A patient suffering from dissociative identity disorder complains of intrusive thoughts. The anticipates an order for which medication?
1. Insulin
2. Epinephrine
3. Beta-blocker
4. Benzodiazepine
Answer: 3
Explanation: Guidelines by the International Society for the Study of Trauma and Dissociation suggest that medications used in the treatment of patients with dissociative disorders should target the symptoms that are disturbing to the patient. SSRIs and beta-blockers are used to treat hyperarousal and intrusive thoughts, depressive symptoms, obsessive-compulsive thoughts and behaviors, and sleep disturbances. Benzodiazepines should not be used as they increase the risk of further dissociation; epinephrine is a catecholamine, and insulin is a hormone.
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