Dissociative Identity Disorder Medication

  • Author: Muhammad Waseem, MD; Chief Editor: Caroly Pataki, MD   more...
 
Updated: May 11, 2012
 
 

Medication Summary

Pharmacologic management is essentially the same as for Posttraumatic Stress Disorder in Children. If the patient is currently being abused, treatment should be appropriate for acute stress disorder.

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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, American Heart Association, 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; Editor-in-Chief, Medscape Drug Reference

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  Senior Child and Adolescent Psychiatrist, Sound Mental Health

Carrie Sylvester, MD, MPH is a member of the following medical societies: American Academy of Child and 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.

References

  1. Shipman K, Taussig H. Mental health treatment of child abuse and neglect: the promise of evidence-based practice. Pediatr Clin North Am. Apr 2009;56(2):417-28. [Medline].

  2. Cicchetti D, Lynch M. Toward an ecological/transactional model of community violence and child maltreatment: consequences for children's development. Psychiatry. Feb 1993;56(1):96-118. [Medline].

  3. Cicchetti D, Rogosch FA. Psychopathology as risk for adolescent substance use disorders: a developmental psychopathology perspective. J Clin Child Psychol. Sep 1999;28(3):355-65. [Medline].

  4. Kluft RP. Diagnosing multiple personality disorder. Pa Med. Sep 1984;87(9):44, 46. [Medline].

  5. Kluft RP. An update on multiple personality disorder. Hosp Community Psychiatry. Apr 1987;38(4):363-73. [Medline].

  6. Carmen EH, Rieker PP, Mills T. Victims of violence and psychiatric illness. Am J Psychiatry. Mar 1984;141(3):378-83. [Medline].

  7. Richter JA, Serena A, Charvet MA, Virto R, Errasti P. Ureteral fistula after renal transplantation: the significance of delayed images. Eur J Nucl Med. 1984;9(9):436-7. [Medline].

  8. Lauterbach D, Somer E, Dell P, Vondeylen H. Abuse history and pathological dissociation among Israeli and American college students: a comparative study. J Trauma Dissociation. 2008;9(1):51-62. [Medline].

  9. Edwards VJ, Holden GW, Felitti VJ, Anda RF. Relationship between multiple forms of childhood maltreatment and adult mental health in community respondents: results from the adverse childhood experiences study. Am J Psychiatry. Aug 2003;160(8):1453-60. [Medline].

  10. Wherry JN, Neil DA, Taylor TN. Pathological dissociation as measured by the child dissociative checklist. J Child Sex Abus. Jan-Feb 2009;18(1):93-102. [Medline].

  11. Anderson SC, Bach CM, Griffith S. Psychosocial sequelae in intrafamilial victims of sexual assault and abuse. Amsterdam, Netherlands: April1981. Third international conference on child abuse and neglect.

  12. Tuft's New England Medical Center, Division of Child Psychiatry. Sexually exploited children: Service and research project. Final report for the office of Juvenile Justice and Delinquency Prevention. Washington, DC: US Department of Justice; 1984.

  13. Putnam FW, Guroff JJ, Silberman EK, Barban L, Post RM. The clinical phenomenology of multiple personality disorder: review of 100 recent cases. J Clin Psychiatry. Jun 1986;47(6):285-93. [Medline].

  14. Middleton W, Butler J. Dissociative identity disorder: an Australian series. Aust N Z J Psychiatry. Dec 1998;32(6):794-804. [Medline].

  15. Macfie J, Cicchetti D, Toth SL. The development of dissociation in maltreated preschool-aged children. Dev Psychopathol. Spring 2001;13(2):233-54. [Medline].

  16. Howe ML, Toth SL, Cicchetti D. Can maltreated children inhibit true and false memories for emotional information?. Child Dev. May-Jun 2011;82(3):967-81. [Medline].

  17. Toth SL, Pickreign Stronach E, Rogosch FA, Caplan R, Cicchetti D. Illogical thinking and thought disorder in maltreated children. J Am Acad Child Adolesc Psychiatry. Jul 2011;50(7):659-68. [Medline].

  18. Gast U, Rodewald F, Nickel V, Emrich HM. Prevalence of dissociative disorders among psychiatric inpatients in a German university clinic. J Nerv Ment Dis. Apr 2001;189(4):249-57. [Medline].

  19. Sar V, Akyuz G, Kundakci T, Kiziltan E, Dogan O. Childhood trauma, dissociation, and psychiatric comorbidity in patients with conversion disorder. Am J Psychiatry. Dec 2004;161(12):2271-6. [Medline].

