Question

For each of the disorders listed below, briefly describe: What it is, symptoms/observable evidence, what the client may report feeling, general treatment, nursing implications, and a priority nursing diagnosis

    •    Dissociative Amnesia

    •    Dissociative Identity Disorder

    •    Somatic Symptom Disorder

    •    Illness Anxiety Disorder

    •    Conversion Disorder

    •    Factitious Disorder (Self/Other)

    •    Malingering

Answer 1

Dissossiative amnesia:

symptoms : mental health problems like depression, anxiety, suicidal thoughts and behaviour. Memory loss of certain time periods, loss of personal information, inability to cope with emotional and precessional stress.

patient may feel a sense of being detached from themselves and their emotions, a perception of people and things around them as disorted and unreal, significant stress and problem in relationships or at work.

General treatment: a combination of different therapy is recommended. Psychotherapy is a main treatment for dissociative disorders. This may focus on harmful thinking patterns and behaviour of the patient.

nurse implications and diagnosis: a complete nursing and neurological assessment should be done for any signs of self mutilation or suicide attempts and neurological data has to be assessed.

The diagnostic test like neuro imaging, electroencephalogram are done to rule out neurological or other illness symptoms.

Dissociative identity disorders:

symptoms: an impulsivity, self destructive behaviour , self harming tendencies, altered conciousness, and amnesia are seen

patient may feel detached from self, mood swings, anxiety, flash back episodes.

General treatment: treatment is talk therapy. Cognitive behavioural therapy and family therapy can also recommended.

Nurses implications and diagnosis:

nurses should provide a safe environment protecting patient from self destruction behaviour. Assist them in learning new coping skills and provide environment for socialisation. A review of symptoms and patient history contribute to the diagnosis of disorder. Perform test to rule out the physical condition that causes symptoms has to be done.