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Dissociative Fugue By: Vicenzo Balleta, Kristhel Nasser & Vanessa Villavicencio What is dissociative fugue? People with dissociative fugue temporarily lose their sense of personal identity and impulsively stroll or travel away from their homes or places of work. People with dissociative fugue often become confused about who they are and might even create new identities. People with this disorder show no signs of illness, such as a strange appearance or odd behavior. What are the symptoms of dissociative fugue? Sudden and unplanned travel away from home Inability to recall past events or important information from the person’s life Confusion or loss of memory about his or her identity, possibly assuming a new identity to make up for the loss Extreme distress and problems with daily functioning (due to the fugue episodes) What causes dissociative fugue? Dissociative fugue has been linked to severe stress, which might be the result of traumatic events such as war, abuse, accidents, disasters or extreme violence that the person has experienced or witnessed. The use or abuse of alcohol and certain drugs also can cause fuguelike states, such as alcohol-induced "blackouts." How common is dissociative fugue? Dissociative fugue is relatively rare. The frequency of dissociative fugue tends to increase during stressful or traumatic periods. How is dissociative fugue diagnosed? If symptoms are present, the doctor will begin an evaluation by performing a complete medical history and physical examination. Although there are no laboratory tests to specifically diagnose dissociative disorders. Certain conditions including brain diseases, head injuries, drug and alcohol intoxication, and sleep deprivation can lead to symptoms similar to those of dissociative disorders, including amnesia (loss of memory). How is dissociative fugue treated? Psychotherapy Psychotherapy, a type of counseling, is the main treatment for dissociative disorders. This treatment uses techniques designed to encourage communication of conflicts and increase insight into problems. Cognitive therapy This type of therapy focuses on changing dysfunctional thinking patterns and resulting feelings and behaviors. Medication There is no medication to treat the dissociative disorders themselves. However, a person with a dissociative disorder who also suffers from depression or anxiety might benefit from treatment with a medication such as an antidepressant or anti-anxiety medicine. Family therapy This helps to teach the family about the disorder and its causes, as well as to help family members recognize symptoms of a recurrence. Creative therapies (art therapy, music therapy) These therapies allow the patient to explore and express his or her thoughts and feelings in a safe and creative way. Clinical hypnosis This is a treatment method that uses intense relaxation, concentration and focused attention to achieve an altered state of consciousness (awareness), allowing people to explore thoughts, feelings and memories they might have hidden from their conscious minds. The use of hypnosis for treating dissociative disorders is controversial due to the risk of creating false memories. What is the outlook for people with dissociative fugue? Most fugues are brief, lasting from less than a day to several months. Often, the disorder goes away on its own. The outlook, therefore, is quite good. However, without treatment to work out the underlying problem, additional fugue episodes can occur. Can dissociative fugue be prevented? Although it might not be possible to prevent dissociative fugue, it might be helpful to begin treatment in people as soon as they begin to have symptoms. Fun Time!!!! http://www.youtube.com/watch?v=RjG5T1Nu5fA Thank You!!! Bibliography http://my.clevelandclinic.org/disorders/dissociat ive_disorders/hic_dissociative_fugue.aspx http://www.minddisorders.com/DelFi/Dissociative-fugue.html http://www.athealth.com/Consumer/disorders/D issociative.html