Dissociative Identity Disorder, or better known as Multiple Personality disorder, is an extreme kind of dissociation where the affected individual creates distinct and different personalities in response to severe trauma or violently stressful situations. They remove themselves from any behaviors, memories, feelings and/or actions that would identify with the main personality, from the person that experienced the events. Each identity has its own name, gender, manner of speech and behavior as well as its own personal history. Causes Dissociation occurs due to an individual’s attempt at coping with a difficult situation, usually trauma. It is more commonly seen among young children whose sense of personality is still impressionable and can …show more content…
• One or more separate personalities. • Frequent gaps in memories of personal history. • For children – behavioral problems with difficulty paying attention in school. Treatment Psychotherapy – long term psychotherapy is the foremost treatment for this disorder. It is time consuming because it takes a long time to deconstruct each personality and bringing them together to form one solid identity. Cognitive therapy – to discuss with a licensed therapist underlying issues that have contributed to the disorder and work towards learning new coping methods to prevent forming future identities. For these people, learning how to cope with anxiety and stress is important for recovery. Art/Music therapy – so the client can express emotions in a nonjudgmental and safe environment. Medications – there is no specific medication to treat this condition. • Antidepressants – Remeron (Mirtazapine), Cymbalta (Duloxetine), Nardil (Phenelzine), Prozac (Fluoxetine), Paxil (Paroxetine) and Anafranil (Clomipramine). • Anti-Anxiety – Valium (Diazepam), Xanax (Alprazolam), Atarax (Hydroxyzine), BuSpar (Buspirone), Librium (Chlordiazepoxide). • Depressants – Atropen (Atropine), Flexeril (Cyclobenzaprine), Soma …show more content…
Treatment Goals The goal of treatment is to reduce the individual’s need to rely on transitioning to other personalities as a coping method and to learn new methods, as well as learn to deal with the underlying stressors. Nursing Interventions 1. Work to establish a therapeutic relationship. Rationale: client has difficulty trusting others, and establishing such a relationship may take time but will help in the overall care. 2. Discuss each separate personality with the client. Rationale: knowing about each personality and its traits will make it easier to work towards personality integration. 3. Help the client talk about the needs that these different personalities meet. Rationale: each personality is a defense mechanism against painful experiences/memories. 4. Administer Flexeril (Cyclobenzaprine) as ordered by the
Originally personality disorders were thought to originate in childhood and stem into adulthood. In recent research it suggests that personality disorders can remit over time, however, they are often replaced by other disorders. Making a subject that once fit the criteria for one personality disorder may show characteristics for a new personality disorder different from the original diagnosis. One reason for this is that many individuals do not seek treatment in the early stages of their disorder. This makes it difficult to study personality disorders from the
Pilot study: Effectiveness of Hypnotherapy for the mood disorder, depression Systematic Review Abstract Background Recent studies have demonstrated the increase of depression around the world. It is a condition that can affect anyone, at any age, at any time as there are many causes and triggers. This disorder causes the loss of emotion, interest, lack of positive thoughts and low energy which can lead to other disorders as well as self-harm and suicide.
Dissociative Identity Disorder Madison Detwiler Psychology 1113-03 Oklahoma State University Fall 2015 Dissociative Identity Disorder There are many different personality disorders in the world today. Personality disorders are “enduring patterns of thinking, feeling, or relating to others or controlling impulses that deviate from cultural expectations and cause distress or impaired functioning” (CITE BOOK). A type of this disorder is called Dissociative Identity Disorder (DID).
The client has several strengths. He is currently receiving services at a private agency. He reports a decrease in his “flashbacks” since starting the therapy. The client is part of a
Borderline personality disorder tends to drop a bunch of negative traits onto the barer. Some of these traits include thoughts of dissociation, which is a psychological term used to describe a mental departure from reality. From the website called Out Of The Fog (2015), the author says that “The thinking and behavior of a person with BPD includes more departures from reality and emotional thinking than actual facts.” ( ) This can lead to the more impulsive acts during episodes of dissociation or mood swings. Another trait is the intense fear of abandonment.
