Dissociative Disorders Flashcards

1
Q

Dissociation

A

refers to disruption in the integrated sense of self

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2
Q

Dissociation may include

A

amnesia
de-personalization
de-realization

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3
Q

Amnesia

A

lapses in autobiographical memory

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4
Q

De-personalization

A

feelings of detachment from oneself

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5
Q

De-realization

A

feelings of detachment from ones surroundings

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6
Q

Dissociation often develops when?

A

in the context or aftermath of significant trauma

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7
Q

Dissociation may INITIALLY serve as what?

A

buffering or protective mechanism

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8
Q

Dissociative amnesia

A

imability to remember important personal information or history, often relateds to trauma

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9
Q

what type of memory is preserved in dissociative amnesia?

A

procedural memory (long term memory for action and skills like driving, tying shoes, cooking)

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10
Q

what is Fugue state?

A

sudden, exexpected travel or wandering away from home

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11
Q

Dissociative amnesia may present with a what?

A

fugue state

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12
Q

recalling and addressing trauma in a patient with dissociative amnesia can lead to

A

crisis or suicidal behavior

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13
Q

Tx for dissociative amnesia

A

psychotherapy (to process mems)
address trauma

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14
Q

Depersonalization/ De-realization disorder

A

repeated episodes of detachment from oneself and one’s surroundings

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15
Q

Patients with Depersonalization/ De-realization disorder often report feeling

A

as though they are observing themselves from a distance (dream or movies); out of body experience

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16
Q

when may sx of Depersonalization/ De-realization disorder be seen?

A

during periods of acute anxiety or distress

17
Q

Tx of Depersonalization/ De-realization disorder

A

Psychodynamic
CBT
hypnotic therapy
MEDS NOT USEFUL

18
Q

Dissociative Identity Disorder (DID)

A

used to be multiple personality disorder

fragmented sense of self

may encompass features of other dissociative disorders

19
Q

DID is manifested as

A

more than one distinct personality state, each dominating at different times

20
Q

patients with DID likely experience what?

A

sexual or childhood abuse

21
Q

DID prognosis

A

poor
high rates of self-mutilation
suicidal behavior

22
Q

DID tx

A

psychotherapy