Term
| dissociative idsorder symptom occurence |
|
Definition
| occur in the context of trauma as our bodys attempt to maitnain some emotiona lequilibrium |
|
|
Term
|
Definition
lack of integration of : memory-amnesia. Identitiy and sonciouscness- fugue and dissociative idenediity disorder (multipel personality)
perception- depersonaliation |
|
|
Term
| neurobiology of dissociation |
|
Definition
| NMDA, tryptophan adn endogenous opioid dysregulation. Autonomic lbunting. Hypothalamtmic pituatry axis- increased tone and blutned reactivity to stress. distruptiosn in sensory cotex. Decreased hippocampal and amygdala volumes in DID. Pfrontal cortex, aprlimic ,subcotrical nad parietal ivnolevment in memory supressions. Frontal inhbiiton of libmic sturctures (hypoemotionality). |
|
|
Term
| dossicaitive symtposm can occur in alto of different dissorders. can have disosciative symptosm without having the etnire disorder. |
|
Definition
|
|
Term
| dissociative syptsom commonly occur in |
|
Definition
| ptsd, psychosis, panic disorder, somatiation or pain disroders, substance abuse, ocd, bpd, medial problems |
|
|
Term
| medial codnitionsr elated to dissociation |
|
Definition
| partial compelx seizures temporal wlboe disease, migraine delirium alzheimers endocrine disorders |
|
|
Term
| most common comobribd psychiatric conditions (comorbidity emasn yo uavhe two disrorders) |
|
Definition
| major dperession, dyshtymia, substance bbuse/dependance, GAD (generalized anxiety disroders) eatign disorders, BPD, OCD ,and Avoidant PD. |
|
|
Term
|
Definition
| finding yoruself in place that you dotn how yo ugot there |
|
|
Term
| dissociative expeiences scaels |
|
Definition
| (28 item patients scale. 5-15 is noraml ,25 is suspicious DID or DDNOS, >30 Amnesia/fugue or depersonaliation >45 likely DID or DDNOS) |
|
|
Term
|
Definition
| related to trauma. State dependant learning. At the tiem of stress or trauma patient wil lhave difficulty makign emmory (related tos tate they are in terms of ability to make memory). Recurrent. Most ocmmon dissociative symptom. Comobribidy: borderlien peronsality ,affective disordrs, substance abuse and conversion |
|
|
Term
| dissociatie amnesia clinical featuers |
|
Definition
| usually sudden in osnet, patient aware of amnesia, they are semi distressed about not remembering. Secondary gain - look up def. Lcoalized (specific event). Generalied ( i dont who i am ), and selective (within localized event yo udotn remember osmethign) |
|
|
Term
| dissociatev amenisa diferential |
|
Definition
| delirium, and dementia. seizure isrodres, substnacei nduced, transient global amnesia (anterograde)-post stroke amensia. PTSD. somatoform disorders, malingering |
|
|
Term
| dissociative fuge criteria |
|
Definition
| dont know who they are and end up i na new place. Identity issues. It is rare but reccurent syndrome. STress induced, sudden onset. Brief in duration. very rare. |
|
|
Term
| dissociateive fuge differnetial |
|
Definition
| simliar to that of dissociative aensia |
|
|
Term
| depersonaliation disroder |
|
Definition
| lasting or recurring feleign of beign detached form oens body. (feel liek theres two of you standing there). (look at picture in slide). (aox03). Feel like an observer ot your own experience. |
|
|
Term
| derposonralization dirsoer clinfical features |
|
Definition
| high levels of distress, comon symptom , uncommon syndrome. Sudden onset. Deporsanlization (i am not perceivin gm y body correclty .) derelization is possible symptom (not perceiving my ENVIRONMENT APPROPRIATLEY). Also have doubling ,body distortion. |
|
|
Term
| derposonralization dirsoer clinfical features |
|
Definition
| high levels of distress, comon symptom , uncommon syndrome. Sudden onset. Deporsanlization (i am not perceivin gm y body correclty .) NOT derelization (not perceiving my ENVIRONMENT APPROPRIATLEY). Also have doubling ,body distortion. |
|
|
Term
| deporzanlaitaiond isorder diffeernetial |
|
Definition
Neurological : seizuredisroders, infeciton ,vascular , degnerative.
TOxic / metabolic: eondocrignei nfeciton substance induced
psychiatric disorders : schizophrenic,affective disorders , anxiety disorders, personality disroders (borderline personality disorder) , malignering, but sometiems normal |
|
|
Term
| dissociatigeve identity disorder |
|
Definition
| multiple personality disorder. CHronic nad most severe of htese disorders . Nto suddne liek someo f hte others. Always invovles trauma (physical/sexual abuse). Patients are usually young women. multifacotrial i ndevleopment- biology , culture, how traua is dealt with. average 5-10 personaliietes. frequent midsiagnosis. |
|
|
Term
| dissociatigeve identity disorder |
|
Definition
| multiple personality disorder. CHronic nad most severe of htese disorders . Nto suddne liek someo f hte others. Always invovles trauma (physical/sexual abuse). Patients are usually young women. multifacotrial i ndevleopment- biology , culture, how traua is dealt with. average 5-10 personaliietes. frequent midsiagnosis. |
|
|
Term
|
Definition
| dissociative amnesia, dissociative fuge. , psychotic disorders. rapid cycling bipolar disorder. Borerline personality. compelx parita lseizure nad malingering |
|
|
Term
| thers a core and periphearl ara in diagnosiign DID. Look at slide. FI miss the core which is moreuqnieu to this dirsoder a aooposed ot more ocmmon signs. may missi dosrder |
|
Definition
|
|
Term
| dissociative disroders not otehrwise specified |
|
Definition
| trance. recoveredme mories- not accesible via normal way of bringing up memories. MEmories highly dissociated and buried quite deep on purpose. Gansers syndrome- ask a patient a question with factual answer, come clsoe tot ansewr but dont givey ou exact answer. I.e. simple adidtion 2 plus 2 = 5. brainwashing. |
|
|
Term
| treatmetn for dissociative disorders |
|
Definition
| no controleld studied, most sympmos remit quickly. Modlities employed if no remission: behavioral (flooding, positive reward). cognitive therapy, pyschodynamic psychoteherpay0 what wehn on i the past detemriensh ow we deal with presenet life. Psychoeducation- how to deal with thigns when start to relive things or bieng in traumatic sitautions. Psychopharmacology -comorbidites. strees management and hypnosis. DID is the msot dificult and most chronic to treat. |
|
|
