Module 13: DID and Related Disorders Flashcards
Different DID and Related Disorders
- Depersonalization-Derealization Disorder
- Dissociative Amnesia
- Dissociative Identity Disorder
Depersonalization-Derealization Disorder
+ characterized by the presence of constellation of typical depersonalization/derealization symptoms and the absence of manifestations of illness anxiety disorder
+ must precede the onset of major depressive epi or clearly continues even after its resolution
+ there must be no true neurocognitive deficits
+ too much use of repression
Depersonalization
your perception alters so that you temporarily lose the sense of your own reality, as if you are in a dream watching yourself
Derealization
your sense of external world is lost; thing may seem to change shape or size, people may seem dead or mechanical
When should DID not be diagnosed?
when symptoms occur ONLY during panic attacks, it must not be diagnosed with D/DD
Dissociative Amnesia
inability to recall important autobiographical information, usually of traumatic or stressful nature, that is inconsistent with ordinary forgetting
Localized or Selective Amnesia vs. Generalized Amnesia
usually localized or selective amnesia for specific events, then generalized, if entire life history
Dissociative Fugue
Dissociative Amnesia
memory loss revolves around specific incident, an unexpected trip; individuals just take off and later find themselves in a new place, unable to remember why or how you got there
When may Dissociative Amnesia be diagnosed?
If a person experiencing PTSD cannot recall part or all of specific trauma event and that extends to beyond the immediate time of the trauma, comorbid diagnosis of DA may be warranted
Dissociative Identity Disorder
+ disruption of identity characterized by two or more distinct personality states
+ extreme subtype of PTSD
+ does not have a classic bipolar sleep disturbance
+ appear to encapsulate a variety of severe personality disorder features
+ too much use of dissociation
host personality
Dissociative Identity Disorder
the person who becomes the patient and asks for treatment; developed later
switch
transition from one personality to another
Hypnotic Trance
tend to be focused on one aspect of their world and they become vulnerable to suggestions by the hypnotist
What may be comorbid with DID?
present with comorbid depression, anxiety, substance abuse, self-injury, or another common symptom
What may be a risk factor for Dissociative Identity Disorder?
early life trauma represent as risk factor