Dissociative Identity Disorder ( DID )

Definition

Dissociation is a mental process in which there is a lack of connection in thoughts, memories, feelings, actions or identity. While dissociating, certain information is not associated with other information as it normally would be.

Some believe that dissociation exists on a continuum ranging from daydreaming to Dissociative Identity Disorder at the other.

Dissociative identity disorder

Dissociative identity disorder

Multiple personality disorder (MPD)

This is a psychiatricdisorder characterized by having at least one “alter” personality that controls behavior. The “alters” are said to occur spontaneously and involuntarily, and function more or less independently of each other.

The unity of consciousness, by which we identify our selves, is said to be absent in MPD.

Symptoms

  1. The patient has at least two distinct identities or personality states. Each of these has its own, relatively lasting pattern of sensing, thinking about and relating to self and environment.
  2. At least two of these personalities repeatedly assume control of the patient’s behavior.
  3. Common forgetfulness cannot explain the patient’s extensive inability to remember important personal information.
  4. This behavior is not directly caused by substance use (such as alcoholic blackouts) or by a general medical condition.
  5. Episodes of amnesia or time loss (i.e.: don’t remember people, places, etc.)
  6. Often they are depressed or suicidal

Research Says:  85% of MPD patients are female

Image of Mind

Image of Mind

Depersonalization disorder

This disorder is characterized by a sudden sense of being outside yourself, observing your actions from a distance as though watching a movie.

It may be accompanied by a perceived distortion of the size and shape of your body or of other people and objects around you.

Time may seem to slow down, and the world may seem unreal. Symptoms may last only a few moments or may wax and wane over many years.

Treatments

Treatment of DID may last for five to seven years in adults and usually requires several different treatment methods.

Conscious Pyramid

Conscious Pyramid

1. Psychotherapy

Ideally, patients with DID should be treated by a therapist with specialized training in dissociation. This specialized training is important because the patient’s personality switches can be confusing or startling. In addition, many patients with DID have hostile or suicidal alter personalities.
2.   Medications
Some doctors will prescribe tranquilizers or antidepressants for DID patients because their alter personalities may have anxiety or mood disorders. However, other therapists who treat DID patients prefer to keep medications to a minimum because these patients can easily become psychologically dependent on drugs.
3. Hypnosis
While not always necessary, hypnosis (or hypnotherapy) is a standard method of treatment for DID patients. Hypnosis may help patients recover repressed ideas and memories. Further, hypnosis can also be used to control problematic behaviors that many DID patients exhibit, such as self-mutilation, or eating disorders like bulimia nervosa.
In the later stages of treatment, the therapist may use hypnosis to “fuse” the alters as part of the patient’s personality integration process
4.  Prognosis
Unfortunately, no systematic studies of the long-term outcome of DID currently exist. Some therapists believe that the prognosis for recovery is excellent for children and good for most adults. Although treatment takes several years, it is often ultimately effective.
As a general rule, the earlier the patient is diagnosed and properly treated, the better the prognosis.

Multiple Personality Disorder

Multiple Personality Disorder

5. Prevention

Prevention of DID requires intervention in abusive families and treating children with dissociative symptoms as early as possible.

Regards,

R.Gopinath

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5 thoughts on “Dissociative Identity Disorder ( DID )

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