Dissociative Disorders

Question 1

A complex psychobiological process that exists along a continuum from such normal experiences as day dreaming and transient lapses in attention to a pathological failure to integrate thoughts, feelings, and memories into consciousness

Answer 1

Dissociation

Question 2

A disruption or discontinuity in integration of consciousness, memory, identity, emotion, perception, and behavior

Answer 2

Dissociation

Question 3

Unbidden intrusions into awareness and behavior with accompanying losses of continuity in subjective experiences

Answer 3

Dissociation

Question 4

Inability to access information or control normal behavior or mental functions

Answer 4

Dissociation

Question 5

Caused by dysregulation of NMDA, 5 HT, and endogenous opioids

Answer 5

Dissociation

Question 6

With dissociation, HPA baseline shows increased tone and blunted reactivity to

Answer 6

Stress

Question 7

We see decreased hippocampal and amygdala volumes in

Answer 7

Dissociation

Question 8

With dissociation, there is also PFC, paralimbic, subcortical, and parietal involvement in

Answer 8

Memory Suppression

Question 9

Inability to recall important autobiographical information, usually of a traumatic nature, that is not usual forgetting

Answer 9

Dissociative Amnesia

Question 10

The apparently purposeful travel or bewildered wandering that is associated with amnesia for identity or other autobiographical info (memory changes may be more permanent)

Answer 10

Dissociative Fugue

Question 11

Failure to recall events during a circumscribed time

Answer 11

Localized dissociative amnesia

Question 12

Recalls some but not all of the events of a circumscribed time

Answer 12

Selective Dissociate Amnesia

Question 13

A complete loss of memory for one’s personal identity and can occur as semantic loss or procedural loss

Answer 13

Generalized Dissociative Amnesia

Question 14

Loss of memory for one category of knowledge

Answer 14

Systemized dissociative amnesia

Question 15

Loss of memories as each new event occurs

Answer 15

Continuous Dissociative Amnesia

Question 16

Dissociative amnesia is usually related to

Answer 16

Trauma

Question 17

Generalized amnesia. Usually sudden in onset, but can occur less dramatically

Answer 17

Dissociative amnesia

Question 18

Most times there is a clear onset and end of

Answer 18

Dissociative amnesia

Question 19

Lasting or recurring feeling of being detached from one’s body or an observer of one’s thoughts and feelings or sensations

Answer 19

Depersonalization

Question 20

Experiences of unreality or detachment with respect to the surrounding

Answer 20

Derealization

Question 21

Characterized by high levels of distress/feel like you’re going crazy

-Sudden onset

Answer 21

Depersonalization/Derealization Disorder

Question 22

Mean age of onset is 16, and only 5% of onset is after 25

-Can be sudden or gradual

Answer 22

Depersonalization/Derealization Disorder

Question 23

Disruption of identity characterized by two or more distinct personality states, sometimes described as possession

Answer 23

Dissociative Identity Disorder

Question 24

There is marked discontinuity in sense of self with alterations in affect, behavior, consciousness, memory, perception, cognition, and motor functioning

Answer 24

Dissociative Identity Disorder

Question 25

Has recurrent gaps in memory or recall that are not just ordinary forgetting

Answer 25

Dissociative Identity Disorder

Question 26

If not directly observed, marked by sudden alteration in sense of self (not “my own”, voices, preferences, changes in gender) and agency and recurrent dissociative amnesia

Answer 26

Dissociative Identity Disorder

Question 27

Self mutilation and suicidal behavior is common with?

-Comorbid with flashbacks

Answer 27

Dissociative Identity Disorder

Question 28

Dissociative identity disorder is chronic and the most severe. It often involves physical/sexual abuse. Patients are usually

Answer 28

Young Women

Question 29

Women with Dissociative Identity Disorder (DID) present with Classic dissociative symptoms, while men tend to present with more

Answer 29

Criminal or violent behavior

Question 30

95% of DID patients have experienced childhood

Answer 30

Trauma