DID

• Depersonalization


  Your perception alters so that you temporarily lose the sense of your own reality, as if you are in a dream watching yourself
• Derealization


  Your sense of external world is lost; thing may seem to change shape or size, people may seem dead or mechanical
• Depersonalization-Derealization Disorder


  • Characterized by the presence of constellation of typical depersonalization/derealization symptoms and the absence of manifestations of illness anxiety disorder
  • Must precede the onset of major depressive epi or clearly continues even after its resolution
  • When symptoms occur ONLY during panic attacks, it must not be diagnosed with D/DD
• Dissociative Amnesia


  • Inability to recall important autobiographical information, usually of traumatic or stressful nature, that is inconsistent with ordinary forgetting
  • Usually localized or selective amnesia for specific events, then generalized, if entire life history
• Dissociative Fugue


  Memory loss revolves around specific incident, an unexpected trip; individuals just take off and later find themselves in a new place, unable to remember why or how you got there
• If a person experiencing PTSD cannot recall part or all of specific trauma event and that extends to beyond the immediate time of the trauma

  Comorbid diagnosis of DA may be warranted
• There must be no true neurocognitive deficits in Dissociative Amnesia
• There is too much use of repression in Dissociative Amnesia
• Dissociative Identity Disorder


  • Disruption of identity characterized by two or more distinct personality states
  • Host personality: the person who becomes the patient and asks for treatment; developed later
  • Switch: transition from one personality to another
• Dissociative Identity Disorder


  • Extreme subtype of PTSD
  • Hypnotic Trance: tend to be focused on one aspect of their world and they become vulnerable to suggestions by the hypnotist
  • Does not have a classic bipolar sleep disturbance
  • Individuals with schizophrenia have low hypnotic capacity, whilst, individuals with DID have highest hypnotic capacity among all clinical groups
  • Appear to encapsulate a variety of severe personality disorder features
• There is too much use of dissociation in Dissociative Identity Disorder