Diagnosis and differential diagnosis of complex PTSD, partial DID and DID & major implications for treatment
Description
Background and aims
In 2019, the World Health Organization launched the new ICD-11 with important changes in the field of trauma and dissociation. A new chapter on “Disorders Specifically Associated with Stress» includes “Posttraumatic Stress Disorder” (PTSD) and the new diagnosis of “Complex PTSD” (CPTSD). Furthermore, in a chapter on “Dissociative Disorders”, the renamed and more precisely defined “Dissociative Identity Disorder” (DID) and “Partial DID” (PDID) were introduced.
Method
We present the diagnosis of CPTSD, PDID and DID according to ICD-11 with special focus on: 1. CPTSD includes the three PTSD clusters (re-experiencing, avoidance, hyperarousal) and three additional clusters that reflect ‘disturbances in self-organization’ (DSO): (1) affect dysregulation, (2) negative self-concept and (3) disturbances in relationships. 2. PDID is characterized by the disruption of identity in which there are two or more distinct personality states, usually without amnesia. 3. In DID, there exist two or more distinct personality states (dissociative identities) associated with marked discontinuities in the sense of self and agency. They have diverse patterns of experiencing, perceiving, conceiving, and relating to self, the body, and the environment. Furthermore, the distinct personality states recurrently take executive control of the individual’s consciousness and functioning in interacting with others or with the environment.
Results
Understanding the key symptoms of each disorder, we will look at questionnaires for diagnosis, examine diagnostic challenges, and discuss major differential diagnoses such as borderline disorder, ADHD, bipolar disorder and schizophrenia.
Conclusions
Evidence-based diagnosis and differential diagnosis of CPTSD, PDID and DID according to ICD-11 has major implications for treatment planning, especially for the evaluation of indications and contraindications for EMDR therapy in CPTSD, PDID and DID.
In 2019, the World Health Organization launched the new ICD-11 with important changes in the field of trauma and dissociation. A new chapter on “Disorders Specifically Associated with Stress» includes “Posttraumatic Stress Disorder” (PTSD) and the new diagnosis of “Complex PTSD” (CPTSD). Furthermore, in a chapter on “Dissociative Disorders”, the renamed and more precisely defined “Dissociative Identity Disorder” (DID) and “Partial DID” (PDID) were introduced.
Method
We present the diagnosis of CPTSD, PDID and DID according to ICD-11 with special focus on: 1. CPTSD includes the three PTSD clusters (re-experiencing, avoidance, hyperarousal) and three additional clusters that reflect ‘disturbances in self-organization’ (DSO): (1) affect dysregulation, (2) negative self-concept and (3) disturbances in relationships. 2. PDID is characterized by the disruption of identity in which there are two or more distinct personality states, usually without amnesia. 3. In DID, there exist two or more distinct personality states (dissociative identities) associated with marked discontinuities in the sense of self and agency. They have diverse patterns of experiencing, perceiving, conceiving, and relating to self, the body, and the environment. Furthermore, the distinct personality states recurrently take executive control of the individual’s consciousness and functioning in interacting with others or with the environment.
Results
Understanding the key symptoms of each disorder, we will look at questionnaires for diagnosis, examine diagnostic challenges, and discuss major differential diagnoses such as borderline disorder, ADHD, bipolar disorder and schizophrenia.
Conclusions
Evidence-based diagnosis and differential diagnosis of CPTSD, PDID and DID according to ICD-11 has major implications for treatment planning, especially for the evaluation of indications and contraindications for EMDR therapy in CPTSD, PDID and DID.
Format
Conference
Language
English
Original Work Citation
Gysi, J. (2022, June). Diagnosis and differential diagnosis of complex PTSD, partial DID and DID & major implications for treatment. Presentation of the 23rd EMDR Europe Conference, Valencia, Spain
Citation
“Diagnosis and differential diagnosis of complex PTSD, partial DID and DID & major implications for treatment,” Francine Shapiro Library, accessed May 4, 2024, https://francineshapirolibrary.omeka.net/items/show/27410.