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Psychiatry71 papers

Psychogenic fugue

Last edited: 4/15/2026

Overview

Psychogenic fugue is a dissociative disorder characterized by sudden, unexpected travel away from home or an inability to recall personal information, typically due to psychological stress rather than organic causes 1.

Diagnosis

  • Sudden onset of unexpected travel or confusion about one's past
  • Inability to recall personal information
  • Normal consciousness and sensorium
  • Exclusion of other medical and psychiatric conditions through thorough history and physical examination 1

    • Management

  • Psychotherapy, particularly cognitive-behavioral therapy (CBT) and psychodynamic therapy 1
  • Supportive counseling to address underlying psychological stressors
  • Medications such as anxiolytics or antidepressants may be considered for comorbid anxiety or depression, though specific dosing is not detailed 1

    • Special Populations

  • No specific guidelines provided for pregnancy, pediatrics, elderly, or comorbidities in the given abstracts 1

    • Key Recommendations

  • Conduct a thorough differential diagnosis to rule out organic causes before diagnosing psychogenic fugue (Evidence: Expert opinion) 1
  • Implement psychotherapy as the primary treatment modality, focusing on addressing psychological stressors (Evidence: Expert opinion) 1
  • Consider adjunctive pharmacotherapy for comorbid conditions like anxiety or depression, though evidence for specific dosing in fugue states is limited (Evidence: Weak) 1

    • References

    1 Cross I. Music as a biocultural phenomenon. Annals of the New York Academy of Sciences 2003. link

    Original source

    1. [1]
      Music as a biocultural phenomenon. — Cross I Annals of the New York Academy of Sciences (2003)
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