Fugue and aphonia as first and foremost presentations of a case of psychosis

Background Hysteria has experienced many changes in diagnostic classification and clinical manifestations. It has become infrequent due to cultural but also diagnostic changes. A change in which people communicate their distress has taken place. In the past, bodily experiences used to express emotions whereas nowadays a shift from bodily experiences to emotional -or better to say psychologicalexperiences has been proposed. “Unable to speak but can whisper”, “Cannot hold arm but can hold it in place”, “Glove and stocking pain or numbing": all these represent the patient’s idea of anatomy and physiology, and were seen more often in the past. On the other hand hysterical behavior has for long been described in cases of endogenous psychoses.