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Behavioral Med > Dissociative Disorders & PTSD > Flashcards

Dissociative Disorders & PTSD Flashcards

1
Q

persistent or recurrent feelings of being detached from one’s body or mental processes

A

depersonalization disorder

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1
Q

feeling of being detached from one’s surroundings

A

derealization disorder

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2
Q

what is the mean age of onset of depersonalization/derealization disorder?

A

16 years

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3
Q

what is the most common cause of depersonalization/derealization disorder?

A

emotional abuse and neglect during childhood

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4
Q

what are the top 2 comorbid conditions that can cause depersonalization/derealization disorder?

A

unipolar depression
anxiety disorder

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5
Q

in depersonalization/derealization disorder, symptoms are usually _____ and ______ in intensity

A

episodic
change

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6
Q

in depersonalization/derealization disorder, symptoms are almost always what?

A

distressing/intolerable

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7
Q

what are 2 common symptoms of depersonalization/derealization disorder?

A

anxiety
depression

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8
Q

what is a treatment used for depersonalization/derealization disorder to block obsessive thinking?

A

cognitive techniques

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9
Q

what is a treatment for depersonalization/derealization disorder to distract from their condition?

A

behavioral techniques

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10
Q

what is a treatment for depersonalization/derealization disorder to connect to the world and feel more real in the moment?

A

grounding techniques

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11
Q

in which patients with depersonalization/derealization disorder become disabled by the chronic sense of estrangement?

A

those with anxiety and/or depression

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12
Q

inability to recall important personal information that would not typically be lost with ordinary forgetting

A

dissociative amnesia

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13
Q

what is dissociative anemia usually caused by? (2)

A

trauma
stress

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14
Q

what is important to remember about dissociative amnesia in regards to forgotten information?

A

it is inaccessible to consciousness, but can still influence behavior

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15
Q

inability to remember a specific period of time, specific event, or a circumscribed period of time (before age 12 for example)

A

localized amnesia

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16
Q

inability to remember some of the events during a circumscribed period of time (combat experience or a sexual assault)

A

selective amnesia

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17
Q

inability to remember certain categories of memory, like ones home-life during 3rd grade but remember being at school, or unable to remember a particular person

A

systematized amnesia

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18
Q

inability to remember successive events as they occur

A

continuous amnesia

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19
Q

failure to recall the whole life of the person

A

generalized (global) amnesia

20
Q

what 4 symptoms are common in dissociative anemia?

A

depression
neurological
suicide
self-destructive behaviors

21
Q

how do many patients with dissociative anemia appear afterwards?

A

confused

22
Q

what do some patients with dissociative anemia report?

A

flashbacks

23
Q

dissociative amnesia that is accompanied by sudden, unexpected/purposeful travel away from home OR bewildered wandering

A

dissociative fugue

24
Q

what is the adequate treatment of dissociative anemia?

A

supportive treatment

25
Q

what 3 treatments should be done once the amnesia is lifted?

A

give meaning to trauma/conflict
resolve problems with amnestic episode
enable patient to move forward

26
Q

what is the treatment for dissociative fugue?

A

psychotherapy + hypnosis to restore memory

27
Q

what happens to the capacity for dissociation as patients age?

A

decrease

28
Q

what is the prognosis of dissociative amnesia determined by? (2)

A

patient’s life circumstances
patient’s psychological adjustment

29
Q

development and persistence of intrusive and avoidance symptoms, negative changes in thought or mood, and arousal/reactivity for at least 1 month following a traumatic event

A

PTSD

30
Q

what kind of patients with PTSD experience difficulty with affect regulation, dissociation, self-destructive behavior, and suicidal behavior?

A

patients who experienced childhood trauma

31
Q

meet all the diagnostic criteria for PTSD and experience persistent or recurrent dissociative symptoms (depersonalization and derealization)

A

dissociative subtype

32
Q

what is the standard of care for PTSD?

A

cognitive behavioral therapy

33
Q

what medication can be used for PTSD to help with depression, panic attacks, startle response, or sleep disruption?

A

SSRI

34
Q

what medication can be used for PTSD to help with sleep disruption?

A

trazodone

35
Q

what medication can be used for PTSD to help with nightmares?

A

prazosin

36
Q

what medication can be used for PTSD to help with anxiety?

A

benzodiazepines

37
Q

in 50% of PTSD cases, when do symptoms spontaneously remit/end?

A

after 3 months

38
Q

characterized by at least 2 personality states and the inability to recall everyday events, important personal information, and/or traumatic/stressful events

A

dissociative identity disorder

39
Q

what age does dissociative identity disorder typically occur?

A

any age

40
Q

dissociative identity disorder in which outside agents take control of the person and the different identities are very overt

A

possession form

41
Q

dissociative identity disorder in which there is a sudden alteration in their sense of self or identity, has recurrent dissociative amnesia, and tends to be less overt

A

non-possession form

42
Q

in which type of patients does dissociative identity disorder occur in?

A

those who experienced overwhelming stress or trauma during childhood

43
Q

the sense that one part of one’s self is markedly different from another part of one’s self

A

self-alteration

44
Q

a narrowing of awareness of one’s immediate surroundings or stereotyped behaviors or movements that are experienced as being beyond one’s control

A

trance state

45
Q

what are 5 symptoms of dissociative identity disorder?

A

amnesia
depersonalization
derealization
self-alteration
trance state

46
Q

what form of dissociative identity disorder is apparent to family members and demands punishment for past actions?

A

possession form

47
Q

what form of dissociative identity disorder has different identities not apparent to observers?

A

non-possession form

Behavioral Med (9 decks)

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