Dissociative Fugue: When People Forget Who They Are

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Vanishing identities, sudden relocations, and complete memory loss—welcome to the fascinating world of dissociative amnesia with fugue. Ever wonder what happens when someone's mind creates the ultimate escape hatch from unbearable psychological pain?
Dissociative fugue represents an extraordinary psychological defense mechanism where individuals not only lose their autobiographical memories but may travel hundreds of miles away and assume entirely new identities. What makes this condition particularly intriguing is that while personal memories become inaccessible, practical skills remain intact. Someone might disappear from their life as an accountant only to be discovered weeks later working at a grocery store under a different name, with no awareness of their true identity.
We explore the clinical presentation, typical development, and evidence-based treatments for this complex condition. You'll learn about the strong connection between childhood trauma and dissociative disorders, and why a phase-oriented approach to treatment is absolutely essential. Through specialized techniques like memory mapping and narrative exposure, therapists can help clients build a coherent sense of identity while respecting the protective function the fugue served. From assessment tools to comorbid conditions, we provide a comprehensive understanding of this rare but fascinating psychological phenomenon.
Whether you're preparing for your licensing exam or looking to deepen your clinical knowledge, this episode offers valuable insights into one of psychology's most intriguing defense mechanisms. Subscribe to our podcast for more in-depth explorations of complex mental health topics that will enhance your therapeutic practice and understanding of the human mind.

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This podcast is not associated with the NBCC, AMFTRB, ASW, ANCC, NASP, NAADAC, CCMC, NCPG, CRCC, or any state or governmental agency responsible for licensure.

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1. Introduction to Dissociative Amnesia (00:00:00)

2. Clinical Presentation and Symptoms (00:01:42)

3. Development and Associated Features (00:04:16)

4. Evidence-Based Treatment Approaches (00:06:51)

5. Assessment Tools and Summary (00:08:42)

6. Key Takeaways for Therapists (00:10:53)