Dissociative Disorders

Question 1

What disorder is being described?

• Usually with history of severe childhood trauma
• During the process of being traumatized the child will “go away” and not be conscious of the abuse
• The hypnotic state helps the child to endure the abuse and not remember it
• Later they find they are having lapses of memory, doing things they do not recall and being told by others that they are different or calling themselves by another name.

Answer 1

DISSOCIATIVE IDENTITY DISORDER

Question 2

What is the indication of EMDR therapy?

Answer 2

Trauma

Question 3

What is the existence of two or more distinct identities (or “personality states”). The distinct identities are accompanied by changes in behavior, memory and thinking. The signs and symptoms may be observed by others or reported by the individual?

Answer 3

Dissociative Identity Disorder

Question 4

The symptoms of dissociative identity disorder can cause significant distress or problems in , occupational or other areas of functioning

Answer 4

social

Question 5

What is the first order of business to tx dissosciative identity disorder?

Answer 5

keep the core in charge, strengthen the core

Question 6

• There are the presence of , other personalities, may have other names, genders, food preference, handedness, accent, or other features
• In many cases there is an personality, often self-destructive, leads to cutting, suicide attempts. Some cases seems to be a spiritual component

Answer 6

alters

evil

Question 7

What is the goal of treatment for DID?

Psychotherapy to deal with the and the fragmented memories

Answer 7

trauma

reintegrate

Question 8

As concerning DID, which medication can reduce switching of personalities, address depression, and nightmares?

Answer 8

beta blockers (propranolol)

Question 9

In cases of DID, voices are usually the personalities so do/do not respond to antipsychotics.

Answer 9

do not

Question 10

– experiences of unreality or detachment from one’s mind, self or body. People may feel as if they are outside their bodies and watching events happening to them.

Answer 10

Depersonalization

Question 11

– experiences of unreality or detachment from one’s surroundings. People may feel as if things and people in the world around them are not real.

Answer 11

Derealization

Question 12

Symptoms of depersonalization/derealization may begin in childhood; the average age a person experiences the disorder is . Less than 20 percent of people with depersonalization/derealization disorder first experience symptoms after age .

Answer 12

early

16

20

Question 13

Depersonalization/derealization can be as a result of anxiety, panic attacks, or a disorder on it’s .

Answer 13

own

Question 14

As concerning DP/DR:

• Episodes occur of either or both to a point that it is
• May be precipitated by anxiety or
• Is/ Is not however due to any other disorder, brain trauma etc.
• It is with trauma and anxiety

Answer 14

distressing

stress

is not

associated

Question 15

What pharmacological treatment has been effective?

Answer 15

Mixed Amphetamine Salts as effective

Question 16

For treatment of DP/DR:

• Lamictal, benzo’s, antipsychotics, have all been tried with some measure of success

Answer 16

naltrexone

Question 17

What involves not being able to recall information about oneself (not normal forgetting). This amnesia is usually related to a traumatic or stressful event and may be:

• localized – unable to remember an event or period of time (most common type)
• selective – unable to remember a specific aspect of an event or some events within a period of time
• generalized – complete loss of identity and life history (rare)

Answer 17

Dissociative amnesia

Question 18

What Dissociative amnesia is being described?

-unable to remember an event or period of time (most common type)

Answer 18

localized dissociative amnesia

Question 19

What Dissociative amnesia is being described?

– unable to remember a specific aspect of an event or some events within a period of time

Answer 19

selective dissociative amnesia

Question 20

What Dissociative amnesia is being described?

– complete loss of identity and life history (rare)

Answer 20

generalized dissociative amnesia

Question 21

• Dissociative amnesia is associated with having experiences of childhood

, and particularly with experiences of abuse and emotional neglect.

People may not be of their memory loss or may have only limited awareness. And people may minimize/maximize the importance of memory loss about a particular event or time.

Answer 21

trauma

emotional

aware

minimize

Question 22

One or more episodes of amnesia in which the inability to recall some or all of one’s past and either the loss of one’s identity or the formation of a new identity occur with sudden, unexpected, purposeful travel away from home.

Another form of dissociative amnesia

Answer 22

fugue state

Question 23

An inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by normal forgetfulness.

Answer 23

dissociative amnesia

Question 24

What are the 3 type of dissociative disorders?

Answer 24

Dissociative identity disorder

Depersonalization/deprealization

Dissociative amnesia