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Dissociative Disorders: Diagnosis

 
Medical Encyclopedia: Dissociative Disorders: Diagnosis
 
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When a doctor is evaluating a patient with dissociative symptoms, he or she will first rule out physical conditions that sometimes produce amnesia, depersonalization, or derealization. These physical conditions include epilepsy, head injuries, brain disease, side effects of medications, substance abuse, intoxication, AIDS, dementia complex, or recent periods of extreme physical stress and sleeplessness. In some cases, the doctor may give the patient an electroencephalogram (EEG) to exclude epilepsy or other seizure disorders.

If the patient appears to be physically normal, the doctor will rule out psychotic disturbances, including schizophrenia. In addition, doctors can use some psychological tests to narrow the diagnosis. One is a screener, the Dissociative Experiences Scale (DES). If the patient has a high score on this test, he or she can be evaluated further with the Dissociative Disorders Interview Schedule (DDIS) or the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D). It is also possible for doctors to measure a patient's hypnotizability as part of a diagnostic evaluation.

— Rebecca J. Frey



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