Dissociative fugue - Revision history

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			{{SI}}
			{{Infobox medical condition
			\| name = Dissociative fugue
			\| image = [[File:Headscratcher.png\|250px]]
			\| caption = A depiction of confusion often associated with dissociative fugue
			\| field = [[Psychiatry]]
			\| symptoms = Sudden travel away from home, inability to recall past, confusion about identity
			\| onset = Sudden
			\| duration = Hours to months
			\| causes = [[Stress (biology)\|Stress]], [[trauma]], [[mental disorder]]
			\| risks = [[Dissociative identity disorder]], [[depression (mood)\|depression]], [[anxiety disorder]]
			\| diagnosis = [[Clinical assessment]], [[psychiatric evaluation]]
			\| differential = [[Amnesia]], [[dissociative identity disorder]], [[epilepsy]]
			\| treatment = [[Psychotherapy]], [[cognitive behavioral therapy]], [[medication]]
			\| prognosis = Generally good with treatment
			\| frequency = Rare
			}}
	== Dissociative Fugue ==		== Dissociative Fugue ==
			[[File:Headscratcher.png\|left\|thumb\|A person experiencing confusion, a common symptom of dissociative fugue.]]
	[[File:Headscratcher.png\|thumb~~\|right~~\|A person experiencing confusion, a common symptom of dissociative fugue.]]

	'''Dissociative fugue''', formerly known as '''psychogenic fugue''', is a rare [[psychiatric disorder]] characterized by reversible amnesia for personal identity, including the memories, personality, and other identifying characteristics of individuality. The state is usually short-lived (ranging from hours to days), but can last months or longer. Dissociative fugue is a subtype of [[dissociative disorders]], which are conditions that involve disruptions or breakdowns of memory, awareness, identity, or perception.		'''Dissociative fugue''', formerly known as '''psychogenic fugue''', is a rare [[psychiatric disorder]] characterized by reversible amnesia for personal identity, including the memories, personality, and other identifying characteristics of individuality. The state is usually short-lived (ranging from hours to days), but can last months or longer. Dissociative fugue is a subtype of [[dissociative disorders]], which are conditions that involve disruptions or breakdowns of memory, awareness, identity, or perception.

	== Symptoms ==		== Symptoms ==

	The primary symptom of dissociative fugue is sudden, unexpected travel away from home or customary work locations, with an inability to recall one's past. Individuals in a fugue state are often confused about their identity and may even assume a new identity. Other symptoms may include:		The primary symptom of dissociative fugue is sudden, unexpected travel away from home or customary work locations, with an inability to recall one's past. Individuals in a fugue state are often confused about their identity and may even assume a new identity. Other symptoms may include:

	* Confusion		* Confusion
	* Distress		* Distress
	* Depression		* Depression
	* Anxiety		* Anxiety

	== Causes ==		== Causes ==

	The exact cause of dissociative fugue is not well understood, but it is often associated with severe stress, trauma, or a history of [[abuse]]. It may also be triggered by a traumatic event such as a natural disaster, war, or a serious accident.		The exact cause of dissociative fugue is not well understood, but it is often associated with severe stress, trauma, or a history of [[abuse]]. It may also be triggered by a traumatic event such as a natural disaster, war, or a serious accident.

	== Diagnosis ==		== Diagnosis ==
			[[File:Headscratcher.png\|left\|thumb\|Confusion and disorientation are key features in diagnosing dissociative fugue.]]
	[[File:Headscratcher.png\|thumb~~\|left~~\|Confusion and disorientation are key features in diagnosing dissociative fugue.]]

	Diagnosis of dissociative fugue is typically made based on a thorough [[psychiatric evaluation]] and history. It is important to rule out other potential causes of amnesia, such as [[neurological disorders]], [[substance abuse]], or other medical conditions. The [[Diagnostic and Statistical Manual of Mental Disorders]] (DSM-5) provides criteria for diagnosing dissociative fugue.		Diagnosis of dissociative fugue is typically made based on a thorough [[psychiatric evaluation]] and history. It is important to rule out other potential causes of amnesia, such as [[neurological disorders]], [[substance abuse]], or other medical conditions. The [[Diagnostic and Statistical Manual of Mental Disorders]] (DSM-5) provides criteria for diagnosing dissociative fugue.

