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Dissociative Disorders

DID, dissociative amnesia, and depersonalization-derealization

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Psikiyatri department. Book Appointment →

What is Dissociative Disorders?

Dissociative disorders include dissociative identity disorder (DID, two or more distinct identity states with amnesia), dissociative amnesia (inability to recall traumatic events, may include fugue), and depersonalization-derealization disorder (persistent feeling of detachment from self or surroundings).

Etiology is rooted in early childhood trauma, especially repetitive abuse before age 9. Diagnosis uses Structured Clinical Interview for Dissociative Disorders (SCID-D) and Dissociative Experiences Scale. Comorbid PTSD, depression, self-harm, and substance use are common.

Treatment is phase-oriented: phase 1 stabilization with grounding techniques and safety planning, phase 2 trauma processing with prolonged exposure or EMDR cautiously titrated to dissociative capacity, phase 3 integration and reconnection. Hospitalization is reserved for safety crises. SSRIs and prazosin treat comorbid PTSD.

Symptoms

Memory gaps and time loss
Feeling detached from self
World feels unreal
Identity confusion
Self-harm urges

Risk Factors

Childhood physical or sexual abuse
Early caregiver neglect
Repetitive trauma
Combat or torture experience
Disorganized attachment

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • For unexplained memory gaps
  • For persistent depersonalization
  • For identity confusion
  • For self-harm or suicidal thoughts
  • For trauma-related symptoms

Treatment Methods

01
Phase-oriented trauma therapy
02
Grounding and stabilization
03
EMDR with caution
04
SSRI for comorbid depression
05
Prazosin for nightmares
06
Group therapy in stabilization phase

Which Department to Visit?

You can visit our Psikiyatri department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.