Psychotherapy and Pharmacotherapy for Patients with Dissociative Identity Disorder

Innovations in Clinical Neuroscience

Julie P. Gentile¹  Kristy S. Dillon¹  Paulette Marie Gillig¹ 

[1] Dr. Gentile is Associate Professor in the Department of Psychiatry at Wright State University and Medical Director at Consumer Advocacy Model, a community mental health center treating patients with mental illness, substance use, and co-occurring disabilities including traumatic brain injury in Dayton, Ohio; Ms. Dillon is a Professional Clinical Counselor and Integrated Dual Diagnosis Treatment Counselor at Consumer Advocacy Model, Dayton, Ohio; and Dr. Gillig is a Professor with the Department of Psychiatry at Boonshoft School of Medicine, Wright State Univeristy in Dayton, Ohio.

关键词: Supportive psychotherapy;    psychodynamic psychotherapy;    dissociation;    altered states;    counseling;    post-traumatic stress disorder;    dissociative identity disorder;    multiple personalities;    DSM-V;   

DOI  :  

学科分类：精神健康和精神病学

来源: Matrix Medical Communications, LLC

【 摘 要 】

There is a wide variety of what have been called “dissociative disorders,” including dissociative amnesia, dissociative fugue, depersonalization disorder, dissociative identity disorder, and forms of dissociative disorder not otherwise specified. Some of these diagnoses, particularly dissociative identity disorder, are controversial and have been questioned by many clinicians over the years. The disorders may be under-diagnosed or misdiagnosed, but many persons who have experienced trauma report “dissociative” symptoms. Prevalence of dissociative disorders is unknown, but current estimates are higher than previously thought. This paper reviews clinical, phenomenological, and epidemiological data regarding diagnosis in general, and illustrates possible treatment interventions for dissociative identity disorder, with a focus on psychotherapy interventions and a review of current psychopharmacology recommendations as part of a comprehensive multidisciplinary treatment plan.

【 授权许可】

Unknown