Noah Blalock Mr. DorschiedPsychology16 January 2018Dissociative Fugue Imagine you have a family member that can wake up in the morning, and completely forget about you and your entire family. They are just gone in a different city living a completely different life. People who suffer from the mental disorder, Dissociative Fugue, are forced to deal with this reality every day. By definition, the disorder is a temporary case of identity confusion, and it is never convenient. It appears mainly during times of stress in your life, and there is no indicator that a bought is coming on, and no way to prevent it from coming. It seems that people do not get this order by chance, but in fact it has shown extensive correlation to abuse during the years of childhood. This disorder is one that generally goes unnoticed. Not many people know anyone in their life with this disorder, or ever hear about it for that matter. The dissociative in the disorder comes from the fact that it is a member of the dissociative disorders. The Fugue portion is derived from the latin term for flight. Which indicates what happens when you have a bought of this disorder, which is you forget everything and run of, and start a new life that you think you’re actually living. In most cases however this period of identity confusion will go away, and you can return to your own life as normal. In most cases the bought of fugue will only last for a few to days, but some can have it as serious as months at a time without any memory of their real life. Not only does this cause the obvious immediate problems but could also cause things to happen like losing relationships, and falling to pay rent resulting in eviction. There is however a very good outlook for people with this disorder. Although it may not be possible to prevent dissociative fugue from occurring you can lessen the symptoms and make life easier for yourself. You can seek treatment to help you get passed the disorder, otherwise “without treatment to work out the underlying problem, additional fugue episodes can occur. (Goldberg)” Those who choose that path of no treatment or trying to treat themselves almost always end up getting worse in the process. It has been proven that the only way to go is help with a medical professional. In most cases though, you are able to almost entirely rid yourself of the problem through treatment with a trained professional. “Dissociative identity disorder has always been considered to be quite rare but it may be more common than previously thought and some estimate it to affect 1% of the population. This higher estimated prevalence may be due to the millions of now reported incidences of childhood abuse.(Tracy)” A much larger percentage of females suffer from this disorder than their male counterparts. Some hypothesis that this is because females suffer from a much more significant amount of childhood abuse than males, at ten females to the single male. All this being said, one must remember that it is very hard to diagnose someone with this disorder because, there are plenty of other disorders with the same type of symptoms. Adam Duritz is a very famous musician in American culture, and he is someone who has been diagnosed with this disorder. On the surface he is an ordinary man, but after months of months of not knowing what was wrong with him he was finally diagnosed with the disorder, dissociative fugue. “Before, he admitted that he has a depersonalization disorder which makes him feel separated from the real world. Most of the time, Adam Duritz feel like everything in his life is not part of the reality.” He told people that it was an extremely hard feeling to describe, and upon his diagnosis he decided to take a break from his career as a musician to deal with this disease. He decided he would undergo some “extensive and dependant medications” that would make him healthier and help him overcome his mental illness by making him more confident in his identity. The disorder is much different however for people who do not have access to these types of treatments. “A 73?year?old married illiterate male of urban background, was referred from the Department of Medicine for psychiatric evaluation and management for repeatedly traveling away from home without any apparent reason. During the episode, he would interact normally with others, did not reveal his identity, and had self?care intact. Except for the failure to recognize familiar people and behaving like a stranger, no abnormalities in his behavior were observed during traveling. The episode would last for many hours; thereafter he would realize to have traveled far away from home. He could not ascertain the reason and details of travel,patient missed the dose of anti?diabetic medication. After each episode, he was brought to the physician and random blood sugar level would be between 300 and 375 mg/dl and other reports (TC, DC, Hb, HbA1c, serum electrolyte, urine drug screening, and EEG) were within normal range. He was detected to have type II diabetes 3 years back and started on tablet metformin 500 mg before breakfast and except on the day of a dissociative episode, his blood sugar level were found to be in normal range. Initial 2 years of his illness, the compliance was good, but later he would miss the dose of anti?diabetic. As per the International Classification of Mental and Behavioral Disorders, 10th version,2 a diagnosis of organic dissociative disorder was made (all episodes occurred during the peak of hyperglycemic state that has temporal relation in terms of onset of dissociative fugue symptoms and no alternative causation of the mental disorder were present). Since episodes were following the missing dose, counseling was done for possibility of occurrence of such episode if patient missed the anti?diabetic medication, nature of illness, the need for compliance and control of diabetes and possible consequences of uncontrolled diabetes. The family members were also explained about safety issues that may arise during episodes, the possibility of occurrence of such episode if patient missed the anti?diabetic medication and were advised to supervise the intake of anti?diabetic medication. Patient compliance improved and no further episodes were reported.”Dissociative fugue is very common among individuals who suffer from PTSD as well as individuals who have suffered from traumatic events such as the nine eleven attacks on the World Trade centers. The disorder is also similar to amnesia, except for the fact that fugue causes no lasting physical damage to the brain. Unlike amnesia which can cause lasting damage to the hippocampus.