What role does trauma history play in the management of dissociative disorders in primary care?

Role of Trauma History in Managing Dissociative Disorders in Primary Care

In primary care settings, taking a detailed trauma history is essential for the effective management of dissociative disorders, as these disorders often arise in the context of traumatic events.

Trauma history helps identify exposure to single, repeated, or multiple traumatic events such as serious accidents, physical or sexual assault, childhood or domestic abuse, war, or torture, which are strongly associated with dissociative symptoms and complex PTSD presentations that include dissociation.

Recognising trauma history enables GPs to assess symptoms comprehensively, including dissociation, emotional dysregulation, and interpersonal difficulties, which are common in dissociative disorders and complex PTSD.

It also guides the assessment of physical, psychological, and social needs, and informs risk assessment and care coordination, ensuring that management plans address trauma-related symptoms effectively.

Furthermore, understanding trauma history supports shared decision-making with patients, helps build trust, and tailors treatment approaches, including trauma-focused therapies, while considering barriers such as emotional dysregulation or substance misuse.

Therefore, trauma history is a critical component in recognising dissociative disorders, planning appropriate interventions, and coordinating care within primary care settings.

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