Dissociative Disorders

Question 1

Dissociative Disorders are characterized by?

Answer 1

disruption of normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control and behavior

Question 2

What disorders are included in the diagnostic category of dissociative disorders?

Answer 2

dissociative identity d/o
dissociative amnesia
depersonalization/derealization d/o

Question 3

dissociative symptoms are experienced as?

Answer 3

1. intrusions in awareness and behavior w/loss of subjective experience
   or
2. inability to access info or control mental functions

Question 4

Dissociative symptoms are usually due to _______?

Answer 4

trauma

Question 5

DID was previously called?

Answer 5

multiple personality disorder

Question 6

what is dissociate identity d/o?

Answer 6

A. Disruption of identity with 2 (or more) personality states including:

i) Discontinuity in sense of self & sense of agency
ii) Alterations in affect, behavior, consciousness, memory, perception, cognition and/or sensory motor functioning

B. Gaps in recall of everyday events, personal info and/or traumatic events

C. Not due to cultural or in children by fantasy/imaginary play

Question 7

What is dissociative amnesia?

Answer 7

A. Inability to recall important autobiographical info (usually of traumatic or stressful nature) inconsistent w/ordinary forgetting (most often of selective amnesia for specific event)

Specify if:
o Dissociative fugue: purposeful travel associated w/amnesia for identity or other important autobiographical info

Question 8

Depersonalization / Derealization d/o?

Answer 8

A. Presence of recurrent experiences of depersonalization, derealization or both

i) Depersonalization: experiences of unreality/detachment with one’s thoughts, feelings, sensations, body or actions (distorted sense of time, unreal self)
ii) Derealization: experiences of unreality/detachment with surroundings (ppl or objects are unreal, dreamlike or distorted)

B. During depersonalization/derealization experiences, reality testing remains in tact

Question 9

What is Depersonalization?

Answer 9

experiences of unreality/detachment with one’s thoughts, feelings, sensations, body or actions (distorted sense of time, unreal self)

Question 10

What is Derealization?

Answer 10

experiences of unreality/detachment with surroundings (ppl or objects are unreal, dreamlike or distorted)

Question 11

What is typical age of onset for

Depersonalization / Derealization d/o?

Answer 11

16 years

Question 12

Which of these is not a factor of the effectiveness of CBT for dissociatve disorders?

a. pinpoint where trauma began
b. reintroduce healthy thinking
c. proven to help other disorders
d. puts people into a trance state that helps them recall past events

Answer 12

d. puts people into a trance state that helps them recall past events

Question 13

What are the most effective treatments for dissociative disorders?

Answer 13

CBT

Recovered Memory therapy

Question 14

What is the least effective treatment for dissociative disorders?

Answer 14

Hypnosis

Question 15

What are medications not commonly used in treating dissociate disorders?

Answer 15

the feeling of an outside source manipulating their lives or environment points to further trauma

Question 16

What is recovered memory therapy?

Answer 16

a form of therapy that helps people integrate their recalled memories into their autobiographical narrative

Question 17

What are the goals for treatment of dissociative disorders?

Answer 17

1. recover suppressed memories
2. cope with trauma
3. reformulate thought patterns that induce dissociation