Family therapy is also an option, however, in this case, it would not be ideal for Norman because his parents are dead, and his brother doesn’t live with him. Group therapy is also not a good option for Norman because his other personality has homicidal tendencies; therefore revealing what “Mother” has done would not be very welcoming in a group. There currently are no medications that treat DID because it is not an organic disorder or a chemical
Previous problems might still be in effect. Likewise, any negative experience associated with the mental health specialist or the negative outcome of the treatment is most likely to influence the client’s attitude and cooperation toward both treatment and the therapist. Moreover, previous diagnosis and medication are essential data for the counseling process. Sometimes clients cannot name their previous diagnosis, and give details about past and current problems. Nevertheless, therapists can gain insight into the client’s mental health history by considering his/her medications and mental health report.
Through-out the therapeutic process the practitioner should help the client understand and accept how they view their self-versus how they are actually. The techniques that are used while using the person centered approach are empathy, genuineness, nonjudgmental and being able to listen, and reflect the client narrative. Integrating your theoretical orientation at your field placement My practicum mission statement “To enable all young people, especially those who need us most, to reach their full potential as productive, caring, responsible citizens”.
Billy Bibbit shows the symptoms of this disorder very clearly. He also shows the fear that resides from the needs he has. Billy’s fear was very apparent and it was easily manipulated as shown by Nurse Ratched. When the needs brought on by the disorder are not met it brings out an excessive fear of failure. The disorder can be easily taken advantage of, people surrounding those who have this disorder should be careful with how they act towards them.
Some people do not have the ability to understand the difference between reality and their own personal world in their mind. People who have suffered from trauma goes into a dissociated state, which is caused by their brain being triggered by memories of trauma, and they are away from reality without them even realizing it. When one goes into a dissociated state one’s body is physically living a regular life but one is not mentally there. That person’s mind goes into a dissociated place that has been triggered by memories of trauma and in this is a place their mind may find peace. Some people can go into a dissociated state for several hours while others go into these states for a couple of days or a whole week.
Dissociation can be interpreted as an “emergency defense,” or a “shut off mechanism.” It is an attempt by the individual to prevent overwhelming flooding of consciousness at the time of trauma. The individual subconsciously cannot tolerate being present emotionally during the trauma but cannot control the situation, and protects him or herself from experiencing it in the moment by using dissociation. “Dissociative symptoms are failures of normal neurocognitive functioning and are considered disruptive, because there is a loss of information due to having experiences separated among personalities… The essential feature of the dissociative disorders is a disruption in the usually integrated functions of consciousness, memory, identity, or perception.”
Treatments A. Pharmacotherapy (Medication) B. Behavior therapy and Psychotherapy IV) Ways to Make Treatment More Effective A. Self-help or support group B.
The treatments really depends on an individual’s particular condition and severity of symptoms. Some people required medically prescribed drugs, some it could be psychotherapy; but that’s not always effective especially if he/she doesn’t admit that they have a problem. Another treatment can be skills for family members. If one of your loved ones suffer from APD, it is the family’s responsibility to make them feel safe as much as possible and to interact into conversations with them. Cognitive therapy is known to be one of the best treatment for APD.
Through DBT he will acquire the skills necessary to cope with the wounds from the past and those to come. That will be aquired as the therapist employs traditional cognitive-behavioral strategies, including exposure, problem solving, cognitive restructuring, and behavioral skills training (Bliss & McCardle, 2014). This is very important when working with clients with BPD especially when they become easily irritable with situations that they can’t
Additionally, as a counselor, it is important to be genuine with whatever feedbacks one presents to the patient and what one believes regarding the situation of the client. Mrs. Perez believes the more authentic and genuine he is with her patients, the more help he will be able to offer the clients. As a counselor, it is important to have a fine and professional interaction with one 's client but boundaries must be maintained. Through this, a counselor is able to demonstrate their focus on helping the patients by showing the client that they understand their problems. It also through such engagements that counselor is able to use the non-judgmental attention that does not require words for illustration in helping the patient.