Child Abuse and Neglect, Dissociative Identity Disorder Follow-up

  • Author: Muhammad Waseem, MD; Chief Editor: Caroly Pataki, MD   more...
 
Updated: Feb 10, 2010
 

Further Inpatient Care

Hospital admission is indicated for children in the following cases:

  • When medical or surgical condition requires inpatient management
  • When the diagnosis is unclear
  • When no alternative safe place for custody is immediately available
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Further Outpatient Care

If a child or adolescent is being treated, the parent or guardian must be seen. The guardian or parent must learn how to deal with the child during expression of multiple personalities or amnestic episodes.

A mental health professional with special experience in this area should provide follow-up care for these patients.

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Inpatient & Outpatient Medications

Pharmacologic management is the same as for PTSD.

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Deterrence/Prevention

Stopping child abuse as early as possible maximizes chances for prevention.

With suspicion of abuse, siblings should undergo full examinations within 24 hours.

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Complications

In 1981, Allison found criminal activity in patients with MPD.[16]

Other literature also notes complications of other social problems, such as prostitution and antisocial outbursts and actions.

Childhood sexual and physical abuse are highlighted as predictors of both paranoid and antisocial personality disorders. Patients with dissociative disorder also reported suicide attempts and self-mutilative behavior.

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Prognosis

The prognosis in children and adolescents can vary widely among patients and between the specific types of dissociation disorder; however early treatment offers the greatest possibility of full recovery.[35] Recovery requires specially trained skilled psychiatrists who thoroughly understand the condition.

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Patient Education

Patient education is of utmost importance. When patients with MPD understand what is really happening in their lives, they become excellent, cooperative patients.

For excellent patient education resources, visit eMedicine's Children's Health Center and Public Health Center. Also, see eMedicine's patient education articles Child Abuse and Sexual Assault.

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Contributor Information and Disclosures
Author

Muhammad Waseem, MD  Associate Professor of Emergency Medicine in Clinical Pediatrics, Weill Medical College of Cornell University; Consulting Staff, Department of Pediatrics, Bronx Lebanon Hospital; Consulting Staff, Department of Emergency Medicine, Lincoln Medical and Mental Health Center

Muhammad Waseem, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Emergency Physicians, and American Medical Association

Disclosure: Nothing to disclose.

Coauthor(s)

Muhammad Aslam, MD  Instructor in Pediatrics, Harvard Medical School; Staff Physician, Department of Medicine/ Division of Newborn Medicine, Children's Hospital Boston

Muhammad Aslam, MD is a member of the following medical societies: American Academy of Pediatrics, American Medical Association, American Medical Association, Massachusetts Medical Society, and Southern Medical Association

Disclosure: Nothing to disclose.

Richard M Switzer, Jr, MD  Consulting Staff, Department of Pediatrics, Brooklyn Hospital Center

Richard M Switzer, Jr, MD is a member of the following medical societies: American Academy of Pediatrics and American Medical Association

Disclosure: Nothing to disclose.

Orlando Perales, MD  Associate Director of Pediatric Emergency Services, Department of Emergency Medicine, Lincoln Medical and Mental Health Center

Orlando Perales, MD is a member of the following medical societies: American Academy of Pediatrics

Disclosure: Nothing to disclose.

Specialty Editor Board

Carol Diane Berkowitz, MD  Executive Vice Chair, Department of Pediatrics, Professor, Harbor-University of California at Los Angeles Medical Center

Carol Diane Berkowitz, MD is a member of the following medical societies: Alpha Omega Alpha, Ambulatory Pediatric Association, American Academy of Pediatrics, American College of Emergency Physicians, American Medical Association, American Pediatric Society, and North American Society for Pediatric and Adolescent Gynecology

Disclosure: Nothing to disclose.

Mary L Windle, PharmD  Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Pharmacy Editor, eMedicine

Disclosure: Nothing to disclose.

Caroly Pataki, MD  Professor of Clinical Psychiatry and Behavioral Sciences, Department of Psychiatry, Division Chair, Child and Adolescent Psychiatry, Keck School of Medicine of the University of Southern California

Caroly Pataki, MD is a member of the following medical societies: American Academy of Child and Adolescent Psychiatry, New York Academy of Sciences, and Physicians for Social Responsibility

Disclosure: Nothing to disclose.

Carrie Sylvester, MD, MPH  Director of Education in Child and Adolescent Psychiatry, Professor, Departments of Psychiatry and Pediatrics, Northwestern University Medical School

Carrie Sylvester, MD, MPH is a member of the following medical societies: American Academy of Child and Adolescent Psychiatry, American Academy of Pediatrics, American Medical Women's Association, American Psychiatric Association, and American Society for Adolescent Psychiatry

Disclosure: Nothing to disclose.

Chief Editor

Caroly Pataki, MD  Professor of Clinical Psychiatry and Behavioral Sciences, Department of Psychiatry, Division Chair, Child and Adolescent Psychiatry, Keck School of Medicine of the University of Southern California

Caroly Pataki, MD is a member of the following medical societies: American Academy of Child and Adolescent Psychiatry, New York Academy of Sciences, and Physicians for Social Responsibility

Disclosure: Nothing to disclose.

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