Dissociative Fugue

Definition:

Dissociative fugue is a rare dissociative disorder characterized by sudden, unexpected travel or wandering, during which an individual experiences amnesia and forgets their identity, as well as their past personal history. This type of dissociative disorder is typically triggered by a traumatic event or highly stressful situation. The individual may adopt a new identity during the fugue state and may only regain their original identity after the fugue episode ends.

Subtypes:

• Localized Dissociative Fugue: In this subtype, the individual travels to a new location and assumes a new identity, often with a significant loss of memory for their previous life.
• Selective Dissociative Fugue: In this subtype, certain aspects of the individual’s identity and personal history are remembered, while others are forgotten during the fugue state.
• Generalized Dissociative Fugue: In this subtype, the person experiences a complete loss of their identity and personal history, assuming a completely new identity and may even adopt a new name, occupation, and social circle.

Symptoms:

Common symptoms of dissociative fugue may include:

• Sudden and unplanned travel away from home or usual surroundings
• Amnesia and inability to recall personal information or past events
• Confusion about one’s identity and assumption of a new identity
• Stress and distress related to the fugue episode
• Impaired functioning in daily life and occupational activities

Treatment:

Treatment for dissociative fugue often involves psychotherapy techniques, such as cognitive-behavioral therapy (CBT), to help individuals regain their lost memories, address underlying trauma, and develop coping mechanisms to manage stress. Medications, such as antidepressants or anti-anxiety drugs, may also be prescribed to alleviate associated symptoms.