Psych Vivas · General adult psychiatry — dissociative disorders
Dissociative disorders — structured clinical viva
Fellowship viva covering DID evidence base, DES/SCID-D, Dalenberg vs Lynn framing, ISSTD phases, TOP DD caveats, DPDR CBT, suicide risk, and iatrogenic pitfalls.
On this page
Study tools
Target exams
FRANZCPMRCPsychABPNMD-DNB
Prompt
You are the psychiatry registrar. A consultant asks you to discuss a 34-year-old patient who self-identifies as having DID after online videos, reports 'alters', intermittent amnesia, chronic depersonalisation, and past sexual abuse. She wants hypnosis to 'find all memories', is cutting weekly, and asks whether an MRI will prove DID. Defend nosology, assessment, trauma vs sociocognitive models, phase treatment, risk, and what you will not do.
Interpretation
Reveal interpretationShowHide
References6ShowHide
- [1]Dorahy MJ, Brand BL, Sar V, et al. Dissociative identity disorder: An empirical overview Aust N Z J Psychiatry, 2014.PMID 24788904
- [2]Dalenberg CJ, Brand BL, Gleaves DH, et al. Evaluation of the evidence for the trauma and fantasy models of dissociation Psychol Bull, 2012.PMID 22409505
- [3]Lynn SJ, Maxwell R, Merckelbach H, et al. Dissociation and its disorders: Competing models, future directions, and a way forward Clin Psychol Rev, 2019.PMID 31494349
- [4]International Society for the Study of Trauma and Dissociation Guidelines for treating dissociative identity disorder in adults, third revision J Trauma Dissociation, 2011.PMID 21391103
- [5]Foote B, Smolin Y, Neft DI, Lipschitz D Dissociative disorders and suicidality in psychiatric outpatients J Nerv Ment Dis, 2008.PMID 18195639
- [6]Hunter EC, Baker D, Phillips ML, et al. Cognitive-behaviour therapy for depersonalisation disorder: an open study Behav Res Ther, 2005.PMID 16005701