Dissociatives_EO

Question 1

What is abreaction?

Answer 1

It’s therapeutic technique that allows the patient to gain access to repressed material (usually traumatic), experiencing the emotions associated to the newly accessible memory

Question 2

What are signs of DID?

Answer 2

Amnesia between episodes
Each personality is not aware of the existence of the others, except to main one
Rapid swith <2 sec triggered by stressors

Question 3

What is the gold standard for Dx and severity of DID?

Answer 3

SCID-dissociative disorder revised

Question 4

What meds are indicated and not recommended in DID?

Answer 4

SSRIs as adjuct to psychotherpy to treat comorbid anxiety and depression
AP never indicated

Question 5

Hypnosis is used to treat?

Answer 5

chronic pain
Nicotine use disorder
Binge eating
Phobia
Anxiety
Conversion
IBS

Question 6

What indicates susceptibility to hypnosis?

Answer 6

Absorption, dissociation and suggestibility

2 scales : staford hypnotic susceptibility + hypnotic induction profile (spiegel)

Question 7

What has to be exluded in order to make the Dx of depersonalization and derealization?

Answer 7

Acute stress Do
PTSD
Panic do

Question 8

What is DDx of dissociative amnesia?

Answer 8

Korsakoff, amnesie globale transitoire, epilepsie, hypoglycemie, TBI, brain tumor, CVA, ECT, substance…

Question 9

What is the main difference between dissociative amnesia and global transitory amnesia?

Answer 9

In dissociative amnesia, the person still encodes so they can eventually retrieve the memories