Dissociative disorder, the standard medical name is dissociative disorder, Formerly known as hysteria/hysteria (these common names have derogatory connotations and are no longer used), It is a complex psychological-physiological disorder process.

Patients present with involuntary and intermittent loss of some or all of their psychological/physiological functions Integration ability in perception, memory, emotion, behavior, self (identity) Aspects such as consciousness and environmental awareness cannot be unified, and the so-called separation state.

It should be noted that dissociative disorders in the International Classification of Mental Disorders (ICD-11) include not only Dissociative disorder in the American Classification of Mental Disorders (DSM-5) also includes conversion disorder in DSM-5.

Dissociative disorder affects more women than men, and most patients develop symptoms before the age of 35. The prevalence rate is higher in areas with relatively lagging socioeconomic development and lower educational level.

DSM-5 roughly divides dissociative disorders into four forms:

Dissociative identity disorder (DID): formerly known as multiple personality disorder, individuals may Will switch between two or more different personality states, accompanied by memory impairment.

Dissociative amnesia (DA): once called psychogenic amnesia, in which an individual suffers from Temporary loss of memory during trauma or stress, especially episodic memory.

Depersonalization: A person suddenly separates from himself or his environment and feels unreal.

Dissociative disorder not otherwise specified.

social psychological factors

Qualities and personality types

physical factors

genetics

Often associated with mental stimulation.

dissociative identity disorder

dissociative amnesia

depersonalization

Patients with dissociative disorders may experience varying degrees of depression, anxiety, and sleep disorders.

You can go to the psychiatry, psychology and other related departments of specialized hospitals for treatment.

The most widely used scale is the Dissociative Experience Scale (DES). As well as the Children's Subjective Separation Experience Interview Form, the Children's Separation Checklist (CDC), etc.

There are also Dissociative Disorders Interview Schedule (DDIS) based on DSM diagnostic criteria, Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D).

acute stress disorder

Borderline Personality Disorder (BPD)

Korsakoff syndrome

malingering

If the patient has an urgent onset, is restless, has obvious anxiety, and has a certain degree of impulsivity, Risks such as running away, self-injury, and suicide should be closely monitored 24 hours a day, and protective restraints and restraints should be provided when necessary. Use sedatives to temporarily control emotions, and then provide psychological and general drug treatment after the patient cooperates.

Dissociative disorders are mostly related to psychological factors, so psychotherapy plays an important role.

suggestion therapy

individual psychotherapy

Systemic desensitization therapy

analytic psychotherapy

home remedies

Due to large individual differences, there is no absolute best or best medication. The fastest and most effective, except for commonly used over-the-counter drugs, should be used in Under the guidance of a doctor, choose the most appropriate drug based on your personal situation.

There is currently no specific drug for the treatment of dissociative disorders, and symptomatic treatment is mainly used. For example, for patients with mental symptoms or excitement and agitation, The doctor may prescribe antipsychotic medication or give diazepam; For patients with symptoms of depression and anxiety, corresponding antidepressants or anti-anxiety drugs can be given.

Family members should actively cooperate with the patient's treatment and talk to him more often.

Patients and their families should pay close attention to the development of the patient's condition, keep records, and return for regular follow-up visits.

Eliminate the cause of the disease in time so that patients have a correct understanding of their own disease, Face up to your own character flaws and improve your interpersonal relationships.

Long-term psychotherapy can help patients gradually accept and identify with themselves, It is an effective measure to prevent the recurrence of disease.