10/10 - Suicide and Dissociative disorders

Suicide

Fatal self-inflicted destructive act w/ explicit or inferred intent to die

4 steps of Suicidal Continuum

1. Suicidal Ideation: Thinking about ending one’s life

2. Developing a plan

3. Suicide attempt: nonfatal suicidal behavior

4. Suicide: actual ending of one’s life

Self-harm w/o the presence of suicidality

Self-harming w/o the intent of ending their life

Resilience

a Belief you can overcome adversity, good coping skills

Risk for suicide but unlikely when high in resilience.

2 medicines types of for mood disorders

• Antidepressants (MAOIs, SSRIs)

• Mood-stabilizing drugs (Lithium): For bipolar episodes

3 alternative biological treatments for mood disorders, elaborate

• Electroconvulsive therapy (ECT): Treatments induce seizures, used w/ severely depressed patients who may present serious suicidal risk (shock)

• Transcranial Magnetic Stimulation (TMS): Nerve stimulation of the brain to improve depressive symptoms

• Deep Brain Stimulation (DBS) (neuromodulation): Implanting an electrode in the brain a stimulating w/ electric current

  • Controlled by a pacemaker type device placed under the skin in the upper chest. A wire travels under the skin connecting the device with the electrodes.

3 Psychotherapies for mood disorders

• CBT

• Behavior Activation Treatment: Getting patients to become more active and engaged w/ their environment and relationships

• Interpersonal Therapy (IPT): Focuses on current relationship issues and understanding and change of maladaptive interaction patterns

• Family and Marital therapy

Dissociative Disorders

Conditions that involve disruptions or breakdowns of memory, awareness, identity, or perception 

Dissociative Identity Disorder

a dissociative disorder, formerly called MPD, in which an individual develops more than one-self or personality.

• Must have 2 distinct identities and when inhabiting identity one, are

• Not aware of inhabiting the other identity, with large gaps in memory

What Oftentimes Dissociative disorders involve

mood, anxiety, and PTSD.

Dissociative Amnesia

Inability to remember important details and experiences, usually associated with traumatic events or very stressful events

Fugue State

Traveling or wandering w/o knowing their identity