Jerusalem syndrome - a case report
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Psychiatr Pol 2013;47(2):353–357
Aim. The aim of the paper was to present the case of a patient who developed acute psychotic symptoms on her visit to Jerusalem. Method. The analysis of the clinical case and medical history. Results. The presented 62-year-old woman with a history of previous psychiatric disorder arrived with her husband to Jerusalem as part of an organized tourist group. She developed acute psychotic reaction through some stages characteristic for the third type of Jerusalem syndrome. Symptoms resolved completely soon after returning to Poland and admission to the hospital where an antipsychotic treatment was performed. Conclusions. Despite the rare occurrence of this phenomenon it is worth noting that we can divide Jerusalem syndrome into three types depending on their clinical course, patient's history of previous psychiatric disorders and it has some clinical implications. This syndrome can be also considered in the context of some factors connected with travelling in general which may be responsible for psychiatric disturbances occurring among travelers. The course of psychiatric disturbances presented in the patient resembled the third type of Jerusalem syndrome despite her past psychiatric history and probably travelling caused her decompensations. In clinical practice we have to remember that in case of the patients with a known psychiatric history, clinical evaluation may be useful before travelling. In previously healthy patients developing the third type of the Jerusalem syndrome early intervention and separation from Jerusalem and its holy places and their contact with family are crucial for quick recovery.