Is there a medication for this FUGUE STATE? My boyfriend goes through it every 6 months for a month plus at a time - He goes on long journeys by foot or bicycle. 60 miles plus! He gets very quiet and acts very strange. Stands in dark rooms hours at a time. He moves all the furniture in odd places and also does crazy things like putting a fan on top of a lamp - Stands in front of the open freezer for much longer than he should. He starts cleaning everything which is not something he normally does. When he is out of this state he a high functioning human being. He thinks it can be fixed with diet and exercise - I'm hoping there is a medication for it - Can you help me?
Welcome to the site.
I am Dr. Kaushik and I believe I can help you with your problem.
First of all i am sorry to learn about your boyfriend's situation and i empathize with you and him.
You see although his odd, bizarre behavior could very well be explained as Dissociative Fugue ( clinical terminology for fugue which is a type of dissociative disorder ), but there also appear some elements of psychotic features in his behavior such as putting fan on top of lamp which very well can be a mannerism ( an action which holds some personal significance to the doer although the same very act may appear frivolous / useless to the onlooker).His wandering episodes too can be explained by a psychotic overlay. So at present there looms a clinical dilemma to give a conclusive diagnosis for his condition and this therefore warrants further clinical probing.
So before suggesting you the medication for his behavior it will be best for him to get him evaluated by a psychiatrist so as to reach a conclusive diagnosis for his state of mind which commands his bizarre actions and behavior and then powered with the knowledge of his underlying formal diagnosis his treatment can be more symptoms specific which will only reflect good on his chances of recovery.
Another important point in favor of his evaluation to know his diagnosis is that different diagnoses hold different outcome/ prognosis and so one can be realistic and prepared in advance about the chances of one's recovery from a particular mental illness since there are some mental conditions which are long standing and there are still some which never get treated.
As far as medication which will be most appropriate for his condition is concerned, anti psychotic drug like zyprexa ( olanzapine) at dose of 10-20 mg / day or Risperdal ( risperidone ) at dose of 2-4 mg / day or Seroquel ( quetiapine ) at dose of 50-200 mg / day seem to be the best option to control his symptoms,so any one of these drugs shall be chosen and started.
Kindly discuss this with his doctor and preferably seek referral for a psychiatrist who will be the best person to handle his case with thorough evaluation followed by right treatment approach.You shall discuss these drug choices with him.
I hope this helps.
Wish your boyfriend all the best and speedy and full recovery.
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do you think exercise and diet can control this? He told me he went through a 3 year period in his life where he had no episodes. He said he was working out, taking vitamins and watching what he ate.