No abstract

Corona Virus Disease 2019 (COVID-19) merupakan penyakit menular yang dinyatakan sebagai suatu pandemi global. Merebaknya COVID-19 menjadi sebuah ancaman bagi kesehatan masyarakat dan dapat menyebabkan tekanan kesehatan mental, seperti Gangguan Stres Pasca Trauma (GSPT). GSPT merupakan gangguan kejiwaan yang terjadi setelah mengalami atau menyaksikan peristiwa menakutkan (stresor) dengan berbagai manifestasi. Laporan kasus ini bertujuan untuk membahas hubungan COVID-19 yang menyebabkan GSPT dan mengetahui gejala GSPT pasca COVID-19. Kasus ini menyajikan seorang wanita 45 tahun dengan diagnosis GSPT pasca COVID-19 dengan manifestasi yang sesuai dengan kriteria dalam Pedoman Penggolongan dan Diagnosis Gangguan Jiwa di Indonesia III (PPDGJ-III), seperti kesulitan tidur, menghindari berita mengenai COVID-19, jantung berdebar, peningkatan frekuensi pernapasan, dan kilas balik apabila mengetahui terdapat kerabat yang menderita COVID-19. Akibat dari COVID-19 seperti rawat inap di rumah sakit dapat menyebabkan stres dan menimbulkan beban pada kesehatan mental sehingga dapat dianggap sebagai suatu peristiwa traumatis. Di samping itu, invasi virus pada sistem saraf pusat (SSP) dapat menyebabkan gangguan neuropsikiatri akibat kerusakan saraf. Diagnosis GSPT ditegakkan berdasarkan PPDGJ-III dengan kurun waktu antara trauma dan gangguan timbul dalam 6 bulan setelah kejadian traumatis disertai berbagai manifestasi yang dapat menyebabkan gangguan pada fungsi normal individu.

Dissociative Identity Disorder (DID) is a complex disorder that stems from repeated trauma during childhood. Although not particularly rare, DID is surrounded by myths and stigma that prevent it from being diagnosed and managed as an authentic mental condition. The purpose of this case report is to present a typical case of DID to raise awareness of and decrease the stigma on DID and to reaffirm that this disorder requires proper treatment. The patient is a 25-year-old male diagnosed with DID and had five alters consisting of: two protectors, a prosecutor, a suicidal alter, a child alter, and one debatable female alter. He was given psychoeducation without any oral treatment as the second alter was not open to any treatment that could make the female – either a hallucination or an alter – disappear. In contrast to media portrayals and myths about DID, the patient did not in fact have any supernatural powers nor commit any crimes. He also had distinctive manifestations of DID that were in accordance with the diagnostic criteria of DID. The conclusion of the case report is that DID in the patient is a true diagnosis, and the treatment should be done regardless of any myths and stigma in society.