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Doctor insights on: Are People With Dissociative Disorders Psychopathic

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Are people with dissociative disorders psychopathic?

Not really: The conflicts between alters are more internal than external. ...Read more

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Can dissociative disorders be cured?

Can dissociative disorders be cured?

With dissociation,: I think healing is a more accurate term. Mental processes are like a dance, and we're always balancing something. With treatment of dissociative disorders, one may become more resilient to the things which previously triggered dissociation, so that this is no longer the automatic coping response. One has more gears, in a way. Dissociation leaves you without choice -- treatment provides these. ...Read more

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What causes depersonalization/dissociative disorders?

What causes depersonalization/dissociative disorders?

Dissociative DO: This is controversial. Some believe it is due to childhood traumas & disorganized attachments. A recent review article by dr. Stern in the psychoanalytic quarterly journal jan. 2012 , supports the hypothesis that current or recent trauma may affect one's assessment of the more distant past, changing the experience of the past & resulting in dissociative states. ...Read more

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What are dissociative disorders?

What are dissociative disorders?

Dissociative D/O: "dissociative disorders" means a group of 4 disorders having in common: memory loss for certain periods of time, events, & people; sense of being detached from self (depersonalization); perception that things around you are distorted & unreal (derealization); blurry sense of identity; disturbed functioning in life, work, etc. Reality testing is intact, unlike psychotic illnesses. ...Read more

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Dissociative disorders--how weird can they be?

Dissociative disorders--how weird can they be?

Very weird indeed: The weirdness can consist of the following: receiving directions to go somewhere, including out of country, by someone or for reasons you do not know, coming home after a night out and finding blood and semen and bruises on you that you have no recollection of. Having alters that think they are animals, eating dog food for years and not knowing it, being tortured at night, having spirit alters etc. ...Read more

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Top meds for: chronical dissociative disorders?

Top meds for: chronical dissociative disorders?

None approved: If bipolar, standard bipolar treatments, if depressed i try to pick something like zoloft or Paxil to treat depression and ptsd. If self-harming, i add in Hydroxyzine 20-25 mg up to four times a day to decrease the frequency of the thoughts and the intensity of the urges. If there is an underlying ptsd with true psychosis in addition to the psuedopsychosis i add in an atypical or typical anti-psychotic as indicated. With generalized anxiety disorder I use buspar (buspirone). Panic anxiety is treated in the standard fashion. Dissociative crises are treated by an increase in the antipsychotic if there is one on board or by adding in an anti-psychotic if one is not already being used. Remember however that psychotherapy by a trained and experienced psychotherapist is absolutely necessary in this condition. The therapist must have experience in long term in working with dissociative disordered individuals. There are entirely too many types of therapy and a broad mixture of therapies that have to be added in together to treat a condition this complex. It is not a situation for amateurs. The worst thing you could do would be to treat with a clinician who does not even believe in this condition. Also, make sure that your therapist has had supervised treatment of di d in the course of their training or career. Best wishes and good luck to you. My experience is that d id patients thrive in therapy and do very well. I greatly admire their sense of survival their creativity, their ingenuity, and their deep underlying sense of right and wrong as well as justice. I have learned as much or more from them as they have learned from me. ...Read more

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What kind of medication do people take for dissociative disorders?

What kind of medication do people take for dissociative disorders?

Not medication: Medication is not the primary treatment for dissociative disorders -- various kinds of talk therapy (including cognitive therapy) are. Also, expressive art therapies can increase self-awareness, cope with symptoms and traumatic experiences, and promote positive integration. Sometimes hypnosis can be helpful. Medications might be used for accompanying symptoms like anxiety & depression, though. ...Read more

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Do neurologists treat dissociative disorders?

Do neurologists treat dissociative disorders?

Not alone: Neurologists may treat some people who also have dissociative disorders, but would not be doing this by themselves unless they also have full training in psychiatry. A typical scenario might be a patient who has both a seizure disorder and dissociative disorder -- needs care from both psychiatry and neurology working together. Such a person will also need psychotherapy. ...Read more

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What could be a physiological explanation to dissociative disorders? What are the part of the brain that are involved?

What could be a physiological explanation to dissociative disorders? What are the part of the brain that are involved?

Multiple areas: Correlations have been demonstrated between the symptoms of dissociation and the right temporo parietal junction, an area involved in perspective taking, sense of self and integration of information between self and environment. There are several aspects of mental dissociation, and brain areas involved in those domains, e.g., visual/auditory/tactile processing, attention, are associated with each. ...Read more