Dissociative Disorder
Dissociative Disorder
Dissociative Disorder
More frequently in adolescent & young adults > older age group
2) Neurobiological
Some studies have suggested a possible link between
Dissociative Identity Disorder & certain neurological
conditions like-Epilepsy and severe migraine Headache etc.
3) Psychodynamic Theory
Frued (1962) believed that Dissociative Behaviors occurs
when individuals repressed distressing mental contents
from conscious awareness.
4 ) Psychological Trauma
Most mental health professionals believe that the
underlying cause of dissociative disorders is chronic
trauma in childhood like - repeated physical or sexual
abuse, emotional abuse or neglect.
Cont…….
Unpredictable or frightening family environments may also
Dissociative Fugue
Depersonalization Disorder
Ganser’s Syndrome
Dissociative Amnesia
(Psychogenic
Amnesia)
It is characterized by an inability to recall important
personal information, usually of a traumatic or
stressful nature, that is too extensive
to be explained by ordinary
forgetfulness.
Amnesia is not ordinary forgetfulness, such as forgetting
someone’s name or where you left your car keys. Memory loss in
amnesia is more profound or wide ranging. Dissociative amnesia
is divided into five distinct types of memory problems.
1. Localised amnesia
2. Selective amnesia
3. Generalised amnesia
4. Continuous amnesia
5. Systematised amnesia
Differential diagnosis
Amnestic disorder due to general medical
condition
Dissociative fugue and dissociative identity
disorder
Post traumatic stress and acute stress disorder
Substance related amnesia
Delirium, dementia and other amnestic disorder
Dissociative Fugue
(Psychogenic Fugue)
It is characterized by a
sudden, unexpected travel
away from home or
accompanied by an
inability to recall one’s
past and confusion
about personal identity.
Differential diagnosis
Mania
schizophrenia
Depersonalization
Disorder
persistent or recurrent
feeling of being detached
from one’s own mental
processes or body.
Cont……
Individuals relate feeling as if they are watching their
lives from outside of their bodies, similar to watching
a movie .
Blunted affect
Lack of spontaneity
Emotional passivity
Idiosyncratic communication
Distorted thinking
Disturbance of memory
Impaired judgment
Presence of separate
personalities within the same
person
Time disorientation
Complications
Life difficulties such as broken relationships and job
loss
Sexual problems
Depression
Mood swings
• Anxiety
Panic attacks
Self-harm
Headache
eating disorder
Electroconvulsive Therapy
NURSING MANAGEMENT
Nursing diagnosis
1) Disturbed thought process related to memory loss & repressed
trauma as evidenced by inability to recall his /her personal
information.
3
Cont…
2) What is dissociative fugue ?