DID is characterized by having different dissociative identities, often referred to as parts or selves, with reported disruptions in memories, sense of self, and agency. Trial registrationĭissociative Identity Disorder (DID) is the most severe of the dissociative disorders described in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Treatment was shown to be associated with improvements in psychological functioning. In the first randomized controlled trial for the treatment of complex dissociative disorders, stabilizing group treatment did not produce immediate superior outcomes. Within-group effects were non-significant in both conditions from baseline to end of treatment, but significant improvements in psychosocial function, PTSD symptoms, and general psychopathology were observed over a 6-months follow-up period. Similar results were observed for secondary outcomes. Mixed effect models showed no condition x time interaction during the delayed treatment period, indicating no immediate differences between conditions in the primary outcome. The primary outcome was Global Assessment of Functioning (GAF), while secondary outcomes were PTSD and dissociative symptoms, general psychopathology, and interpersonal difficulties. The treatment was based on the manual Coping with Trauma-Related Dissociation. Methodsįifty nine patients with CDD were randomized to 20 sessions of stabilizing group–treatment, conjoint with individual therapy, or individual therapy alone, in a delayed-treatment design. The current study evaluates a structured protocolled group treatment delivered in a naturalistic clinical setting to patients with CDD, as an add-on to individual treatment. Although a few naturalistic studies indicate that these patients can benefit from psychotherapy, no randomized controlled trials have been reported with this patient-group. Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if you have any problems.Patients with complex dissociative disorders (CDD) report high levels of childhood- abuse experiences, clinical comorbidity, functional impairment, and treatment utilization. You begin to have trouble with familiar things, such as how to read or how to tell time.You notice changes in your behaviour or personality.You are more confused, forgetful, or upset than usual.You do not know who you are or where you are.Ĭall your doctor or nurse advice line now or seek immediate medical care if:.You develop a fever with a stiff neck or a severe headache.A sudden, severe headache that is different from past headaches.Sudden problems with walking or balance.Sudden confusion or trouble understanding simple statements.Sudden numbness, tingling, weakness, or loss of movement in your face, arm, or leg, especially on only one side of your body.TGA does not increase the chance that you will have a stroke or seizures in the future.Ĭall 911 anytime you think you may need emergency care. Although you may never be able to remember what happened right before or during the episode, the rest of your memory should come back. If your doctor did not find any of these things to be the cause of your memory loss, you will not need treatment and you can go back to your usual activities. Your doctor probably did an examination and ran some tests to rule out certain health problems that can also cause sudden memory loss, such as a stroke, brain tumour, seizure, head injury, or an infection. People who get migraines are more likely to have TGA. But, in some cases, an intense workout, sex, or stress may cause an episode. An episode usually does not last more than 6 hours and it rarely happens again. Unlike other types of amnesia, you do know who you are and you can recognize people that you know. You may ask the same question many times. You may also not know where you are, why you are there, or what the date is. ![]() ![]() When this happens you cannot remember events from your recent past or make new memories. Transient global amnesia (TGA) is a rare type of amnesia that causes sudden memory loss.
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