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Disassociate d/o
Disassociative d/o
Question | Answer |
---|---|
Dissaociative d/o | significant adverse experiences- interruption of consciousness Unconscious defense mechanism-Protects individual against overwhelming anxiety through emotional separation |
Dissaociative d/o | Disturbances in integration of consciousness, memory, identify, and perception, Dissociation is unconscious d/t anxiety |
Prevalence | Unknown: estimated from 5%-20% among psychiatric patients |
Comorbidity | PTSD, borderline personality disorder (BPD), childhood sexual abuse, attention deficit disorder |
Depersonalization/derealisation disorder— | This disorder is characterized by feeling that the person is detached from the body- observing themselves at a distance. |
Dissociative amnesia | –inability to recall important personal information, usually of a traumatic or stressful event. Cannot be explained by normal forgetfulness. |
Dissociative identity disorder– | the presence of 2 or more distinct personality states that recurrently take control of behavior. |
Subtype : dissociative fugue- | sudden unexpected travel away from customary locale and inability to recall one’s identity and information about some or all of the past. Usually precipitated by a traumatic event. |
Genetics Dissociative identify disorder | more common in first-degree relatives of individuals with this disorder. |
Cultural considerations- | high level of activity, a trancelike state, and running or fleeing, followed by exhaustion, sleep, and amnesia regarding the episode. If they occur in in corresponding geographical areas –need to be differentiated from dissociative disorders. |
Psychological factors- | disassociation is a primitive ego defense mechanism. Normal and emotional parts of personality not fully integrated. |
Note signs of dissociative disorder | Changes in behavior, voice, and dress referring to self by another name or in third person Partial memory or memory gaps, Disorientation to time, place, person, Presence of blackouts |
tools used | Dissociative Experience Scale (DES), Somatoform Questionnaire (SDQ), & the Dissociative Disorders Interview Schedule (DDIS). Tools are an important part of assessment because the psychiatric interview can often miss dissociative symptoms. |