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In a chilling case report, doctors in Turkey have described what they claim to be a real-life vampire with multiple personalities and an addiction to drinking blood.

The 23-year-old married man apparently started out slicing his own arms, chest and belly with razor blades, letting the blood drip into a cup so he could drink it. But when he experienced compulsions to drink blood "as urgent as breathing," he started turning to other sources, the doctors said.

The man, whose name and hometown were not revealed in the report, was arrested several times after stabbing and biting others to collect and drink their blood. He apparently even got his father to get him bags of the ghastly drink from blood banks, according to the report released today (Feb. 8) by the Journal of Psychotherapy and Psychosomatics. The case study was published last fall.

The doctors said they found traumatic events in the man's life leading up to his two-year bloodsucking phase. His 4-month-old daughter became ill and died; he witnessed the murder of his uncle; and he saw another violent killing in which "one of his friends cut off the victim's head and penis," the researchers write in the journal article.

"Possibly due to 'switching' to another personality state, he was losing track during the 'bloody' events, did not care who the victim was anymore, and remained amnesic to this part of his act," the report said.

The doctors, led by Direnc Sakarya, of Denizli Military Hospital in southwestern Turkey, ultimately diagnosed the man with dissociative identity disorder (DID), post-traumatic stress disorder (PTSD), chronic depression and alcohol abuse. To their knowledge, the man is the first patient with "vampirism" and DID.

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It's probably a rare (and as yet not in DSM) disorder known as clinical vampirism. It progresses through 3 stages; autohemophagia (drinking ones own blood - sometimes seen in self-cutters), zoophagia (drinking animal blood), then true vampirism.

It usually starts in childhood when an injury that causes bleeding is mixed with excitement. At puberty sexual excitement is experienced with the blood drinking, reinforcing the behaviour into a compulsion.

Several serial killers have been associated with some stage of clinical vampirism.

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