Dissociative Disorders

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The Dissociative Disorders category of the DSM-IV-TR, is characterized by a disruption in the functions of perception, identity, consciousness, or memory. The disorders in the Dissociative Disorders category include Dissociative Amnesia, Dissociative Fugue, Dissociative Identity Disorder (DID), Depersonalization Disorder and Dissociative Disorder Not Otherwise Specified.

All of the disorders in the Dissociative Disorders category need to be distinguished from conditions which are due to a General Medical Condition or the use of a Substance. Moreover, Dissociative Amnesia is within the diagnostic criteria for Dissociative Fugue, Dissociative Identity Disorder, Posttraumatic Stress Disorder, Acute Stress Disorder and Somatization Disorder; hence, an additional diagnosis of Dissociate Amnesia is not given. Dissociative Amnesia must be differentiated from Age-Related Cognitive Decline and nonpathological forms of amnesia.

Dissociative Fugue should be distinguished from the wandering which can happen when a person experiences a complex partial seizure. Moreover, if a person is diagnosed with DID, then he will not get an additional diagnosis of Dissociative Fugue. However, if a person is experiencing depersonalization and dissociative fugue, then he will only be diagnosed with Dissociative Fugue and Depersonalization Disorder should not be diagnosed. Dissociative Fugue should be distinguished from a Manic Episode by taking into account any travel associated with grandiosity. Dissociative Fugue is distinguished from Schizophrenia because people with Dissociative Fugue generally do not have the psychopathology connected to schizophrenia. Finally, malinger fugue states may occur in people who are attempting to flee a situation to gain p...

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...common theme among the disorders that intrigue me the most (Borderline Personality Disorder, Posttraumatic Stress Disorder and DID): stress or side effects from childhood abuse.

In conclusion, there are several disorders in the Dissociative Disorders category and they are characterized by a disruption in previously integrated cognitive functioning. DID is the overarching diagnosis which encompasses several of the other diagnoses’ diagnostic criteria. Hence, if a person is diagnosed with DID, then he will not receive a comorbid diagnosis of another Dissociative Disorder.

Works Cited

Brand, B., Classen, C., Lanins, R., Loewenstein, R., McNary, S., Pain, C., Putnam, F. (2009). A

naturalistic study of dissociative identity disorder and dissociative disorder not otherwise

specified patients treated by community clinicians. Psychological Trauma, 1(2), 153-171.

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