Psychiatria pre prax 4/2013

Dissociative disorders and possibilities of psychopharmacotherapy

The pathological dissociation is manifested primarily in loss of normally integrated functions of memory, identity and consciousness, in situations where the individual psyche is not able to cope with an unacceptable mental content. Amnesia, depersonalization, derealisation and identity disturbances are considered as the core symptoms The wide range of comorbid symptoms include affective symptoms, anxiety, psychotic misperception and impulse-dyscontrol.The therapeutic method of choice is psychotherapy, psychopharmacotherapy is targeted to reduce or eliminate comorbid symptoms. SSRIs and SNRI antidepressants, second -generation antipsychotics, anticonvulsants and mood stabilisers are recommended.

Keywords: dissociation, psychopharmacotherapy, comorbidity.