First Reported Case of Lorazepam-Assisted Interview in a Young Indian Female Presenting with Dissociative Identity Disorder and Improvement in Symptoms after the Interview

Mushtaq, Raheel; Shoib, Sheikh; Arif, Tasleem; Shah, Tabindah; Mushtaq, Sahil

doi:10.1155/2014/346939

Cited by 8 publications

(4 citation statements)

References 15 publications

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“…Childhood DID was largely absent from the literature. Six case studies examined children diagnosed with DID (Haravouri et al, 2021; Lai, 2012; Mushtaq et al, 2014; Perales-Blum et al, 2016; Russell, 2018; Sahin and Balkan, 2018), and three empirical studies documented fewer than 25 cases of DID in children (Bozkurt et al, 2015; Donfrancesco et al, 2019; Sar et al, 2014c). Across the case studies and empirical articles, the focus of research tended to be on assessment or treatment, and there were no direct tests of etiology.…”

Section: Resultsmentioning

confidence: 99%

Dissociative Identity Disorder

Boysen

2024

J Nerv Ment Dis

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Dissociative identity disorder (DID) has historically been one of the most controversial topics in the study of psychopathology. Building on a previous review of empirical research on DID from 2000 to 2010, the present review examined DID research from 2011 to 2021. The research output included 56 case studies and 104 empirical studies. Within the empirical studies, approximately 1354 new cases of DID emerged, which resulted in an average samples of approximately 20. Reanalysis of previous samples was standard in the literature with only 40% of reported cases being new. Studies emerged from dozens of countries across the world, but the majority of cases were from Western counties, especially the United States. Diagnosis primarily relied upon validated measures, but 74% of all new cases came from six research groups. Overall, research on DID is steady but methodologically limited in ways that make generalization, especially about etiology, difficult.

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Section: Resultsmentioning

confidence: 99%

Dissociative Identity Disorder

Boysen

2024

J Nerv Ment Dis

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“…For long we have known that barbiturates were used for augmenting information collection during psychiatric interviews by manipulation of the level of consciousness 5 6. Of late benzodiazepines mostly lorazepam, has gained acceptance as a suitable alternative because it is a less respiratory depressant than barbiturates and flumazenil is available as a potent antagonist to mitigate the intoxication 7–9. However, the common side effects of benzodiazepines include drowsiness, lethargy and fatigue.…”

Section: Discussionmentioning

confidence: 99%

“…Barbiturates, however, are known for their respiratory depressant effect and heavy headed recovery. Benzodiazepines like diazepam, midazolam and lorazepam have also been tried and lorazepam has been seen as a better alternative to barbiturates 7–9. However, benzodiazepines too carry the risk of respiratory depression and difficulty in maintaining the plane of sedation where the patient is amenable to interviewing.…”

Section: Introductionmentioning

confidence: 99%

Dexmedetomidine-assisted drug interviews: an observation in psychiatric setting

et al. 2018

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Drug-assisted interviews are an effective tool in the management of various psychiatric illnesses where psychopharmacological, as well as routine psychological interventions, do not prove beneficial. These have most commonly been done by using barbiturates and benzodiazepines that have given favourable results for a long time. However, they carry the risk of respiratory depression and difficulty in maintaining the plane of sedation where the patient is amenable to interviewing. In our experience of drug-assisted interviews with two patients we used intravenous dexmedetomidine, which is being used in anaesthesia practice for conscious sedation or sedation in the intensive care unit. We found dexmedetomidine to be superior to thiopentone in achieving a level of conscious sedation where the patients were amenable for an interview, with no significant adverse events and faster post-anaesthetic recovery.

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“…2 It is considered to be the most common of the dissociative disorders with a prevalence ranging from 1.8% to 7.3%. 3 The memory loss is episodic for a discreet period of time ranging from minutes to years. The amnesia is retrograde and new learning is not affected.…”

Section: Discussion Of Managementmentioning

confidence: 99%