Dissociative Disorders

Dr: Yasir Abdalla
MBBS. MD Psychiatry

. identity and perception of the environment.Definition • The essential feature of dissociative disorders is a disruption in the usually integrated functions of: consciousness. memory.

. Trance and possession disorders. Dissociative Identity Disorder. Dissociative fugue. 2.Dissociative Disorders 1. Dissociative amnesia. 3. 4. Dissociative disorders NOS. Depersonalization / Derealization disorder. 6. 5.

.Dissociative Amnesia. usually due to traumatic or stressful memory. that can not be explained by normal forgetfulness.1 • Characterized by marked difficulties with recall of important information.

3. Supportive psychotherapy in the initial stages.Dissociative Amnesia. 2.1 • Management 1. . Diazepam was used for abreaction: recalling traumatic memory in semi conscious state. CBT when the patient recovers from amnesia.

amnesia as .2. • Self care is maintained. • There is amnesia (partial/complete). • Now it is included in D. • It also include confusion about identity and assumption of new personality.Dissociative Fugue • The individual undertakes unexpected yet organized journey away from home or from ordinary places.

Trance and Possession Disorders 1. •. •. posture and speech. . Narrowing of awareness of immediate surrounding and selective focusing on environmental stimuli. Loss of the usual sense of self identity.3. Trance •. Limitation of movement.

deity.…. power.Trance and Possession Disorders 2.Possession • The individual is convinced that he/she has been taken over by a spirit. .4..

Discontinuation in sense of self. The disruption in identity causes: 1. behavior. memory. perception. Changes in affect. cognition and sensory motor functioning. Gaps in memory. 3.4. .Dissociative Identity Disorder • Presence of two or more distinct personality states. Discontinuation in sense of agency. 2. consciousness. 4.


Supportive psychotherapy in initial stage. 2. 3. Antidepressants reduce depressive symptoms and stabilize the mood. .Dissociative Identity Disorder • Management 1. CBT when patient is stable.4.

• Causes clinical significant distress & impairment. • Reality testing is intact. .-5 Depersonalization/Derealiza tion • Persistent or recurrent experiences of feeling detached from/ outside observer of ones own mental processes or body (like in a dream). • In Derealization the same feelings occur toward ones surrounding.


-5 Depersonalization/Derealiza tion • Management 1. SSRI may be helpful in frequent depersonalization disorder and co morbid depressive symptoms. .

brain washing.Dissociative Disorders NOS • This category includes disorders in which the predominant feature is a dissociative symptoms but does not meet the criteria of any specific dissociative disorder. cultural bound syndromes…. • Ex: Gansers syndrome.. .

F:M = 4:1.prevalence • Dissociative amnesia 6%. • Depersonalization 19%. . • Dissociative identity disorder F:M= 5:1.