Medication Use and the Complexities of Shared Care in the Treatment of DID: Opportunities and Pitfalls

 

Abstract
Psychotropic medications are widely used in the treatment of Dissociative Identity Disorder (DID), yet the literature to guide their use is almost nonexistent. The prescriber faces the challenge of distinguishing whether particular symptoms, such as dramatic mood shifts or auditory hallucinations, represent switches within the alter system, as opposed to co-occurring biological disorders such as bipolar disorder or schizophrenia. The task is even further complicated when the prescriber serves as medical backup to a primary therapist, who may be more or less knowledgeable about DID than the prescriber. Additionally, the prescriber’s engagement with the alter personalities may exert complex pressures on the treatment frame.

In this workshop, we review the literature on medication use for DID; examine the difficult differential diagnostic issues as well as the at times perplexing medication responses encountered with DID; and explore a variety of pitfalls (as well as opportunities) which can arise in the shared care situation. The presenters share a host of clinical examples to illustrate each of the above issues. The workshop is especially recommended for prescribers in their first few years of treating DID. Non-MD’s who want to be able to keep a watchful eye on their psychiatric colleagues may also be interested.

This session was originally presented as a live conference session in March 2019.

Target Audience

Intermediate

Learning Objectives

At the conclusion of this session participants will be able to:

  • Name commonly used medication interventions for Dissociative Identity Disorder
  • Explain several difficult diagnostic issues which influence medication strategies
  • Identify several common pitfalls encountered when sharing care of the Dissociative Disorder patient
Course summary
Available credit: 
  • 1.50 APA
    The International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
  • 1.50 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. ISSTD maintains responsibility for this course. ACE provider approval period: 08/20/2021 – 08/20/2024. Social workers completing this course receive 1.50 continuing education credits.
  • 1.50 ISSTD Certificate Program
    This program is eligible for 1.50 credits in the ISSTD Certificate Program.
Course opens: 
12/31/2019
Course expires: 
12/31/2050
ISSTD Member cost:
$35.00
Your Price:
$55.00
Rating: 
0

 

Presenter: Brad Foote, MD
Presenter Bio: Brad Foote, MD, is Clinical Associate Professor of Psychiatry at AECOM/Montefiore, and has worked as an Attending Psychiatrist in the Outpatient Psychiatry Department, Montefiore Medical Center, since 1992. He specializes in the treatment of Dissociative Identity Disorder, as well as Complex Post-traumatic Stress Disorder and Borderline Personality Disorder. He was intensively trained in Dialectical Behavior Therapy (DBT) and has published on adapting DBT for the treatment of Dissociative Identity Disorder. He teaches yearly courses to the Einstein Psychiatry residents in Dissociative Disorders, Complex PTSD, Introduction to Psychotherapy via Video, Brief Dynamic Psychotherapy, and Heinz Kohut’s Self-Psychology. He received the Irma Bland Award for Excellence in Teaching Residents from the American Psychiatric Association in 2009.

Dr. Foote has held various offices for the International Society for the Study of Trauma and Dissociation (ISSTD) since 2003, and became an ISSTD Fellow in 2012.  He won the Morton Prince Award for Scientific Achievement from ISSTD in 2008 for his publication “Dissociative Disorders and Suicidality in Psychiatric Outpatients” in the Journal of Nervous and Mental Disease.

Dr. Foote has published, and presented at international meetings, his research concerning the prevalence of dissociative disorders; suicidality and dissociative disorders; the relationship between dissociative disorders and borderline personality disorder; and other related topics.

Presenter: Anthony Tranguch, MD, PhD
Presenter Bio: Anthony Tranguch, MD, PhD is a psychiatrist with two decades of experience in the clinical treatment of DID, PTSD, Addictions, and most psychiatric disorders. He is in private practice in Manhattan, and an Assistant Clinical Professor of Psychiatry at Columbia Univeristy, New York Presbyterian Hospital, and New York State Psychiatric Institute. In addition to meds and traditional psychotherapy approaches, he integrates a variety of alternative methods, including EMDR, hypnosis, NLP, EFT, Reiki, Sensorimotor & SE, IFS & Ego States, CES, and LENS Neurofeedback.

Available Credit

  • 1.50 APA
    The International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
  • 1.50 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. ISSTD maintains responsibility for this course. ACE provider approval period: 08/20/2021 – 08/20/2024. Social workers completing this course receive 1.50 continuing education credits.
  • 1.50 ISSTD Certificate Program
    This program is eligible for 1.50 credits in the ISSTD Certificate Program.

Price

ISSTD Member cost:
$35.00
Your Price:
$55.00
Please login or register to take this course.

"Your Price" above reflects your final price based on your membership status and career level. 

  • ISSTD defines a student as those enrolled in a program of study leading to a degree or certification in the mental health field and who have an interest in trauma and dissociation. 
  • ISSTD defines an emerging professional as mental health professionals who have completed an advanced degree and are in the first three years of their career (or first three years after graduation for researchers).
  • If you do not fall into one of the above categories please register as Professional/Retired. 

These prices are for Tier I countries. For a list of countries by Tier click here. If you are located in a country that falls into Tier II-VI please contact ISSTD at cfas@isst-d.org to receive the appropriate discount code.