10 21 2014 Dissociative Disorders

Question 1

Dissociative Disorder

Answer 1

Cause by trauma (until proven otherwise)

Disruption or discontinuity in integration of consciousness, memory, identity, emotion, perception, body representation, motor control and behavior

Memory (amnesia)
Perception
Sense of Self -- DID
Consciousness -- DID
Emotion
Motor control/ behavior--- Depresonalization/derealization

Question 2

Dissociative Amnesia

Answer 2

1. forget Autobiographical information

2. WITH FUGUE if they wander. Travel and forget who they are and where they came from.

Question 3

What are the different types of amnesia for Dissociative Amnesia:

Answer 3

1. Localization: failure to recall events during certain time.
2. Selective: recalls some but not all of the events at a certain time.
3. Generalized: complete loss of ones own identity– can occur for facts/environment OR things we have learned
4. Systemized: loss of memory from one category ex. family
5. Continuous: loss of memory as each new event occurs.

Question 4

What is co-morbid for Dissociative amnesia?

Answer 4

1. Borderline personality disorder
2. Affective disorder
3. Substance Abuse
4. Conversion

Question 5

Depersonalization:

Answer 5

lasting or recurring feeling of being detached from someone’s own body or a body part does not belong to them

Question 6

Derealization:

Answer 6

experiences of unreality or detachment with respect to surrounding.

Question 7

What must you rule out for depersonalization/derealization?

Answer 7

1. neurologica
   - seizures, infection, vascular degeneration
2. Toxic/metabolic
   - Endocrine, infectious, substance induced

Question 8

Dissociative Identity Disorder

Answer 8

Characterized by two or more distinct personality states

marked discontinuity in the sense of self with alterations in affect behavior, consciousness, memory, perception, cognition, and motor functioning.

Question 9

Other Specified Dissociative Disorder

Answer 9

• Chronic and recurrent
• brainwashing: identity disturbance due to prolonged and intensive coercive persuasion

1. Acute dissociative reaction
   - due to stress and lasts less than 1 month
2. Dissociate Trance: not culturally accepted complete loss of awareness of environment with stereotype behavior and loss of consciousness

Question 10

List of current treatments:

Answer 10

Modalities employed if no remission

1. behavioral : flooding, positive reward
2. Cognitive therapy
3. psychodynamic psychotherapy
4. Psychoeducation
5. Stress management
6. Hypnosis
7. psychopharamcology

Also consider a co-morbidity