Dissociative Disorders Flashcards
The patient cannot remember important information that is usually a personal nature. It is usually stress-related (far beyond common forgetfulness)
Dissociative amnesia
Localized Selective Generalized Continuous Systematized
A patient appears to have at least two clearly individual personalities, each with unique attributes of mood, perception, recall, and control of thought and behavior. The result: a person with memory gaps for personal information that common forgetfulness cannot begin to explain
Dissociative identity disorder
There are episodes of detachment, as if the patient is observing the patient’s own behavior from outside. In this situation, there is no actual memory loss
Depersonalization/derealization disorder
Patients who have symptoms suggestive of any of the dissociative disorders, but who do not meet criteria for any one of them, may be placed in one of these two categories
Other specified, or unspecified, dissociative disorder
Some patients panic may experience depersonalization or derealization as part of this disorder.
Panic attack
A month or more following a severe trauma, the patient may not remember important aspects of personal history with this disorder
PTSD
Immediately following a severe trauma, patients may not remember important aspects of personal history with this disorder
Acute stress disorder
Patients who have a history of somatic symptoms that cannot be explained on the basis of known disease mechanisms can also forget important aspects of personal history with this disorder
Somatic symptoms disorder
Sleepwalking resembles the dissociative disorders, in that there is amnesia for purposeful behavior. But it is classified elsewhere in order to keep all the sleep disorders together
Non-rapid eye movement sleep arousal disorder, sleepwalking type
When severely stressed, these people will sometimes experience episodes of dissociation, such as depersonalization
Borderline personality disorder
Some patients consciously feign symptoms of memory loss. their object is material gain, such as avoiding punishment or obtaining money or drugs
Malingering
Dissociative Amnesia specifiers (5)
- Localized. No recall for events that occurred within a particular time frame.
- Selective. Certain portions of a time period have been forgotten.
- Generalized. Entire lifetime forgotten
- Continuous. Forgets all events from a given time forward to present.
- Systematized. Forgot certain classes of info
The amnestic person suddenly journeys from home. Often following a severe stress. Individual may experience disorientation and a sense of perplexity. Some will assume a new identity. Most often brief.
Dissociative Fugue