Fugue state may be seen in –
## Core Concept
A fugue state, also known as dissociative fugue, is a rare form of **dissociative amnesia** where an individual suddenly, unexpectedly travels away from home or work and upon arrival in the new location, is unable to recall their past and may assume a new identity. This condition is often associated with **psychogenic** or **psychological trauma**.
## Why the Correct Answer is Right
The correct answer, , is associated with fugue states because it is a condition where individuals experience severe **psychological trauma** or stress, leading to dissociative symptoms, including fugue states. Dissociative fugue is considered a manifestation of **dissociative disorders**, which are often linked to traumatic events.
## Why Each Wrong Option is Incorrect
* **Option A:** This option is incorrect because while certain **neurological disorders** can cause memory loss or confusion, they are not typically associated with the specific phenomenon of fugue states.
* **Option B:** This option is incorrect because **metabolic disorders** can cause altered mental status or confusion but are not specifically linked to fugue states.
* **Option D:** This option is incorrect because **infectious diseases** can cause a variety of neurological symptoms but are not characteristically associated with dissociative fugue.
## Clinical Pearl / High-Yield Fact
A key point to remember is that **dissociative fugue** is now often referred to under the umbrella of **dissociative amnesia** with fugue state specifier in DSM-5, reflecting its place within dissociative disorders. Clinicians should consider **psychological trauma** as a precipitating factor.
## Correct Answer: . Dissociative Disorders