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Ganser Syndrome Treatment & Management

  • Author: Daniel Schneider, MD, MA; Chief Editor: Eduardo Dunayevich, MD  more...
Updated: Nov 11, 2015

Medical Care

Inpatient treatment may be needed during the acute phase. This is often necessary to protect the patient from himself or herself considering his or her dissociation. Treat any underlying medical conditions.

Admit the patient to a psychiatric facility if the patient is a danger to self or others.

Simple supportive psychotherapy and monitoring for safety are the chief components of treatment. Limited evidence exists that hypnosis or ECT may be useful.

Recovery usually is within days for most patients, especially if precipitating stress resolves.



Consultation with a neurologist is advisable to rule out neurologic etiologic factors.

Consultation with a psychiatrist is recommended initially and in follow-up.



Restrict general activity to allow close observation during the acute phase of the syndrome.

Upon recovery, regular activities may be resumed.

Contributor Information and Disclosures

Daniel Schneider, MD, MA Assistant Professor of Neurology, Division of Movement Disorders and Behavioral Neurology, Medical Director for Neurologic and Psychiatric Deep Brain Stimulation, Rutgers Robert Wood Johnson Medical School

Disclosure: Nothing to disclose.


Robert C Daly, MB, ChB, MPH Senior Fellow, Department of Behavioral Endocrinology, National Institute of Mental Health, National Institutes of Health

Disclosure: Nothing to disclose.

Brian R Szetela, MD Assistant Professor, Department of Psychiatry, University of Massachusetts Medical School; Consulting Psychiatrist, Psychiatric Consultation - Liaison Service, University of Massachusetts Memorial Medical Center

Brian R Szetela, MD is a member of the following medical societies: American Psychiatric Association, American Society of Addiction Medicine, International Society for ECT and Neurostimulation

Disclosure: Nothing to disclose.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

Eduardo Dunayevich, MD Executive Director, Clinical Development, Amgen

Eduardo Dunayevich, MD is a member of the following medical societies: Schizophrenia International Research Society

Disclosure: Received salary from Amgen for employment; Received stock from Amgen for employment.

Additional Contributors

Alan D Schmetzer, MD Professor Emeritus, Department of Psychiatry, Indiana University School of Medicine

Alan D Schmetzer, MD is a member of the following medical societies: American Academy of Addiction Psychiatry, American Academy of Clinical Psychiatrists, American Academy of Psychiatry and the Law, American Association for Physician Leadership, American Medical Association, American Psychiatric Association, International Society for ECT and Neurostimulation, American Neuropsychiatric Association

Disclosure: Nothing to disclose.


The authors and editors of eMedicine gratefully acknowledge the contributions of previous author Can M Savasman, MD to the development and writing of this article.

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