Dissociative disorders are characterized by a disconnection from reality through dissociative symptoms like detachment from one's body or loss of memory. The three main types are dissociative identity disorder, dissociative amnesia, and depersonalization/derealization disorder. Treatment involves psychotherapies like CBT and EMDR as well as medications which can help manage related conditions. While difficult to treat, dissociative disorders can be managed through therapy and coping strategies.

1. PRESENTED BY
UJJWAL SHARMA
M.Sc. NURSING 2ND YEAR
Mental Health Nursing

2. DEFINITION
 Dissociative disorders are characterized by an involuntary
escape from reality characterized by a disconnection
between thoughts, identity, consciousness and memory.
People from all age groups and racial, ethnic and
socioeconomic backgrounds can experience a dissociative
disorder.

3.  Examples of dissociative symptoms include the
experience of detachment or feeling as if one is outside
one’s body, and loss of memory or amnesia. Dissociative
disorders are frequently associated with previous
experience of trauma.

5. TYPES
There are three types of dissociative disorders:
 Dissociative identity disorder
 Dissociative amnesia
 Depersonalization/ Derealization disorder.

8. DISSOCIATIVE AMNESIA
Inability to remember significant events- everything of
traumatic nature. The onset for an amnesic episode is
usually sudden, and an episode can last minutes, hours,
days, or, rarely, months or years.

10.  DISSOCIATIVE IDENTITY DISORDER
Formerly known as multiple personality disorder, this
disorder is characterized by alternating between multiple
identities. A person may feel like one or more voices are
trying to take control in their head. Often these identities
may have unique names, characteristics, mannerisms and
voices.

12. DEPERSONALIZATION DISORDER
This disorder involves ongoing feelings of detachment from
actions, feelings, thoughts and sensations as if they are
watching a movie (depersonalization). Sometimes other
people and things may feel like people and things in the
world around them are unreal (derealization). A person
may experience depersonalization, derealization or both.

13. SYMPTOMS
Symptoms and signs of dissociative disorders include:
 Memory loss (amnesia) of certain time periods, events, people
and personal information
 A sense of detachment from your emotions, or emotional
numbness
 A perception of the people and things around you as distorted
and unreal
 A blurred sense of self-identity

14. CONT…
 Significant stress or problems in your relationships, work
or other important areas of your life
 Inability to cope well with emotional or professional stress
 Mental health problems, such as depression, anxiety, and
suicidal thoughts and behaviors.
 Out-of-body experiences, such as feeling as though you
are watching a movie of yourself

16. TREATMENT
 Psychotherapies such as cognitive behavioral therapy
(CBT) and dialectical behavioral therapy (DBT)
 Eye movement desensitization and reprocessing (EMDR)
 Medications such as antidepressants can treat symptoms
of related conditions

17.  Treatment for dissociative disorders may include talk
therapy (psychotherapy) and medication. Although
treating dissociative disorders can be difficult, many
people learn new ways of coping and lead healthy,
productive lives.

18. COMPLICATIONS
 Suicidal thoughts and behavior
 Sexual dysfunction
 Alcoholism and drug use disorders
 Depression and anxiety disorders
 Post-traumatic stress disorder

19. Cont…
 Personality disorders & Eating disorders and Sleep disorders,
including nightmares, insomnia and sleepwalking
 Physical symptoms such as lightheadedness or non-epileptic
seizures
 Major difficulties in personal relationships and at work

21. THANK
YOU