DISSOCIATIVE DISORDERS

• involve disruption in memory, identity, perception, functions of consciousness
• maybe sudden, gradual, chronic, or transient

A. predominant disturbance

-sudden, unexpected travel away from home or employment

-with inability to recal one's past

B. client is confused about personal identity

-client can assume new identity (partial or complete)

C. not dx if disturbance does not occur exclusively during DID, gmc, or drug

D. client have clinical significant distress/impaired social, work functioning

• c/b brief trips over short periods - hrs to days
• wandering over long periods weeks - months
• client is asymptomatic - show no psychopathology
• they do not attract attention
• in prefugue stage client will have no memory of the 2nd life
• amnesia noted in prefugue stage
• client takes on new identity, name, relationships

• depression, dysphoria, anxiety, grief, shame, guilt
• psychological stress, conflict, suicidal
• lost of employment
• disruption in relationship
• onset due to trauma
• duration - hours to mths
• recovery rapid but refractory

A. client has 2 or more distinct identities or personality states

-each with its own perception of environment - can think, feel, relate

B. client has - at least 2 identities or personality states

-who recurrently take control of host behavior

C. client unable to recall important info

D. disturbance not due to drugs, gmc

-in children - symptoms not due to imaginaery playmates or fantasy play 

• each identity has distinct hx, self-image, indentity, name
• experience frequent gaps im memory
• brief to extensive memory loss
• psychosocial stress
• may have PTSD symptoms
• nightmares, flashbacks, startle response, self-harm suicidal, aggressive behavior

A. inability to recall personal info: trauma, stressful events

-reversible memory, impairment, personal info cannot be retrieved verbally

-if temporarily retrieved - cannot remember full details

B. do not occur exclusively during DID, DF, etc

C. cause impairment and distress in functioning

A. Persistent or recurrent experiences of feeling detached from one's body

B. during depersonalization experience, reality testing remains intact

C. cause clinical distress and impairment of social functioning

D. dose not occure exclusively with other disorders