Diagnoses - Dissociative disorders

Question 1

Focused attention, altered consciousness usually seen in pts w dissociative D/O (2x)

Answer 1

TRANCE

Question 2

This symptom is essential to support a diagnosis of dissociative identity disorder (2x)

Answer 2

EXTENSIVE INABILITY TO RECALL PERSONAL INFORMATION

Question 3

A feeling of being outside oneself or detached (x2)

Answer 3

DEPERSONALIZATION

Question 4

Which OTC (over the counter) drug causes a dissociative feeling

Answer 4

DEXTROMETHORPHAN (hóstalyf)

Question 5

Childhood environmental factor in dissociative ID d//o?

Answer 5

PHYSICAL ABUSE

Question 6

Psychiatrist asks, “Do you find things in your possession that you cannot explain?” Trying to elicit:

Answer 6

DISSOCIATION

Question 7

Detachment of emotional component from perception

Answer 7

DEREALIZATION

Question 8

44 y/o pt reports hx of repeated episodes of self-mutilation and sudden changes in relationships. After several months of psychotherapy, the pt speaks in unusual accent, is irritable, and has little awareness of in-session discussions. Psych MD has past records that state pt has been Dx with borderline personality disorder and has a sexual trauma history. Dx?

Answer 8

DISSOCIATIVE IDENTITY D/O

Question 9

Pts with dissociative identity disorder are also most likely to meet the diagnostic criteria for which of the following disorders?

Answer 9

PTSD

Question 10

20 y/o in MVA, no injuries – speaks softly, feels calm, dim vision, mechanical movements, feels detached:

Answer 10

DEPERSONALIZATION

Question 11

Psychiatrist and patient move from the day room to an interview room where they have met on several occasion. The patient states, “the room looks weird and different today; it doesn’t feel right.” This statement is an example of:

Answer 11

DEREALIZATION

Question 12

Depersonalization is classified as disturbance of which of the following?

Answer 12

PERCEPTION

Question 13

Newly married 22-year-old pt is strongly encouraged by husband to seek eval due to abrupt changes in pt’s attitudes and behaviors. Pt denies awareness of this, but does acknowledge “missing time” that made her feel like her life is “scattered on the floor of a film editor’s studio after pieces were cut and the ends spliced back together.” Old gf of husband has threatened to file charges 2/2 hostile telephone messages that have been traced to pt’s phone. Pt denies memory of making calls. What is the d/o?

Answer 13

DISSOCIATIVE IDENTITY D/O