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    Dissociative Disorders

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    Hassan
    This document defines and describes the main types of dissociative disorders, including dissociative amnesia, dissociative fugue, trance and possession disorders, dissociative identity disorder, depersonalization/derealization disorder, and dissociative disorders not otherwise specified. It provides details on the symptoms and management approaches for each disorder type. Dissociative disorders are characterized by disruptions in consciousness, memory, identity and perception of the environment. Prevalence rates provided indicate that dissociative amnesia affects 6% of people, depersonalization affects 19%, and dissociative identity disorder is more common in females.

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    Dissociative Disorders

    Uploaded by

    Hassan
    150 views17 pages
    This document defines and describes the main types of dissociative disorders, including dissociative amnesia, dissociative fugue, trance and possession disorders, dissociative identity disorder, depersonalization/derealization disorder, and dissociative disorders not otherwise specified. It provides details on the symptoms and management approaches for each disorder type. Dissociative disorders are characterized by disruptions in consciousness, memory, identity and perception of the environment. Prevalence rates provided indicate that dissociative amnesia affects 6% of people, depersonalization affects 19%, and dissociative identity disorder is more common in females.

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    This document defines and describes the main types of dissociative disorders, including dissociative amnesia, dissociative fugue, trance and possession disorders, dissociative identity disorder, depersonalization/derealization disorder, and dissociative disorders not otherwise specified. It provides details on the symptoms and management approaches for each disorder type. Dissociative disorders are characterized by disruptions in consciousness, memory, identity and perception of the environment. Prevalence rates provided indicate that dissociative amnesia affects 6% of people, depersonalization affects 19%, and dissociative identity disorder is more common in females.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    150 views17 pages

    Dissociative Disorders

    Uploaded by

    Hassan
    This document defines and describes the main types of dissociative disorders, including dissociative amnesia, dissociative fugue, trance and possession disorders, dissociative identity disorder, depersonalization/derealization disorder, and dissociative disorders not otherwise specified. It provides details on the symptoms and management approaches for each disorder type. Dissociative disorders are characterized by disruptions in consciousness, memory, identity and perception of the environment. Prevalence rates provided indicate that dissociative amnesia affects 6% of people, depersonalization affects 19%, and dissociative identity disorder is more common in females.

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    © All Rights Reserved
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    Download as pptx, pdf, or txt
    of 17

    Dissociative Disorders

    Dr: Yasir Abdalla


    MBBS. MD Psychiatry

    Definition
    The essential feature of dissociative
    disorders is a disruption in the
    usually integrated functions of:
    consciousness, memory, identity and
    perception of the environment.

    Dissociative Disorders
    1.
    2.
    3.
    4.
    5.

    Dissociative amnesia.
    Dissociative fugue.
    Trance and possession disorders.
    Dissociative Identity Disorder.
    Depersonalization / Derealization
    disorder.
    6. Dissociative disorders NOS.

    Dissociative Amnesia- 1
    Characterized by marked difficulties
    with recall of important information,
    usually due to traumatic or stressful
    memory, that can not be explained
    by normal forgetfulness.

    Dissociative Amnesia- 1
    Management
    1. Supportive psychotherapy in the
    initial stages.
    2. CBT when the patient recovers from
    amnesia.
    3. Diazepam was used for abreaction:
    recalling traumatic memory in semi
    conscious state.

    2- Dissociative Fugue
    The individual undertakes
    unexpected yet organized journey
    away from home or from ordinary
    places.
    Self care is maintained.
    There is amnesia (partial/complete).
    It also include confusion about
    identity and assumption of new
    personality.
    Now it is included in D. amnesia as

    3- Trance and Possession


    Disorders
    1. Trance
    . Loss of the usual sense of self
    identity.
    . Narrowing of awareness of
    immediate surrounding and
    selective focusing on environmental
    stimuli.
    . Limitation of movement, posture
    and speech.

    4- Trance and Possession


    Disorders
    2- Possession
    The individual is convinced that
    he/she has been taken over by a
    spirit, power, deity,..

    4- Dissociative Identity
    Disorder
    Presence of two or more distinct
    personality states. The disruption in
    identity causes:
    1. Discontinuation in sense of self.
    2. Discontinuation in sense of agency.
    3. Changes in affect, behavior,
    consciousness, memory, perception,
    cognition and sensory motor
    functioning.
    4. Gaps in memory.

    4- Dissociative Identity
    Disorder
    Management
    1. Supportive psychotherapy in initial
    stage.
    2. CBT when patient is stable.
    3. Antidepressants reduce depressive
    symptoms and stabilize the mood.

    -5
    Depersonalization/Derealiza
    tion

    Persistent or recurrent experiences


    of feeling detached from/ outside
    observer of ones own mental
    processes or body (like in a dream).
    Reality testing is intact.
    In Derealization the same feelings
    occur toward ones surrounding.
    Causes clinical significant distress &
    impairment.

    -5
    Depersonalization/Derealiza
    tion

    Management
    1. SSRI may be helpful in frequent
    depersonalization disorder and co
    morbid depressive symptoms.

    Dissociative Disorders NOS


    This category includes disorders in
    which the predominant feature is a
    dissociative symptoms but does not
    meet the criteria of any specific
    dissociative disorder.
    Ex: Gansers syndrome, brain
    washing, cultural bound
    syndromes..

    prevalence
    Dissociative amnesia 6%.
    Depersonalization 19%. F:M = 4:1.
    Dissociative identity disorder F:M=
    5:1.

    THAN
    K
    YOU

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