Term
| Define "dissociative disorder" |
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Definition
-defined by loss of memory, identity or sense of self not due to a medical condition or substance use
-onset is often related to a stressful life event or personal problem |
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Term
| A 28 y.o. woman is unable to recall any events of her rape in which she was hospitalized for 2 months |
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Definition
| Dissociative amnesia
Criteria:
-At least one episode of inability to recall important personal info, usually involving a stressful or traumatic event
-not explained by ordinary forgetful ness
-sxs cause impairment
-They are aware that they have amnesia
Tx: help retrieve their lost memories; may give lorazepam or amobarbital to help pts talk freely |
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Term
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Definition
| Strong reaction patients often get when retrieving traumatic memories |
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Term
| A 40y.o. sanitation worker moves from Miami to Baltimore. When approached by a woman who claims to be his former neighbor from Miami, he has no memory of living there or owning his restaurant which he owned for 10 years. |
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Definition
| Dissociative Fugue
Criteria:
-sudden unexpected travel away from home or work with inability to recall one's past
-confusion about personal identity or assumption of new identity
-not due to dissociative identity disorder or the physicological effects of a substance or medical d/o
-sxs cause impairment in social or occupational functioning
-pts unaware that they have forgotten anything (vs. dissociative amnesia)
-lasts from hours to days or longer
-Tx: help patients retrieve memories, use lorazepam to help pts talk more freely |
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Term
| A 33 y.o. nun is astounded when a man claims that he saw her at a local strip club the night before. She denies his accusations and has no memory of the event. |
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Definition
| Dissociative identity disorder
Criteria:
-presence of 2 or more distinct identities
-2 identities recurrently take control of the person's behavior
-INability to recall personal info of one personality when the other is dominant
-NOt due to the effects of substance abuse or medical condition
-Prognosis: course is usually chronic with incomplete recovery; worst of all dissociative d/os
-tx: hypnosis, drug-assisted interviewing, insight-oriented psychotherapy |
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Term
| 30 year-old male says he has an "out of body experience" and felt as though "he was watching his own life like a movie" |
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Definition
| Depersonalization disorder
Characterized by persistent or recurrent feelings of detachment from one's self, environment, or social situations.
-Criteria:
recurrent experiences of being detached from one's body or mental process; reality remains intact during episode; impairment in some part of life
Tx: antianxiety agents or SSRIs to tx ass'd symptoms of anxiety or major depression |
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Term
| Who is the sterotypical DID patient? |
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Definition
90% are women
Most patients are victims of prior trauma, especially childhood sexual or physical abuse
-Avg. age of diagnosis is 30
-high incidence of comorbid psych d/os: MDD, anxiety, borderline PD, substance abuse |
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