeling mechanical or unreal.

The Patient Lives with Her Roommate in a Condominium