We evaluated a 44-year-old female with bipolar affective disorder who presented with a 4-month history of severe stuttering and vague neurologic complaints. She had lost 200 pounds after gastric bypass surgery two years before. A childhood sexual-abuse victim, she admits that she "hid" in her weight for most of her life. Neurological evaluation of this patient was negative, and speech-pathology evaluation revealed highly atypical stuttering. Gastric bypass patients with a history of psychiatric disorders and childhood sexual abuse may be particularly vulnerable to somatoform disorders.
Raphael, Deborah B. M.D. (PGY2) and Schoenfeld, Frank B. M.D.
"Psychogenic Stuttering Following a Gastric Bypass Operation: Case Report,"
Jefferson Journal of Psychiatry:
1, Article 3.
Available at: http://jdc.jefferson.edu/jeffjpsychiatry/vol20/iss1/3