	== Treatment ==		== Treatment ==

	Treatment for dissociative fugue often involves [[psychotherapy]], which can help the individual understand and cope with the underlying issues that triggered the fugue state. [[Cognitive behavioral therapy]] (CBT) and [[hypnotherapy]] may be beneficial. In some cases, [[medication]] may be prescribed to address symptoms of depression or anxiety.		Treatment for dissociative fugue often involves [[psychotherapy]], which can help the individual understand and cope with the underlying issues that triggered the fugue state. [[Cognitive behavioral therapy]] (CBT) and [[hypnotherapy]] may be beneficial. In some cases, [[medication]] may be prescribed to address symptoms of depression or anxiety.

	== Prognosis ==		== Prognosis ==

	The prognosis for individuals with dissociative fugue varies. Many people recover fully and regain their memories, while others may experience lingering effects or recurrent episodes. Early intervention and treatment can improve outcomes.		The prognosis for individuals with dissociative fugue varies. Many people recover fully and regain their memories, while others may experience lingering effects or recurrent episodes. Early intervention and treatment can improve outcomes.
			== See also ==
	== ~~Related pages~~ ==

	* [[Dissociative identity disorder]]		* [[Dissociative identity disorder]]
	* [[Amnesia]]		* [[Amnesia]]
	* [[Post-traumatic stress disorder]]		* [[Post-traumatic stress disorder]]
	* [[Psychotherapy]]		* [[Psychotherapy]]

	[[Category:Dissociative disorders]]		[[Category:Dissociative disorders]]

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	~~'''~~Dissociative Fugue''', also known as '''fugue state''', is a rare psychiatric disorder characterized by reversible amnesia for personal identity, including the memories, personality, and other identifying characteristics of individuality. The condition is a subtype of [[Dissociative Disorders]], which are mental disorders that involve experiencing a disconnection and lack of continuity between thoughts, memories, surroundings, actions, and identity.		== Dissociative Fugue ==

	~~== Symptoms and Diagnosis ==~~		[[File:Headscratcher.png\|thumb\|right\|A person experiencing confusion, a common symptom of dissociative fugue.]]
	~~The primary symptom of a dissociative fugue is sudden, unexpected travel away from one's home or usual place of work, with an inability to recall one's past~~. ~~Individuals in a fugue state may not remember their name or other personal details~~, ~~or they may assume~~ a ~~new identity altogether. The duration of a fugue may range from hours to months, occasionally longer, and ends as abruptly as it begins. The diagnosis~~ of dissociative fugue ~~is clinical, often involving detailed interviews, psychological testing, and ruling out other medical conditions~~.

	== Causes ~~and Risk Factors~~ ==		'''Dissociative fugue''', formerly known as '''psychogenic fugue''', is a rare [[psychiatric disorder]] characterized by reversible amnesia for personal identity, including the memories, personality, and other identifying characteristics of individuality. The state is usually short-lived (ranging from hours to days), but can last months or longer. Dissociative fugue is a subtype of [[dissociative disorders]], which are conditions that involve disruptions or breakdowns of memory, awareness, identity, or perception.
	The exact cause of dissociative fugue is not well understood, but it is ~~believed to result from a combination of factors including~~ severe stress, trauma, ~~and~~ a history of [[~~Dissociative Identity Disorder~~\|dissociative ~~identity disorder~~]] ~~or other~~ dissociative ~~disorders. Individuals with~~ a history of ~~trauma~~, ~~especially childhood trauma~~ such as ~~severe~~ abuse, ~~are at a higher risk~~ of ~~developing~~ dissociative fugue.
			== Symptoms ==

			The primary symptom of dissociative fugue is sudden, unexpected travel away from home or customary work locations, with an inability to recall one's past. Individuals in a fugue state are often confused about their identity and may even assume a new identity. Other symptoms may include:

			* Confusion
			* Distress
			* Depression
			* Anxiety

			== Causes ==

			The exact cause of dissociative fugue is not well understood, but it is often associated with severe stress, trauma, or a history of [[abuse]]. It may also be triggered by a traumatic event such as a natural disaster, war, or a serious accident.

			== Diagnosis ==

			[[File:Headscratcher.png\|thumb\|left\|Confusion and disorientation are key features in diagnosing dissociative fugue.]]

			Diagnosis of dissociative fugue is typically made based on a thorough [[psychiatric evaluation]] and history. It is important to rule out other potential causes of amnesia, such as [[neurological disorders]], [[substance abuse]], or other medical conditions. The [[Diagnostic and Statistical Manual of Mental Disorders]] (DSM-5) provides criteria for diagnosing dissociative fugue.

