Dissociative Disorders

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  1. Dissociative Disorders?
    These disorders are characterized by a disruption in one or more of the following: consciousness, memory, identity, or perception.  The disruption is not the result of a medical condition or a substance.
  2. Dissociative Amnesia?
    • Is characterized by an inability to remember important information of a personal nature (typically associated with a traumatic or stressful event) on one or more occasions. 
    • Individuals with Dissociative Amnesia frequently have comorbid disorders of mood and anxiety disorders and PTSD.  These disorders should be treated with SSRIs, SNRIs, and atypical neuroleptics.
  3. Dissociative Fugue?
    • Involves travel away from home or work that is sudden and unexpected, that is accompanied with a loss of memory for the past and confusion about one's personal identity.
    • Medications should be prescribed to deal with presenting symptoms such as mania, psychosis, anxiety, depression.
    • Individuals with D. Fugue often recover spontaneously; medical observation may provide insight and safety during the episode.
    • Cognitive therapies in combination with medication provide the best overall treatment approach.
  4. Dissociative Identity Disorder
    • Is characterized by a minmum of two separate identities that alternately take control of the individual's behavior accompanied by extensive forgetting of personal information. 
    • Medications are not recommended for individuals with Dissociative Identity Disorder unless there is a concurrent Axis I disorder.
    • Psychotherapy is the treatment of choice for Dissociative Identity Disorder.
  5. Depersonalization Disorder?
    • Is characterized by episodes of depersonalization (i.e. sense of being detached from one's body or mental processes) that do not consistently occur in tandem with Schizophrenia, Panic disorder, Acute Stress disorder, or another specific dissociative disorder and that do not result from a medical condition or a substance. Reality testing is not impacted.
    • There is no medication to treat the disorder.  If the person suffers from anxiety or depression then medications may be beneficial.
    • Psychotherapy is not effective in treating the disorder.  The most viable treatment is to assist the individual in achieving comfort and stability.
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Dissociative Disorders
2013-03-01 03:58:31
Dissociative Disorders

Dissociative Disorders
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