Dissociative Disorders Flashcards
Dissociative disorders are
Characterized by disrtuption of consciousness, memory, ID, emotion, pereption, body representation, motor control, behavior
Diagnostic critera for dissociative
Cause significant distress/impairment
Not normal part of broadly accepted cultural or religious practice
Symptoms are intrusive and uncontrolable
Associated with loss of continuity of expereicne
Depersonalization/derealization disorder including course
Feelings of detachment from one’s body of mind (depersonalization) and/or perception of one’s surroundings as a dream (derealization)
Reality testing still intact
Onset before 40
May have preoccupation with symptoms
Dissociative amneisa
Inability to remember persoanl autobiographical information, usually related to a traumatic event
Too extensive to be explained by forgetfullness
Localized
Selective/systematized
Generalized
Course
Discrete period (car accident)
Loss of aspects of events (abuse)
Memory to ones whole lifetime
Abrupt, duration variable…resoluaiton clear cut and distressful
DIssociative fugue
Sudden and unexpected purposeful travel associated with inability to recall one’s past and confusion
Complete amnesia for previous life but unaware its forgetten
In fugue, tend to live quiet lives
DIssociative identity disorder
2 of more distinct personality traits with an inability to recall important persona linfo including daily events
“losing time” is most common symptoms
Involves a trauamtic preceipitant
Transition frm one personality to another is quick
Women more common
Considered most severe
Tx of dissociative
Hypnosis or drug-assisted interviews and psychotherapy
Dissociative disorders
Sudden onset after emotiona trauma or conflict
Amneisa complete and well-delineated with abrupt remission
Cognitive and intellecutal abilities generally preserved
Medical/neuriological confition
No clear indciation of emotional trauam
Amneisia is more patchty or gradual
Symptoms on occur in conext of substance/medicatioin use
