STRESS AND TRAUMA: Psychotherapy and Pharmacotherapy for Depersonalization/Derealization Disorder

Innovations in Clinical Neuroscience

Julie P. Gentile¹  Malynda Snyder¹  Paulette Marie Gillig¹ 

[1] Dr. Gentile is Professor in the Department of Psychiatry at Wright State University, Dayton, Ohio; Malynda Snyder is Manager of Assessment Services, Consumer Advocacy Model, Dayton, Ohio; and Dr. Gillig is Professor in the Department of Psychiatry at Wright State University, Dayton, Ohio.

关键词: Supportive psychotherapy;    psychodynamic psychotherapy;    depersonalization;    derealization;    dissociation;    altered states;    counseling;    pharmacotherapy;    post-traumatic stress disorder;    dissociative disorders;    depersonalization/derealization disorder;    DSM-V;   

DOI  :  

学科分类：精神健康和精神病学

来源: Matrix Medical Communications, LLC

【 摘 要 】

Depersonalization/derealization disorder is characterized by depersonalization often co-occurring with derealization in the absence of significant psychosis, memory, or identity disturbance. Depersonalization/derealization is categorized as one of the dissociative disorders, which also includes dissociative amnesia, dissociative fugue, dissociative identity disorder, and forms of dissociative disorder not otherwise specified. Although these disorders may be under-diagnosed or misdiagnosed, many persons with psychiatric illness who have experienced trauma report symptoms consistent with dissociative disorders. There are limited scientific data on prevalence of depersonalization/derealization disorder specifically. This paper reviews clinical, phenomenological and epidemiological information regarding diagnosis and treatment of dissociative disorders in general, and illustrates common presenting histories of persons with derealization/depersonalization disorder utilizing composite cases. The clinical vignettes focus on recommended psychotherapy and pharmacotherapy interventions as part of a comprehensive multidisciplinary treatment plan for these individuals.

【 授权许可】

Unknown