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conferenceseries
.com
Volume 7, Issue 5 (Suppl)
J Psychol Psychother, an open access journal
ISSN: 2161-0487
Psychosomatic Medicine & Forensic Congress 2017
October 12-14, 2017
JOINT EVENT
24
th
International Conference on
PSYCHIATRY & PSYCHOSOMATIC MEDICINE
2
nd
International Congress on
FORENSIC SCIENCE AND PSYCHOLOGY
&
October 12-14, 2017 London, UK
Hospital admission for severe paediatric dissociative disorder
Matthew Rinaldi, Daniel Ilzarbe
and
Marinos Kyriakopoulos
King’s College London, London, UK
Bethlem Royal Hospital, UK
Statement of the Problem:
Dissociative disorders are an under-researched condition in child and adolescent mental health and no
specific guidelines exist to inform management.
Methodology & Theoretical Orientation:
We audited the outcomes of patients diagnosed with dissociative disorders as part
of their difficulties over a 5-year period on a tier-4 national and specialist inpatient unit for children between the ages of 4 and
13. Information was collected for diagnoses, gender, length of admission, medication on admission and on discharge, Children’s
Global Assessment Scale (CGAS), Health of the Nation Outcomes Scale for Children and Adolescents (HONOSCA), additional
investigations, interventions, Mental Health Act (MHA) status and Discharge plans.
Findings:
Six female patients were identified and their diagnoses included dissociative motor disorder, dissociative seizures and
other dissociative disorders (fainting) and all patients had several co-morbidities. Mean CGAS and HoNOSCA scores improved from
admission to discharge for all patients from 36 to 64 and 15 to 5 respectively. The mean length of admission was 172 days (Range: 114
- 232). No patients were detained under the MHA. Treatment programmes were varied between the patients according to need. The
most common interventions were Cognitive Behavioral Therapy, additional physical health investigations for those with co-morbid
physical health diagnoses, family therapy, occupational therapy and medical review. Novel treatment methods such as mindfulness,
play therapy and mirror box therapy were also employed.
Conclusion & Significance:
We recommend that patients with dissociative disorders are offered these interventions, tailored to their
needs. Future research is required to create guidelines for evidence-based practise and to develop novel treatment methods for this
complicated patient group.
Biography
Matthew Rinaldi is a core Trainee Psychiatrist on the Maudsley training programme. He has interests in psychosomatic conditions, the psychotherapeutic
understanding and multi-disciplinary management of them. A trainee who works for bottom-up service improvement, his work stems from under-researched
problems that he encounters in clinical practice.
matthew.rinaldi@slam.nhs.ukMatthew Rinaldi et al., J Psychol Psychother 2017, 7:5(Suppl)
DOI: 10.4172/2161-0487-C1-017