05 Jul Describe the various dissociative disorders (Dissociative Identify Disorder, Dissociative Amnesia, Depersonalization/Derealization) their prevalence, etiology, symptoms, and treatments.
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I need a 275 or more word response to classmate on the topic below with 2 references with doi attached. Article to be used is attached
TOPIC: Describe the various dissociative disorders (Dissociative Identify Disorder, Dissociative Amnesia, Depersonalization/Derealization) their prevalence, etiology, symptoms, and treatments.
Please include neurobiological rationales and explanations in your discussions
DISCUSSION: Psychotherapy is the mainstay of effective PTSD treatment, with medication used as an add-on for symptom management (Gabbard, 2014), with Cognitive behavioral therapy (CBT) being a level A treatment with the most empirical support (Gabbard, 2014). Therapy emphasizes emotional control, cognitive restructuring, and risk aversion (Gabbard, 2014). However, not all patients will have effective results or even be willing to try this therapy. Antidepressants, specifically SSRIs and SNRIs, are most effective for PTSD treatment (Gabbard, 2014). The SSRIs sertraline and paroxetine are FDA approved to treat PTSD. The SSRI fluoxetine, as well as one SNRI, venlafaxine, are recommended pharmacotherapies in the treatment guidelines for PTSD released by the US Departments of Veterans Affairs (VA) and Department of Defense (Kern et al., 2022)
Benzodiazepines are commonly prescribed for treatment of PTSD. Due to an increase in GABA, benzodiazepines provide various therapeutic advantages, including sedative, antianxiety, and anticonvulsant properties (Gilbert et al, 2020). However, current evidence indicates that benzodiazepines are inefficient for treating PTSD-related symptoms, despite the fact that they are routinely advised for treating PTSD or associated comorbidities including anxiety and insomnia. (Gilbert et al, 2020). Long-term treatment is now the “norm” in therapeutic settings, despite the fact that benzodiazepines were only meant for short-term usage, and there is a risk of addiction. (Agrawal et al., 2020). Benzodiazepines have been linked to an increase in behaviors connected to suicide, such as ideation, attempts, and successful suicide (Gilbert et al, 2020). They also have the possibility of making PTSD prognosis and severity worse. Several studies revealed that benzodiazepines were associated with an increased risk of depression, anxiety, and aggression in addition to worsening PTSD outcomes (Gilbert et al, 2020).
Article doi: 10.5152/alphapsychiatry.2022.0001
