dissociative disorders

Question 1

dissociative identity D DSM

Answer 1

2 or more distinct identities. at least 2 ID recurrently take ctrl of behavior. can’t recall personal info of one personality when other is dom. not due to substance or med condition

Question 2

dissociative ID epi, course, prog tx

Answer 2

sx may be like borderline. 90% women. most have previous trauma. avg age 30. comorbid- MDD, AD, borderline, substance abuse. 1/3 attempt suicide.
chronic with incomplete recovery. worst prog of dissociative D. earlier onset = worse prog. tx: hypnosis, drug assisted interviewing, insight oriented psychotherapy, pharamothperapy if comorbid D dev.

Question 3

depersonalization D dsm

Answer 3

persistent or recurrent experiences of being detached from one’s body or mental processes. reality testing remains intact during episode. causes social/occupational impairment, can’t be accounted for by another mental or physical D.

Question 4

depersonalization D epi, tx,

Answer 4

aware of sx and often fear they are going crazy so often have anxiety or panic. F>M. 15-30yo. more anxiety and MDD. stress predisposes. often chronic but may remit wo tx. use anti anxiety agents or SSRT to tx sx.