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Questions and Answers
What coping strategy can be taught to manage anxiety during memory gaps in dissociative amnesia?
Grounding techniques such as the 5-4-3-2-1 technique and deep breathing
What type of therapy is useful in addressing trauma-related memories in patients with dissociative identity disorder?
Hypnotherapy
What is the primary goal of individual therapy in patients with dissociative identity disorder?
Deconstructing different personalities and integrating them into one cohesive identity
Why is it essential to establish a trustful and nonjudgmental relationship with patients with dissociative identity disorder?
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What type of medication may be used to manage depressive episodes in patients with dissociative identity disorder?
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What is the primary role of family members or close friends in the care of patients with dissociative amnesia?
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Why is regular assessment of the patient's behavior, mood, and identity switches essential in nursing management of dissociative identity disorder?
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What is the purpose of educating patients and their families about dissociative identity disorder?
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What is the benefit of using deep breathing techniques in patients with dissociative amnesia?
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Why is it essential to collaborate with mental health professionals in the care of patients with dissociative amnesia?
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Study Notes
Dissociative Disorders
- Dissociative disorders are mental health conditions that involve experiencing a loss of connection between thoughts, memories, feelings, surroundings, behavior, and identity.
- These conditions cause problems in managing everyday life and involve escape from reality in ways that are not wanted and not healthy.
Types of Dissociative Disorders
- Depersonalization/derealization disorder: involves a sense of separation from oneself or feeling like you're outside of yourself.
- Dissociative amnesia: memory loss that's more severe than usual forgetfulness.
- Dissociative identity disorder (DID): formerly known as multiple personality disorder, involves "switching" to other identities.
Causes and Symptoms of Dissociative Disorders
- Physical abuse: can lead to feelings of detachment from oneself and the environment.
- Witnessing domestic violence: can contribute to the development of dissociative disorders.
- Loss of a loved one: can evoke feelings of unreality and detachment.
Examples of Dissociative Disorders
- Billy Milligan: had multiple personalities, including Ragen and Adalana.
- King Lear: experienced amnesia and madness following betrayal by his daughters.
Nursing Management of Dissociative Disorders
- Coping Strategies: teach grounding techniques to manage anxiety during memory gaps, such as the 5-4-3-2-1 Technique and Deep Breathing.
- Collaborate with Mental Health Professionals: work closely with psychiatrists and psychologists, and refer patients for individual therapy, such as cognitive-behavioral therapy (CBT).
- Support System: involve family members or close friends in the patient's care, and educate them about dissociative amnesia and how to provide emotional support.
Nursing Management of Dissociative Identity Disorder
- Therapeutic Relationship and Trust: establish a trustful and nonjudgmental relationship with the patient, and acknowledge and validate the different personalities.
- Assessment and Observation: regularly assess the patient's behavior, mood, and identity switches.
- Psychoeducation: educate the patient and their family about DID, and explain that different personalities serve as coping mechanisms.
- Medication Management: collaborate with the psychiatric team to assess the need for psychotropic medications, such as antidepressants, anti-anxiety drugs, and mood stabilizers.
- Psychotherapy: individual therapy, such as cognitive-behavioral therapy, aims at deconstructing different personalities and integrating them into one cohesive identity.
- Safety Measures: assess for suicidal ideation and implement appropriate precautions.
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Description
This quiz explores the impact of physical abuse and witnessing domestic violence on an individual's sense of self and perception of reality, leading to feelings of detachment and derealization.
