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Article | November 01, 1993

Recognizing Dissociative Disorders in Patients With Chemical Dependency

George Kolodner; Richard Frances

Psychiatric Services 1993; doi:

The authors thank Frank Putnam, M.D., for his encouragement and comments.

1003 Spring Street, Silver Spring, Maryland 20910, and assistant clinical professor of psychiatry at Georgetown University School of Medicine

University of Medicine and Dentistry of New Jersey

1993 by the American Psychiatric Association

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Abstract

Atypical relapses and unusually intense emotional pain in patients being treated for chemical dependency can alert clinicians to the possibility of comorbid dissociative disorders. The DES can be given as a simple screening instrument. Diagnoses should be based on a follow-up clinical interview and may be supported by administration of the DDIS or SCID-D. Referral for concurrent individual psychotherapy to a clinician knowledgeable about dissociative disorders is recommended.

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