Psychiatria pre prax 2/2011

Pharmacotherapy of dissociative disorders

Dissociative disorders have heterogenic and mostly dramatic manifestation. Dissociative states are frequently present in patiens suffering from other psychiatric disorders. Usually we can find a context between dissociative disorder and traumatic experience in the patients history. The psychogenic etiology is evident. The promptitude for reaction to stress with disociation begans in the disharmonious childhood. Several years persisted disorder becomes chronic and resisted to treatment. The specific therapy of the disociative disorders does not exist. The first choice of the therapies are psychoterapautic interventions. Pharmacological methods are advised to treat attendant psychiatric symptoms. The effect of the transcranial magnetic stimulation is investigated.

Keywords: dissociative disorders, course, comorbidity, pharmacotherapy.