Dissociative Identity Disorders

Dissociative Identity Disorder (DID) was previously termed Multiple Personality Disorder (MPD). ... Overall, both the identity and the memory is affected in DID patients. ... For example, a certain personality may suffer from depression and never get recognized as a separate identity because he rarely leaves his home or interacts with others while in this state. ... Specific phobias commonly co-exist with individuals who suffer from Dissociative Identity Disorder (Coons, 1983). ... Pain disorders, major depression, conversion disorder, substance abuse and personality disorders also may co-exist with DID (Coons, 1983). ... An easily excitable nervous system and above average intelligence are both contributing factors to DID, but like most disorders, it is the diathesis as well as the stress in an individuals life that lead to diagnosis (Murray, 2001). ... The presence of amnesic episodes is an important determinant in diagnosing an individual with Dissociative Identity Disorder because many of the other symptoms are also present in Schizophrenia, Borderline Personality Disorder (BPD), Histrionic Personality Disorder (HPD) and Manic-Depressive Personality Disorder (Coons, 1983). ... BPD and DID similarities include impulsivity, identity disturbances, unstable relationships, angry outburst, frequent mood changes and self-mutilation problems (Coons, 1983). ... In all of these cases there is a very fine line that distinguishes between the stated disorders, and while amnesia is a main distinguishing factor, other tests need to be done in order to make an accurate diagnosis of DID. ... The Dissociative Experience Scale (DES) is a screening instrument that will result in the diagnosis of 1 in 7 clients who score over 30 (Kluft, 1996). The Dissociative Disorders Interview Schedule (DDIS) and the Structured Clinical Interview for the Diagnosis of DSM-IV Dissociative Disorders (SCID-D) are structured interviews that are also used to diagnose patients with DID. ... Once a diagnosis of Dissociative Identity Disorder is made, treatment should follow as soon as possible. ... Each personality wants to preserve his or her identity and does not want to be eliminated. ... In conclusion, Dissociative Identity Disorder may result from of any trauma that occurred during a patients’ childhood, but physical and sexual abuse are the most prevalent contributors to the disorder. ... Diagnosis and Treatment of Dissociative Identity Disorder. In, Psychiatric Disorders.

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