Notes by Agradeservers.
, Table of Contents: Dissociative Disorders
I. Introduction to Dissociative Disorders
•The Role of Memory and Identity
•Definition and Core Concept: Separation of Conscious Awareness
•Overview and Prevalence ("The Trivia")
II. Types of Dissociative Disorders
•Depersonalization/Derealization Disorder
•Dissociative Amnesia
•Dissociative Fugue
•Dissociative Identity Disorder (DID)
III. Causes and Etiology
•Etiological Theories
• Biological Factors: Neurological and Genetic Links
• Psychosocial Factors: Stress and Learned Avoidance
• Cultural Factors: Culturally-Bound Expressions
,IV. Detailed Disorder Profiles
•Dissociative Amnesia
• Definition and Triggers
• Subtypes: Localized, Selective, Generalized, Continuous
•Dissociative Fugue
• Definition: Amnesia, Flight, and New Identity
• Severity and Manifestations
•Depersonalization/Derealization Disorder
• Altered Self-Perception and Derealization
• Onset, Comorbidity, and Course
•Dissociative Identity Disorder (DID)
• Core Feature: Distinct Personality States (Alters)
• The Host, Switching, and Awareness Between Alters
• Onset, Demographics, and Common Comorbidities
• The Controversy: Social Construction vs. Therapist Creation
V. Treatment Approaches
•General Treatments for Amnesia and Fugue
• Psychodynamic Therapy
• Hypnotic Therapy
• Drug Therapy ("Truth Serums")
, •Treatment for Dissociative Identity Disorder
• Core Goals: Integration and Improved Coping
• Therapeutic Approaches: Empathic Support and Psychodynamics
•Cognitive Behavioral Therapy for
Depersonalization/Derealization
•Medical Treatments
• Anxiolytic Medications (e.g., Benzodiazepines)
• Antidepressant Medications (e.g., SNRIs)
VI. Nursing Process for Dissociative Disorders
•Assessment Guidelines
• Ruling Out Other Causes
• Key Signs and Symptoms to Note
• Gathering Patient History and Assessing Risk
•Diagnosis and Outcomes
• Common Nursing Diagnoses (e.g., Disturbed Personal Identity)
• Common Treatment Goals
•Planning and Implementation
• Focus on Safety and Crisis Intervention
• Key Nursing Interventions
•Evaluation
• Measuring Patient Progress and Outcomes