Dissociative disorder

Dissociative Disorder
Ujjwal Nadda

1. DISSOCIATIVE DISORDER PRESENTED BY UJJWAL SHARMA M.Sc. NURSING 2 ND YEAR Mental Health Nursing

2. DEFINITION Dissociative disorders are characterized by an involuntary escape from reality characterized by a disconnection between thoughts, identity, consciousness and memory. People from all age groups and racial, ethnic and socioeconomic backgrounds can experience a dissociative disorder.

3. Examples of dissociative symptoms include the experience of detachment or feeling as if one is outside one’s body, and loss of memory or amnesia. Dissociative disorders are frequently associated with previous experience of trauma.

4. TYPES There are three types of dissociative disorders: Dissociative identity disorder Dissociative amnesia Depersonalization/ Derealization disorder.

5. DISSOCIATIVE AMNESIA Inability to remember significant events- everything of traumatic nature . The onset for an amnesic episode is usually sudden, and an episode can last minutes, hours, days, or, rarely, months or years.

6. DISSOCIATIVE IDENTITY DISORDER Formerly known as multiple personality disorder, this disorder is characterized by alternating between multiple identities. A person may feel like one or more voices are trying to take control in their head. Often these identities may have unique names, characteristics, mannerisms and voices.

7. DEPERSONALIZATION DISORDER This disorder involves ongoing feelings of detachment from actions, feelings, thoughts and sensations as if they are watching a movie (depersonalization). Sometimes other people and things may feel like people and things in the world around them are unreal ( derealization ). A person may experience depersonalization, derealization or both.

8. SYMPTOMS Symptoms and signs of dissociative disorders include: Memory loss (amnesia) of certain time periods, events, people and personal information A sense of detachment from your emotions, or emotional numbness A perception of the people and things around you as distorted and unreal A blurred sense of self-identity

9. CONT… Significant stress or problems in your relationships, work or other important areas of your life Inability to cope well with emotional or professional stress Mental health problems, such as depression, anxiety, and suicidal thoughts and behaviors. Out-of-body experiences, such as feeling as though you are watching a movie of yourself

10. TREATMENT Psychotherapies such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) Eye movement desensitization and reprocessing (EMDR) Medications such as antidepressants can treat symptoms of related conditions

11. Treatment for dissociative disorders may include talk therapy (psychotherapy) and medication. Although treating dissociative disorders can be difficult, many people learn new ways of coping and lead healthy, productive lives.

12. COMPLICATIONS Suicidal thoughts and behavior Sexual dysfunction Alcoholism and drug use disorders Depression and anxiety disorders Post-traumatic stress disorder

13. Cont… Personality disorders & Eating disorders and Sleep disorders, including nightmares, insomnia and sleepwalking Physical symptoms such as lightheadedness or non-epileptic seizures Major difficulties in personal relationships and at work

14. THANK YOU