	== Treatment ==		== Treatment ==
	Treatment for dissociative fugue ~~typically~~ involves psychotherapy, ~~with the goal of helping~~ the individual ~~recall their identity~~ and ~~relearn lost memories, while also coping~~ with ~~or resolving~~ the ~~triggers~~ that ~~led to~~ the fugue state. Cognitive-behavioral therapy (CBT)~~, dialectical behavior therapy (DBT),~~ and ~~eye movement desensitization and reprocessing (EMDR) are common therapeutic approaches~~. In some cases, medication may be prescribed to address ~~associated~~ symptoms ~~such as~~ depression or anxiety.
			Treatment for dissociative fugue often involves [[psychotherapy]], which can help the individual understand and cope with the underlying issues that triggered the fugue state. [[Cognitive behavioral therapy]] (CBT) and [[hypnotherapy]] may be beneficial. In some cases, [[medication]] may be prescribed to address symptoms of depression or anxiety.

	== Prognosis ==		== Prognosis ==
	The prognosis for dissociative fugue is generally good, especially with early and appropriate intervention. Most individuals recover completely with treatment and do not experience a recurrence of fugue state. However, the underlying issues that contributed to the development of the fugue, such as trauma, may require long-term management.

	~~== Epidemiology ==~~		The prognosis for individuals with dissociative fugue varies. Many people recover fully and regain their memories, while others may experience lingering effects or recurrent episodes. Early intervention and treatment can improve outcomes.
	~~Dissociative~~ fugue ~~is a rare disorder~~, ~~though its exact prevalence is unknown due to underreporting~~ and ~~misdiagnosis. It~~ can ~~occur in individuals of all ages, but most cases are reported in adults~~.

	== ~~See Also~~ ==		== Related pages ==
	* [[Dissociative ~~Identity Disorder~~]]
			* [[Dissociative identity disorder]]
	* [[Amnesia]]		* [[Amnesia]]
	* [[Post-~~Traumatic Stress Disorder (PTSD)~~]]		* [[Post-traumatic stress disorder]]
	* [[~~Mental Health~~]]		* [[Psychotherapy]]

	~~== References ==~~
	~~<references/>~~

	~~[[Category:Mental Health]]~~		[[Category:Dissociative disorders]]
	[[Category:Dissociative ~~Disorders~~]]
	~~{{medicine-stub}}~~

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'''Dissociative Fugue''', also known as '''fugue state''', is a rare psychiatric disorder characterized by reversible amnesia for personal identity, including the memories, personality, and other identifying characteristics of individuality. The condition is a subtype of [[Dissociative Disorders]], which are mental disorders that involve experiencing a disconnection and lack of continuity between thoughts, memories, surroundings, actions, and identity.

== Symptoms and Diagnosis ==
The primary symptom of a dissociative fugue is sudden, unexpected travel away from one's home or usual place of work, with an inability to recall one's past. Individuals in a fugue state may not remember their name or other personal details, or they may assume a new identity altogether. The duration of a fugue may range from hours to months, occasionally longer, and ends as abruptly as it begins. The diagnosis of dissociative fugue is clinical, often involving detailed interviews, psychological testing, and ruling out other medical conditions.

== Causes and Risk Factors ==
The exact cause of dissociative fugue is not well understood, but it is believed to result from a combination of factors including severe stress, trauma, and a history of [[Dissociative Identity Disorder|dissociative identity disorder]] or other dissociative disorders. Individuals with a history of trauma, especially childhood trauma such as severe abuse, are at a higher risk of developing dissociative fugue.

== Treatment ==
Treatment for dissociative fugue typically involves psychotherapy, with the goal of helping the individual recall their identity and relearn lost memories, while also coping with or resolving the triggers that led to the fugue state. Cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), and eye movement desensitization and reprocessing (EMDR) are common therapeutic approaches. In some cases, medication may be prescribed to address associated symptoms such as depression or anxiety.

== Prognosis ==
The prognosis for dissociative fugue is generally good, especially with early and appropriate intervention. Most individuals recover completely with treatment and do not experience a recurrence of fugue state. However, the underlying issues that contributed to the development of the fugue, such as trauma, may require long-term management.

== Epidemiology ==
Dissociative fugue is a rare disorder, though its exact prevalence is unknown due to underreporting and misdiagnosis. It can occur in individuals of all ages, but most cases are reported in adults.

== See Also ==
* [[Dissociative Identity Disorder]]
* [[Amnesia]]
* [[Post-Traumatic Stress Disorder (PTSD)]]
* [[Mental Health]]

== References ==
<references/>

[[Category:Mental Health]]
[[Category:Dissociative Disorders]]
{{medicine-stub}}