Today will be our review quiz for the dissociative disorders theme. Take a few minutes and check your learning.
1) Which of the following criteria is required for the diagnosis of dissociative identity disorder?
a) Dissociative flashbacks
b) Hallucinations or illusions
c) Recurrent memory lapses
d) Experiences of possession
2) The basic feature of dissociative fugue is that the individual?
a) Suddenly and unexpectedly develops anterograde amnesia
b) Suddenly and unexpectedly develops retrograde amnesia
c) Suddenly and unexpectedly develops an alternative personality
d) Suddenly and unexpectedly travels away from home or from their customary place of daily activities
3) Which of the following forms of psychotherapy are commonly used for dissociative disorders?
a) Psychodynamic psychotherapy
c) Cognitive behavioral therapy
d) Eye Movement Desensitization and Reprocessing (EMDR)
e) All of the above
From day #111
Recurrent memory lapses
Dissociative Identity Disorder (DID)
Disruption of identity manifested as the existence of two or more personality states. Involves marked differences in affect, memory, and behaviors. These symptoms may be observed by others or self-reported.
Recurrent memory lapses regarding daily occurrences, autobiographical information, and/or traumatic events. Not consistent with ordinary forgetfulness.
Symptoms are not better explained by broadly accepted cultural/religious practice as well as imaginary friends / fantasy play in children.
Hallucinations or illusions are not a required feature of DID, however individuals with DID may report perceptions of voices. In some cases, voices are experienced as multiple, perplexing, independent thought streams over which the individual experiences no control.
Possession-form identities (choice A) in dissociative identity disorder are sometimes seen, but not a requirement for the diagnosis. They typically manifest as behaviors that appear as if a "spirit," supernatural being, or outside person has taken control, such that the individual begins speaking or acting in a distinctly different manner.
Dissociative flashback are experiences of feeling as if you are reliving traumatic events, with reduced awareness of one's current orientation. This is commonly seen in post-traumatic stress disorder, but can also be experienced in patients with DID, although is not a requirement for the diagnosis.
From day #111
Fugue = suddenly and unexpectedly travels away from home or from their customary place of daily activities.
Inability to recall important autobiographical information that is inconsistent with ordinary forgetfulness.
Forgotten memories are often traumatic or stressful in nature. Most often selective amnesia for a specific event(s) or generalized for identity and life history.
Amnesia not better explained by dissociative identity disorder, postraumatic or acute stress disorder, somatic symptom disorder, or major/mild neurocognitive disorder.
Specifier: With dissociative fugue. Some individuals may experience dissociative fugue symptoms which is sudden and unexpected travel or "bewildered wondering" away from home that is accompanied by amnesia for identity or other autobiographical information.
From day #115
All of the above
There are a number of different modalities of psychotherapy that demonstrate favorable outcomes for patients suffering from dissociative disorders. These include:
Cognitive Therapy (CBT or DBT)
Trauma-Focused Therapy such as Eye Movement Desensitization and Reprocessing (EMDR)
Pharmacologically facilitated interviews
See Treatment of Dissociative Disorders for full description
Nice work. If you want to see all of the weekly quizzes you can see them here. We are now finished with dissociative disorders. Next up we will jump to the next theme which is psychosomatic disorders.
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