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dissociative disorde
psych nursing
| Question | Answer |
|---|---|
| types | 1. psychogenic amnesia (dissociative amnesia) 2. psychogenic fugue (dissociative fufue) 3. Depersonalization disorder 4. Multiple personality disorder/dissociative indentity disorder |
| what are the underlying cxs of dissociative disorders? | 1. anxiety 2. severe psychological trauma 3. overuse of defense mechanism of dissociatin |
| Are dissociative disorder pts aware of the condition? | no |
| people who have the ability to dissociate are in simple terms doing what? | creating diferent personalities or conditions to separate themselves from the source of emotional pain |
| what does psychogenic mean? | from a psychological or emotional rooth instead of an organic (biological) one |
| 4 types of dissociative disorders | 1. psychogenic amnesia 2. psychogenic fugue 3. depersonalization disorder 4. multiple personality disorder |
| pshycogenic amnesia | sudden inability to remember personal info r/t physical or emotionla trauma |
| usually seen in ____ | teens and young women |
| symptoms | wandering / confusion/ disorientation |
| what do these symptoms remind you of? | dementia. But this is temporary. |
| psychogenic fugue | more dramatic in symptoms: leave town, new identity for a while, no confusion or disorientation. SHORT LIVED |
| what triggers psychogenic fugue? | ETHO and severe stress |
| tx | therapy. great prognosis. Fast recovery and rare relapses |
| depersonalization disorder affect what population? | <40 |
| A&O x 3 or 4 but ... | reality has changed |
| what do pt describe? | floating / out of body / fear of going crazy |
| depersonalizayion disorder pts are at high risk for | suicide |
| does depersonalization disorder happen by itself? | no. it can happen w/ schizophrenia, personality disorders, and seizure disorders |
| multiple personality disorder | dissociative identity disorder |
| explain MPD | 2 or > personalities within the same body |
| possible characteristics of different personalities | opposites / there is a primary one / diff ages and sexes/ diff medical dx / diff eye colors |
| what is the goal in tx | takes years, but the goal is to put them all in one or as few as possible |
| meds for dissociative disorders | antianxiety |