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Dissociative disorder

Also known as Dissociative Reaction

Dissociative disorders (DD) are conditions that involve disruptions or breakdowns of memory, awareness, identity or perception. People with dissociative disorders use dissociation, a defense mechanism, pathologically and involuntarily. Dissociative disorders are thought to primarily be caused by psychological trauma.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with dissociative disorder, 83% report having depressive or psychotic symptoms, 66% report having anxiety and nervousness, and 66% report having depression. The symptoms that are highly suggestive of dissociative disorder are depressive or psychotic symptoms, low self-esteem, excessive anger, back weakness, muscle swelling, elbow cramps or spasms, pus in urine, and low back weakness, although you may still have dissociative disorder without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with dissociative disorder often receive psychotherapy, mental health counseling, depression screen, psychological and psychiatric evaluation and therapy, laparoscopy (gi only), orthopedic casting, colonoscopy and biopsy and sigmoidoscopy or colonoscopy .

Common Medications

The most commonly prescribed drugs for patients with dissociative disorder include zolpidem (ambien), aripiprazole (abilify), duloxetine (cymbalta), ramelteon (rozerem), ropinirole, mirtazapine, fluoxetine (prozac), quetiapine (seroquel), trazodone, clonazepam, bupropion (wellbutrin), venlafaxine (effexor) and risperidone .

Zolpidem (Ambien)
$18
(28 days)
Aripiprazole (Abilify)
$497
(28 days)
Duloxetine (Cymbalta)
$155
(28 days)
Ramelteon (Rozerem)
$128
(28 days)
Ropinirole
$41
(28 days)
Mirtazapine
$16
(28 days)
Fluoxetine (Prozac)
$13
(28 days)
Quetiapine (Seroquel)
$290
(28 days)
Trazodone
$7
(28 days)
Clonazepam
$9
(28 days)
Bupropion (Wellbutrin)
$51
(28 days)
Venlafaxine (Effexor)
$128
(28 days)
Risperidone
$107
(28 days)

Who is at risk?

Groups of people at highest risk for dissociative disorder include sex == female age 45-59 years. On the other hand, age 75+ years, age 1-4 years, and age < 1 years almost never get dissociative disorder.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.2x
15-29 years
1.0x
30-44 years
0.8x
45-59 years
2.7x
60-74 years
0.7x
75+ years
0.0x

Sex

Male
0.2x
Female
1.6x

Race/Ethnicity

Black
0.5x
Hispanic
0.3x
White
1.3x
Other
0.8x
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