Sunday, September 7, 2014

Dissociative Disorders - Therapy, Definition, Causes, Classification, Signs and Symptoms

Nursing Care Plan for Dissociative Disorders - Therapy
NCP for Dissociative Disorders
Definition

In general, dissociative disorders can be defined as a loss of (some or all) of the normal integration (under conscious control) includes memories of the past, awareness of identity and immediate sensations, and control of body movement.

In diagnosis, dissociative disorders should be a disorder that causes failure of coordinating identity, perception or consciousness of memory, and cause a significant disruption in social functioning, work and take advantage of free time.

There are several penggolonga in dissociative disorders, including dissociative amnesia is, dissociative fugue, dissociative stupor, trance disorder, dissociative motor disorder, dissociative convulsions and anesthesia, and dissociative sensory loss.


Causes

Dissociative Disorders exact cause is not yet known, but it usually occurs as a result of severe trauma of the past, but no organic disturbance experienced. This disorder occurs when the first children but not distinctive and can not be identified, dissociative disorders in the course of the disease can occur at any time and trauma of the past never happen again, and again and again so that the symptoms of dissociative disorders.

Dissociative Disorders refers to a mechanism, dissociation, which is suspected to be the cause. The basic idea is the unity of consciousness is usually an experience, including cognition, emotion and motivation. However, under conditions of stress, trauma memory can be stored in a way so that in the future can not be accessed by normal consciousness back in line with the conditions in question, so the result is the possibility of amnesia or fugue.

Behavioral view of the dissociative disorders is somewhat similar to the initial speculation. In general, behavioral theorists assume full dissociation in response to stress and memory of the incident.
In some references say that the trauma that occurs in the form of:
  • Unstable personality.
  • Harassment.
  • Physical abuse.
  • Domestic violence (father and mother divorced).
  • Social environment that often show violence.
Personal identity is formed during childhood, and during even then, the children more easily step out of himself and observe trauma although it happens to someone else.


Classification

Dissociative Disorders differentiated or classified into several classifications, namely:

Dissociative Amnesia

In dissociative amnesia usually found specific memory impairment only and is not general. The information is usually forgotten about stressful or traumatic events, in one's life. The general form of amnesia dissociative amnesia for personal identity involves a person, but general information memory is intact.

Dissociative Fugue

Person's behavior patients with dissociative fugue is more integrated with the aims and amnesia than patients with dissociative amnesia. Patients with dissociative fugue has physically walk way from home and work situation and unable to remember important aspects of their previous identity (name, family, work). These patients are often, but not always, take the identity and job completely new, although the new identity is usually less complete than that seen in multiple personality dissociative identity disorder.

Dissociative Stupor

Dissociative stupor can be defined as a significant reduction or loss of voulunter movements and a normal response to external stimuli, such as light, sound, and tactile (while consciousness is not lost in the physiological sense).

Trans Disorder or Trance

Trance Trans disorder or a disorder that showed a temporary loss of identity aspects appreciation and awareness of the environment; in some instances, individuals behave as if controlled by another personality, magical powers, angels or "other forces".

Dissociative Motor Disorders

Dissociative motor disorder in the form of the most common is the inability to move all or part of the limbs (arms and legs).

Dissociative Convulsions

Dissociative convulsions or also called pseudo seizures may be very similar to epileptic seizures in terms of movement, but very rarely accompanied by tongue biting, serious injuries from falls when the attack took place and incontinent. Also not found to lose consciousness.



Signs and Symptoms

In dissociative disorders, the ability of control under the selective control of consciousness and impaired to the extent that can last from a day to day or even hour to hour.

Symptoms common to all types of dissociative disorders, including:
  • Loss of memory (amnesia) of the specified time period, events and people,
  • The problem of mental disorders, including depression and anxiety,
  • Perceptions of people and objects around them are not real (derealization)
  • The identity of the opaque
  • Depersonalization.

Therapy

Psychotherapy is the primary treatment against this dissociative disorder. Forms of treatment such as talk therapy, counseling or psychosocial therapy, including talking about the disorder suffered by the patient's soul. Therapy will help you understand the causes of the conditions experienced.

Psychotherapy for dissociative disorders often involve techniques such as hypnosis which helps us to remember the trauma that causes dissociative symptoms.

Handling other dissociative disorders include:
  • Creative arts therapy. In some references say that this type of therapy uses the creative process to help patients who are difficult to express their thoughts and feelings. Creative arts can help improve self-awareness. Creative arts therapies include art, dance, drama and poetry.
  • Cognitive therapy. Cognitive therapy can help to identify negative behaviors and unhealthy and replace it with a positive and healthy, and it all depends on the idea in mind for determining what the examiner behavior.
  • Drug therapy. This therapy is very good to be used as initial handler, although there is no specific medicine in dealing with this dissociative disorder. Usually the patient is given a prescription anti-depressant and anti-anxiety drugs to help control the symptoms of dissociative disorder is mental.

1 comment:

  1. Hey!! Thanks for the post. Mental health disorder like dissociative disorders really ruin your life completely.
    I know this because I gonna through this horrible state of mind. To overcome the dissociative disorders I searched for the best Counsellor in Chiswick. Finally, I get rid of it. Hey! you have shared really a great post.

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