Dissociative Disorders Flashcards
Dissociation
refers to disruption in the integrated sense of self
Dissociation may include
amnesia
de-personalization
de-realization
Amnesia
lapses in autobiographical memory
De-personalization
feelings of detachment from oneself
De-realization
feelings of detachment from ones surroundings
Dissociation often develops when?
in the context or aftermath of significant trauma
Dissociation may INITIALLY serve as what?
buffering or protective mechanism
Dissociative amnesia
imability to remember important personal information or history, often relateds to trauma
what type of memory is preserved in dissociative amnesia?
procedural memory (long term memory for action and skills like driving, tying shoes, cooking)
what is Fugue state?
sudden, exexpected travel or wandering away from home
Dissociative amnesia may present with a what?
fugue state
recalling and addressing trauma in a patient with dissociative amnesia can lead to
crisis or suicidal behavior
Tx for dissociative amnesia
psychotherapy (to process mems)
address trauma
Depersonalization/ De-realization disorder
repeated episodes of detachment from oneself and one’s surroundings
Patients with Depersonalization/ De-realization disorder often report feeling
as though they are observing themselves from a distance (dream or movies); out of body experience
when may sx of Depersonalization/ De-realization disorder be seen?
during periods of acute anxiety or distress
Tx of Depersonalization/ De-realization disorder
Psychodynamic
CBT
hypnotic therapy
MEDS NOT USEFUL
Dissociative Identity Disorder (DID)
used to be multiple personality disorder
fragmented sense of self
may encompass features of other dissociative disorders
DID is manifested as
more than one distinct personality state, each dominating at different times
patients with DID likely experience what?
sexual or childhood abuse
DID prognosis
poor
high rates of self-mutilation
suicidal behavior
DID tx
psychotherapy
