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Doctor insights on: Dissociative Disorders

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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 are the symptoms of a dissociative disorder?

What are the symptoms of a dissociative disorder?

Loss of awareness: Dissociation is basically a loss of connection between different parts or aspects of your self. So you might feel that you are disconnected from your physical self (see yourself from a distance, feel disconnected from your body), or in an extreme form of dissociation, you might feel that there is more than one personality. ...Read more

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Living with Borderline Personality Disorder (Checklist)

Maintain cognitive therapy for supportive feedback
Once
Exercise to reduce stress and increase endorphins
Once
Avoid alcohol to reduce anxiety and depression
Once
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What are the signs of having dissociative personality disorder?

What are the signs of having dissociative personality disorder?

Can be difficult: One has to be careful with this diagnosis, as individuals can be prone to believing they have this based upon unwitting reinforcment of the idea by an inexperienced or naive professional. This is serious and one should find and experienced provider. Often there is a history of abuse, and disting periods of time where an individual has conductied activities for which they have no recall. ...Read more

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If one has a diagnosis of dissociative identity disorder for 4 yrs & symptoms worsen during a Lyme disease herx, what should one conclude?

If one has a diagnosis of dissociative identity disorder for 4 yrs &  symptoms worsen during a Lyme disease herx, what should one conclude?

DID + Stress = worse: It is highly likely that the state you live in with did is rather stable and you do your best to keep things known, quiet, and "comfortable." illness/trauma or other unpredictable intrusions into this will tend to worsen your symptoms as it unbalances your world. Will likely stay that way unless you get professional psychological help during the crisis while you address the 'new' issue. Good luck! ...Read more

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Living with Bipolar Disorder (Checklist)

Take your medications
Daily
Balance work and play
Once
Know your limits
Once
Visit your doctors regularly
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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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Living with Manic Depressive Disorder (Checklist)

Keep a crisis list with doctor and family phone numbers
Once
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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