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Dissociative Identity Disorder

Dissociative Identity Disorder (DID) is a mental health condition in which an individual experiences two or more distinct personality states or identities, also known as alters, that may take control of their behavior and thoughts at various times.

Dissociative Identity Disorder

What is Dissociative Identity Disorder?


Dissociative Identity Disorder (DID) is a mental health condition in which an individual experiences two or more distinct personality states or identities, also known as alters, that may take control of their behavior and thoughts at various times. These identities may have their own memories, behaviors, and even physical characteristics, and individuals with DID often experience gaps in their memory or sense of identity. DID is thought to develop as a coping mechanism in response to severe and chronic trauma, such as abuse or neglect.


Who is affected by Dissociative Identity Disorder?


The exact number of people with Dissociative Identity Disorder (DID) is unknown, but it is considered a rare disorder. DID can affect people of any age, gender, or cultural background, but it is most commonly diagnosed in women. DID is thought to develop as a coping mechanism in response to severe and chronic trauma, such as abuse or neglect, and is often comorbid with other mental health conditions, such as depression, anxiety, and post-traumatic stress disorder (PTSD).


What are the symptoms of Dissociative Identity Disorder?


The primary symptom of Dissociative Identity Disorder (DID) is the presence of two or more distinct personality states or identities, also known as alters, that may take control of a person's behavior and thoughts at different times. Other symptoms of DID may include:


  • Gaps in memory, particularly for personal information, daily events, or traumatic experiences

  • Feeling detached from oneself, one's surroundings, or one's emotions

  • Feeling like one is observing oneself from outside one's body

  • Recurrent episodes of amnesia or forgetting things that are significant, like one's own name or personal history

  • Depersonalization or derealization, where one feels disconnected from one's body or the external world

  • Feeling as though one is in a dreamlike state or in a fog


It is important to note that DID is a complex disorder and not all people with DID will experience all these symptoms, and some symptoms may be more prevalent or severe than others. Additionally, these symptoms can be caused by other mental health conditions, and a proper evaluation and diagnosis by a mental health professional is necessary.


How is Dissociative Identity Disorder diagnosed?


The diagnostic criteria for Dissociative Identity Disorder (DID) are outlined in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), which is published by the American Psychiatric Association. The criteria for a diagnosis of DID are:


  • Disruption of identity characterized by two or more distinct personality states or an experience of possession. This involves a marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.

  • Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting.

  • The symptoms cause significant distress or impairment in social, occupational, or other areas of functioning.


The disturbance is not a normal part of a broadly accepted cultural or religious practice, and cannot be better explained by substance use, a medical condition, or other mental disorder.


The symptoms are not due to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during alcohol intoxication) or a general medical condition (e.g., complex partial seizures).


Note that DID is a complex disorder and a proper diagnosis requires a comprehensive evaluation by a mental health professional trained in diagnosing and treating DID.


What are treatment strategies for overoming Dissociative Identity Disorder?


There is no one-size-fits-all approach to treating Dissociative Identity Disorder (DID), and the most effective treatment will depend on the individual and their specific symptoms some strategies and treatments that may be used to help individuals overcome DID include:


  • Psychotherapy: This is the primary treatment for DID, and the goal is to integrate the different identities into a cohesive and functional sense of self. Several types of therapy, such as cognitive-behavioral therapy (CBT), psychodynamic therapy, and eye movement desensitization and reprocessing (EMDR), may be used.

  • Medication: Although there is no medication specifically approved for DID, medications may be prescribed to help manage symptoms of depression, anxiety, and other mental health conditions that often co-occur with DID.

  • Self-care: Engaging in activities that promote relaxation and reduce stress, such as exercise, yoga, or meditation, can be helpful in managing symptoms.

  • Education: Learning about DID and how it affects one's life can help an individual understand and manage their symptoms better.

  • Support groups: Joining a support group with other people who have DID can help an individual feel less isolated and more understood.


It is important to note that treatment for DID can be a long and complex process, and there may be setbacks along the way. With the help of a mental health professional and a supportive network of family and friends, however, individuals with DID can work toward healing and recovery.


This content is provided for informational and entertainment value only. It is not a replacement for a trained professional's diagnosis or for the treatment of any illness. If you feel like you are struggling with this condition, it is important to seek help from a mental health professional. With the right treatment and support, individuals with this condition can learn to manage their symptoms and lead fulfilling lives. BetterPsych provides full psychological services via telehealth and offers a 100% satisfaction guarantee on our services. For more information and to find a therapist specializing in this disorder, please call (833) 496-5011, or visit https://www.betterpsych.com.

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