Types of Dissociative Disorders
This Dissociative Disorder involves multiple distinct identities or personality states.
Dissociative Identity Disorder (DID)
This term describes the experience of feeling detached or unconnected to the self.
Depersonalization
What must be present in order to diagnose Dissociative Identity Disorder (DID)?
The presence of two or more distinct identities or personality states
Pattern of starting fires for pleasure or gratification
Pyromania
When you are conducting this assessment you will look at the general appearance, behaviors, attitude, mood, affect and judgement as some of the criteria
Mental Status Assessment
What term describes a Dissociative Disorder involving recurrent episodes of depersonalization, derealization, or both?
Depersonalization-Derealization Disorder
What term refers to the feeling of being detached from one's own body or having an out-of-body experience? Feeling foggy or dreamlike
Derealization
What is the term used to describe the experience of significant memory loss that cannot be explained by ordinary forgetfulness?
Dissociative Amnesia
Maladaptive betting, wagering or gambling
Pathologic Gambling
Crisis interventions are very successful if begun early in this stage
Trigger stage
Sudden, unexpected travel or relocation, often with amnesia for personal identity and other details, is characteristic of this Dissociative Disorder.
Dissociative Fugue
The patient with this disorder has had sudden travel with inability to recall the past and may assume a new life.
Dissociative Fugue
This coping mechanism involves mentally separating oneself from painful or traumatic experiences to reduce emotional distress.
Disassociation
People with this disorder have no empathy for others and lack appropriate guilt feelings
Conduct Disorder
Client experiences guilt; attempts to reconcile with others in this stage
Depressive Stage
A state resembling sleep in which consciousness remains but voluntary movement is lost. When the symptoms cause significant distress or impairment, this is the disorder
Dissociative Trance Disorder
interventions from this level focus on protecting the client and others from potential harm
Level 2
In addition to therapy, medication interventions may be used to address Dissociative Disorders?
Antidepressants or anti-anxiety medications
People with this disorder argues with authority figures, refuses to obey rules and deliberately annoy others
Oppositional Defiant Disorder
Yelling, swearing, pacing, pounding fists are examples of behavior in this stage
Escalation stage
Disorder where emotional or behavioral problems that develop in response to an identifiable source-lasting no longer than 6 months
Adjustment d/o
Pyromania, kleptomania, and antisocial personality disorders are also considered _____ disorders.
Impulse Control
Major goal of this is to integrate the personalities into one functional personality
Therapy
The essential feature of this type of disorder is the inability to control an impulse to perform acts that are harmful to self or others.
Impulse Control Disorders
At this stage clients are unable to listen to reason, follow directions, or engage in mental exercises
Crisis Stage