Between emotions and cognition – case report of a patient with depression and Huntington’s disease

The article presents a case study of a 45-year-old woman who was consulted by a psychotherapist in order to start treatment. Her decision about psychotherapy was based on the following symptoms: depressed mood, decreased activity, concentration problems and memory disorders. Uncontrolled body movements had not been reported at that time. In the clinical interview for mental disorders she reported having depression, personality disorder, eating disorder and Huntington’s disease (HD). Due to the inconclusive diagnosis and difficulties in contact caused by cognitive impairment, the patient was referred for neuropsychological assessment. The aim of neuropsychological examination was to evaluate the current cognitive and emotional functioning as well as to establish the diagnosis and indications for therapy. The authors highlight the importance of neuropsychological examination in differential diagnosis, in order to minimize the risks of possible diagnostic difficulties in HD. They also describe the significance of complex psychological diagnosis for psychotherapy and treatment.