  20. Hulette AC, Freyd JJ, Fisher PA. Dissociation in middle childhood among foster children with early maltreatment experiences. Child Abuse Negl. Feb 2011;35(2):123-6. [Medline]. [Full Text].

  21. Gutierrez Wang L, Cosden M, Bernal G. Dissociation as a mediator of posttraumatic symptoms in a Puerto Rican university sample. J Trauma Dissociation. 2011;12(4):358-74. [Medline].

  22. Evren C, Sar V, Dalbudak E, Cetin R, Durkaya M, Evren B. Lifetime PTSD and quality of life among alcohol-dependent men: impact of childhood emotional abuse and dissociation. Psychiatry Res. Mar 30 2011;186(1):85-90. [Medline].

  23. Tezcan E, Atmaca M, Kuloglu M, Gecici O, Buyukbayram A, Tutkun H. Dissociative disorders in Turkish inpatients with conversion disorder. Compr Psychiatry. Jul-Aug 2003;44(4):324-30. [Medline].

  24. Foote B, Park J. Dissociative identity disorder and schizophrenia: differential diagnosis and theoretical issues. Curr Psychiatry Rep. Jun 2008;10(3):217-22. [Medline].

  25. Allison RB. Multiple personality and criminal behavior. Am J Forensic Psychiatry. 1981;2:32-38.

  26. Weber S. Treatment of trauma- and abuse-related dissociative symptom disorders in children and adolescents. J Child Adolesc Psychiatr Nurs. Feb 2009;22(1):2-6. [Medline].

  27. Bierer LM, Yehuda R, Schmeidler J, et al. Abuse and neglect in childhood: relationship to personality disorder diagnoses. CNS Spectr. Oct 2003;8(10):737-54. [Medline].

  28. Brown GR, Anderson B. Psychiatric morbidity in adult inpatients with childhood histories of sexual and physical abuse. Am J Psychiatry. Jan 1991;148(1):55-61. [Medline].

  29. Brown RJ. Different types of "dissociation" have different psychological mechanisms. J Trauma Dissociation. 2006;7(4):7-28. [Medline].

  30. Chu JA, Frey LM, Ganzel BL, Matthews JA. Memories of childhood abuse: dissociation, amnesia, and corroboration. Am J Psychiatry. May 1999;156(5):749-55. [Medline].

  31. DeFrancis V. Protecting the Child Victim of Sex Crimes Committed by Adults. Denver, CO: Children's Division, American Humane Association; 1969.

  32. Dorahy MJ, Lewis CA. Dissociative identity disorder in Northern Ireland: a survey of attitudes and experience among clinical psychologists and psychiatrists. J Nerv Ment Dis. Oct 2002;190(10):707-10. [Medline].

  33. Ellason JW, Ross CA. Two-year follow-up of inpatients with dissociative identity disorder. Am J Psychiatry. Jun 1997;154(6):832-9. [Medline].

  34. Foote B, Smolin Y, Kaplan M, Legatt ME, Lipschitz D. Prevalence of dissociative disorders in psychiatric outpatients. Am J Psychiatry. Apr 2006;163(4):623-9. [Medline].

  35. Lewis DO, Yeager CA, Swica Y, Pincus JH, Lewis M. Objective documentation of child abuse and dissociation in 12 murderers with dissociative identity disorder. Am J Psychiatry. Dec 1997;154(12):1703-10. [Medline].

  36. Putnam FW. Diagnosis and Treatment of Multiple Personality Disorder. New York, NY: Guilford Press; 1989.

  37. Putnam FW. Ten-year research update review: child sexual abuse. J Am Acad Child Adolesc Psychiatry. Mar 2003;42(3):269-78. [Medline].

  38. Sar V, Koyuncu A, Ozturk E, et al. Dissociative disorders in the psychiatric emergency ward. Gen Hosp Psychiatry. Jan-Feb 2007;29(1):45-50. [Medline].

  39. Simeon D, Guralnik O, Schmeidler J, Sirof B, Knutelska M. The role of childhood interpersonal trauma in depersonalization disorder. Am J Psychiatry. Jul 2001;158(7):1027-33. [Medline].

  40. Vogel M, Spitzer C, Kuwert P, Moller B, Freyberger HJ, Grabe HJ. Association of childhood neglect with adult dissociation in schizophrenic inpatients. Psychopathology. 2009;42(2):124-30. [Medline].

  41. Wilbur CB. Multiple personality and child abuse. An overview. Psychiatr Clin North Am. Mar 1984;7(1):3-7. [Medline].

  42. Xiao Z, Yan H, Wang Z, et al. Trauma and dissociation in China. Am J Psychiatry. Aug 2006;163(8):1388-91. [Medline].

 
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