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Dissociative fugue and how it affects memory and identity
Mental Disorders
Question #8682
23 days ago
41

Dissociative fugue and how it affects memory and identity - #8682

Anonymously

I recently heard about dissociative fugue, and I’m trying to understand what it is and how it happens. From what I read, it’s a rare condition where someone forgets who they are and sometimes even travels without remembering it—does that mean they completely lose their past memories, or just parts of them? I also saw that dissociative fugue is linked to severe stress or trauma—does that mean people who experience childhood trauma are more likely to develop it? Another thing I’m wondering about is whether dissociative fugue episodes last a long time—can someone be in a fugue state for days or weeks, or does it only last a few hours? I also read that some people create new identities during a fugue—does that mean they act like a completely different person, or do they just forget their real life? Another thing I’m curious about is whether people remember anything once the fugue state ends—do memories come back gradually, or is it like waking up from a dream? Also, is dissociative fugue a mental illness on its own, or is it always part of a larger disorder like dissociative identity disorder? I just want to understand what causes dissociative fugue, how long it lasts, and if people fully recover from it.

Dissociative fugue
Memory loss
Identity confusion
Psychological trauma
Dissociation
Amnesia
Mental health disorder
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Doctors’ responses

Dr. Evgeny Arsentev
I am a highly qualified medical professional with over 15 years of experience in General Medicine. My expertise spans diagnosing and treating a wide range of conditions, providing evidence-based care, and mentoring junior doctors. I am dedicated to ensuring patient well-being through a combination of clinical skills and compassionate care.
22 days ago
Dissociative fugue is indeed a rare condition characterized by a significant loss of identity and personal history, often accompanied by unexpected travel or wandering. Let's address your questions in a clear and structured manner: 1. Memory Loss: In dissociative fugue, individuals typically experience a disconnect from their personal memories, which may include their identity and previous life experiences. This doesn't always mean a complete erasure of all past memories; it can involve selective amnesia relevant to certain aspects of identity or personal history. Some individuals may retain broader knowledge but struggle with specific personal details. 2. Link to Trauma: Yes, dissociative fugue is often associated with severe stress or trauma. Individuals who have experienced significant trauma, particularly during childhood, may be at a higher risk for developing dissociative disorders, including fugue states. This response can be seen as a coping mechanism to escape overwhelming stress or anxiety. 3. Duration of Episodes: The duration of a fugue state can vary widely. Episodes may last from a few hours to several days or even weeks. The variable nature of these episodes can complicate the understanding of an individual's experience during this time. 4. Creation of New Identities: Individuals in a fugue state may adopt new identities or personas. While they might not necessarily embody a completely different personality, they can act in ways consistent with their new identity, often lacking awareness of their past self. 5. Recovery of Memories: Once the fugue state ends, memory recovery can differ. Some people may have their memories return gradually, while others may experience sudden recollections. The transition can feel akin to waking from a dream, but the specifics vary by individual. 6. Diagnosis: Dissociative fugue can occur as a standalone condition; however, it is often associated with larger dissociative disorders, such as dissociative identity disorder or can appear in the context of severe stress or psychological conditions. Diagnosis typically requires a comprehensive evaluation by a mental health professional. 7. Recovery: While many individuals may recover from dissociative fugue and regain their memories, the process is often not straightforward. Therapeutic interventions that address underlying trauma and provide coping strategies can facilitate recovery. It's essential for individuals experiencing symptoms of dissociative fugue or related issues to seek professional evaluation and support. If you or someone you know is experiencing symptoms of dissociative fugue, consider reaching out to a mental health professional for a comprehensive assessment and tailored support. Understanding and addressing any underlying trauma or stress can significantly aid in recovery.
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