Abstract
Comorbid psychiatric diagnoses increase the caregiver burden in patients with intellectual disability (ID). There is scarce literature on the dynamics between caregiver distress and psychopathology in persons with ID, especially regarding the dissociative disorders. We present the case of a young female with cerebral palsy, ID, epilepsy and psychosis where conflict with caregivers due to their emotional over-involvement precipitated dissociative seizures. We performed Antecedent-Behavior-Consequence (ABC) analysis which helped in identifying negative expressed emotions in the caregivers. An integrated psychosocial intervention brought significant reduction in the dissociation which facilitated the overall therapeutic process. Adverse emotional turmoil due to expressed emotions from caregivers can precipitate dissociative events in patients with ID. Dissociative seizures in a patient with ID and epilepsy may pose diagnostic challenges and can hamper therapeutic response which can be overcome by behavior analyses and integrated psychosocial interventions.
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