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Die KDS ist mit hohen Komorbidit\u00e4tsraten und erh\u00f6hter Suizidalit\u00e4t assoziiert, oftmals zeigt sich ein chronischer Verlauf. Entsprechend des derzeitigen Kenntnisstandes kommen die kognitiv-behaviorale Therapie und die Pharmakotherapie mit selektiven Serotoninwiederaufnahme-Inhibitoren als therapeutische Optionen in Betracht. Die Kasuistik schildert einen aktuellen KDS-Fall mit typischer klinischer Symptomatik und typischem Therapieverlauf. 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