Dissociative D/o

Question 1

Dissociative d/o are marked by a disturbance/alteration in the normally well integrated functions of
1.
2.
3.

Answer 1

identity
memory
consciousness

Question 2

The three dissociative disorders are:

Answer 2

dissociative identity d/o
dissociative amnesia
depersonalization/derealization d/o

Question 3

Dissociative amnesia is characterized by the inability to recall important _______ information. Information lost is too extensive to be considered normal.

Answer 3

autobiographical

Question 4

Dissociative amnesia can last ___ to ___

Answer 4

days to weeks

Question 5

A subtype of dissociate amnesia is called dissociative ___ and occurs when the individual cannot recall their past and assumes a new identity

Answer 5

fugue

Question 6

Dissociative amnesia usually involves sudden, unexpected ____ and often occurs in response to stress or ____

Answer 6

travel

trauma

Question 7

What is the treatment for dissociative amnesia?

Answer 7

No established tx

Recovery occurs generally when the overwhelming circumstance/event is resolved. Therapy is recommended especially when memory is returned to determine what caused the pt have this amnesia.

Question 8

Dissociative Identity disorder is described as ___ or more personality states marked discontinuity in sense of self and _______. There is significant disturbance of _____ and ______ functioning and behavior is not consistent with ______ or _______ practices.

Answer 8

2
memory gaps
social and occupational functioning
religion or cultural practices

Question 9

Dissociative identity d/o occurs in ___% of the population and ____ to ___% in a psychiatric setting

Answer 9

1.5%

10-15%

Question 10

Dissociative identity D/o occurs mostly in males or females? When is the onset? Before what age?

Answer 10

females, childhood, 9 y/o

Question 11

Dissociative identity d/o is strongly correlated with _____ and _____ abuse

Answer 11

physical and sexual

Question 12

Transitions between alters can be sudden or gradual and triggered by ______

Answer 12

stressful events

Question 13

Dissociate identity d/o are likely to have comorbid psychiatric d/o especially _____ d/o

Answer 13

personality– up to 70%!

Question 14

What is the mainstay treatment for dissociative identity d/o?

Answer 14

long term psychotherapy (Hypnosis, Cognitive behavior therapy)

Question 15

Depersonalization is:

Answer 15

strong sense that the pt is “cut off” from thoughts, emotions or identity

Question 16

Derealization is:

Answer 16

sense of detachment, unreality, altered relation to the outside world

Question 17

Depersonalization/Derealization Disorder (DDD) occurs in ___% and is equally common in men and women. It is more common in pts who have had _____ or ____ experiences

Answer 17

traumatic or life-threatening

Question 18

DDD can last hours, days or weeks with exacerbated periods of ____ and is more commonly (chronic or acute)

Answer 18

stress, chronic

Question 19

T/F

DDD pts reality testing remains intact

Answer 19

true

Question 20

No standard tx exists for DDD but _____ have been show to help for anxiety and ____, _____ and ____ have also been reported to be beneficial

Answer 20

antixiolytics

SSRI’s, hypnosis and CBT