Dissociative Disorders Exam 3 Psych Nursing

What is Dissociative Amnesia?

Inability to recall important personal information, usually after trauma or severe stress; memory loss is beyond normal forgetfulness

What are the classifications of Dissociative Amnesia?

Localized Amnesia: Loss of memory for a specific event/period

Selective Amnesia: Some details of a traumatic event can be recalled

Generalized Amnesia: Loss of personal identity and life history

Dissociative Fugue: Sudden travel with loss of identity and memory

What is the treatment for Dissociative Amnesia?

Psychotherapy (CBT, trauma-focused therapy), stress reduction, SSRIs, SNRIs

What are key nursing considerations for Dissociative Amnesia?

Ensure safety, assess trauma, rule out medical causes, encourage grounding, monitor for comorbidities

What is Depersonalization/Derealization Disorder?

Recurrent/persistent episodes of detachment from self (depersonalization) or surroundings (derealization), while knowing it isn't real

What are the symptoms of Depersonalization?

Feeling detached from one’s body or thoughts, numbness, disconnection

What are the symptoms of Derealization?

The world feels unreal, distorted perception of people/objects

What is the treatment for Depersonalization/Derealization?

CBT, mindfulness, SSRIs, SNRIs

What are nursing considerations for Depersonalization/Derealization Disorder?

Validate experiences, promote grounding techniques, provide supportive care, monitor for comorbidities

What is Dissociative Identity Disorder (DID)?

A disorder where two or more distinct identities (alters) control behavior at different times, often linked to severe trauma

What are signs and symptoms of DID?

Multiple distinct identities, memory gaps, depersonalization/derealization, personality shifts triggered by stress

What are the different types of alters in DID?

Host Personality: The main identity

Child Alters: Vulnerable, represent trauma

Protector Alters: Defensive, aggressive

Persecutor Alters: Self-harming, punishing

Opposite Gender Alters

What is the treatment for Dissociative Identity Disorder?

Long-term psychotherapy (CBT, EMDR, trauma-focused), hypnotherapy, mindfulness, SSRIs, SNRIs, mood stabilizers

What are key nursing considerations for DID?

Ensure patient safety, build trust, recognize dissociation triggers, document identity changes, avoid pressuring memory reca