this is not a chapter this is for people that wants to know more about D.I.D but dont feel like getting on Google lmla
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What are the treatment methods for dissociative identity disorder?Psychotherapy is generally considered to be the main component of treatment for dissociative identity disorder. In treating individuals with DID, therapists usually try to help clients improve their relationships with others and to experience feelings they have not felt comfortable being in touch with or openly expressing in the past. This is carefully paced in order to prevent the person with DID from becoming overwhelmed by anxiety, risking a figurative repetition of their traumatic past being inflicted by those very strong emotions. Mental health professionals also often guide clients in finding a way to have each aspect of them coexist, and work together, as well as developing crisis-prevention techniques and finding ways of coping with memory lapses that occur during times of dissociation. The goal of achieving a more peaceful coexistence of the person's multiple personalities is quite different than the reintegration of all those aspects into just one identity state. While reintegration used to be the goal of psychotherapy, it has frequently been found to leave individuals with DID feeling as if the goal of the practitioner is to get rid of, or "kill," parts of them.
Hypnosis is sometimes used to help increase the information that the person with DID has about their symptoms/identity states, thereby increasing the control they have over those states when they change from one personality state to another. That is said to occur by enhancing the communication that each aspect of the person's identity has with the others. In this age of insurance companies regulating the health care that most Americans receive, having time-limited, multiple periods of psychotherapy rather than intensive long-term care provides what may be another effective treatment option for people with DID.
Eye movement desensitization and reprocessing (EMDR), a treatment method that integrates traumatic memories with the patient's own resources, is being increasingly used in the treatment of people with dissociative identity disorder. It has been found to result in enhanced information processing and healing.
Medications are often used to address the many other mental health conditions that individuals with DID tend to have, like depression, severe anxiety, anger, and impulse-control problems. However, particular caution is appropriate when treating people with DID with medications because any effects they may experience, good or bad, may cause the sufferer of DID to feel like they are being controlled, and therefore traumatized yet again. As DID is often associated with episodes of severe depression, electroconvulsive therapy (ECT) can be a viable treatment when the combination of psychotherapy and medication does not result in adequate relief of symptoms.
What are complications of dissociative identity disorder?
As with other mental health conditions, the prognosis for people with DID becomes much less optimistic if not appropriately treated. Individuals with a history of being sexually abused, including those who go on to develop dissociative identity disorder, are vulnerable to abusing alcohol or other substances as a negative way of coping with their victimization. People with DID are also at risk for attempting suicide more than once. Violent behavior has a high level of association with dissociation as well. Other debilitating outcomes of DID, like that of other severe chronic mental illnesses, include inability to obtain and maintain employment, poor relationships with others, and therefore overall lower productivity and equality of life.
Dissociative identity disorder (DID) facts
Dissociative identity disorder (DID), formerly called multiple personality disorder, is an illness that is characterized by the presence of at least two clear personality states, called alters, which may have different reactions, emotions, and body functioning.
How often DID occurs remains difficult to know due to disagreement among professionals about the existence of the diagnosis itself, its symptoms, and how to best assess the illness.
DID is diagnosed nine times more often in females than in males.
A history of severe abuse is thought to be associated with DID.
DID has been portrayed in the media in productions like The Three Faces of Eve and Sybil.
Signs and symptoms of DID include time and memory lapses, blackouts, being often accused of lying, finding apparently strange items among one's possessions, having apparent strangers recognize them as someone else, feeling unreal, and feeling like more than one person.
As there is no specific diagnostic test for DID, mental health professionals perform a mental health interview, ruling out other mental disorders, and referring the client for medical evaluation to rule out a physical cause for symptoms.
Individuals with DID often also suffer from other mental illnesses, including posttraumatic stress disorder, borderline and other personality disorders, and conversion disorder.
People who may benefit either emotionally or legally from having DID sometimes pretend to have it, as with those who molest children, have antisocial personality disorder, or in cases of Munchausen's syndrome.
Some researchers are of the opinion that sex offenders who truly suffer from DID are best identified using a structured interview.
Psychotherapy is the mainstay of treatment of DID and usually involves helping individuals with DID improve their relationship with others, preventing crises, and to experience feelings they are not comfortable with having.
Eye movement desensitization and reprocessing (EMDR), a treatment method that integrates traumatic memories with the patient's own resources, is being increasingly used in the treatment of people with dissociative identity disorder.
Hypnosis is sometimes used to help people with DID learn more about their personality states in the hope of their gaining better control of those states.
Although medications can be helpful in managing emotional symptoms that sometimes occur with DID, caution is exercised when it is prescribed in order to avoid making the individual feel retraumatized by feeling controlled.
People with DID may have trouble keeping a job and maintaining relationships and are at risk for engaging in drug and alcohol abuse as well as hurting themselves and others.What is dissociative identity disorder?
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