![]() ![]() Increased risk of other psychiatric conditions (e.g., major depression, borderline personality disorder, PTSD, eating disorders, substance use disorders).Chronic disease course with fluctuations in severity.SSRIs for comorbid conditions (depression, PTSD).In children, symptoms can not be attributed to imaginary friends or other fantasy play. Symptoms can not be explained by broadly accepted religious or cultural practice.Symptoms are not related to substance use or another medical condition.Symptoms cause the patient significant social or occupational impairment.Frequent gaps in recall of normal daily events or personal information that are significantly different from ordinary forgetfulness.Discontinuity in sense of self (depersonalization) and agency.Distinct memory, behavior, affect, perception, consciousness, cognition, and/or sensory-motor functioning (derealization).Alternation of at least two separate personality states that cause identity disruption and dominate at different times, manifesting with the following:.History of physical/ sexual abuse and/or neglect during childhood.Patients with a depersonalization/derealization disorder may report out-of-body experiences or a feeling of being in a dream. Increased risk for concurrent major depression and anxiety disorders.Often persistent, with fluctuations in severity.Treatment: cognitive behavioral therapy, hypnotherapy, and/or psychodynamic therapy.Symptoms cannot be better explained by another psychiatric disorder (e.g., schizophrenia, major depressive disorder, panic disorder, acute stress disorder, PTSD, other dissociative disorders).Reality testing is intact during these episodes (as opposed to psychosis, in which reality is not intact).Derealization: sense of unreality with detachment from one's environment.Depersonalization : sense of unreality with detachment from oneself (e.g., body perception, feelings, thoughts, actions).Recurrent or persistent episodes of depersonalization and/or derealization. Fugue disorder full#The complete resolution of amnesia and full return of memory may be overwhelming and coincide with an increased risk for suicide. Patients may experience the return of memories as nightmares or flashbacks.
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