Treatment FAQ

what are treatment methods for dissociative identity disorder medicine net

by Dr. Nathaniel Flatley DVM Published 2 years ago Updated 2 years ago

  • Psychotherapy. The most popular and successful treatment for dissociative identity disorder is psychotherapy. The goal of therapy is to help integrate the different elements of identity.
  • Eye Movement Desensitization and Reprocessing (EMDR) EMDR is another effective treatment option. This method focuses on the past, present, and future. The client thinks of a disturbing event.
  • Medications. While there are no specific medications that cure dissociative identity disorder, medication may treat some of the symptoms.

Psychotherapy is the mainstay of treatment of DID and usually involves helping individuals with DID improve their relationships with others, preventing crises, and to experience feelings they are not comfortable with having.

Full Answer

How to cure a dissociative disorder?

Jan 16, 2021 · Psychotherapy is generally considered the main component of treatment for dissociative identity disorder. In treating individuals with DID, therapists usually use individual, family, and/or group psychotherapy 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 …

How to act toward someone with dissociative identity disorder?

Most treatment plans for people with DID focus on talk therapy (aka psychotherapy ). Talk therapy can help you understand why you dissociate and give you the tools to cope. Other treatment options...

Can you be cure from dissociative identity disorder?

Dec 03, 2019 · For those with a dissociative identity disorder, there are a few treatment methods available. The most effective include the following. Psychotherapy The most popular and successful treatment for dissociative identity disorder is psychotherapy. According to Psychiatry: The goal of therapy is to help integrate the different elements of identity.

How to choose a therapist for dissociative identity disorder?

Jan 16, 2021 · Symptoms and signs include lapses in memory, feeling unreal, blackouts in time, hearing voices in their head that are not their own, not recognizing themselves in the mirror, and finding items in one's possession but not recalling how they were acquired. Treatment usually involves psychotherapy, medications, and sometimes hypnosis.

What are treatment options for dissociative identity disorder?

Dissociative disorders are managed through various therapies including:
  • Psychotherapies such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT)
  • Eye movement desensitization and reprocessing (EMDR)
  • ​Medications such as antidepressants can treat symptoms of related conditions.

What are the three steps in the treatment for dissociative identity disorder?

The most common course of treatment consists of three stages:
  1. Establishing safety, stabilization, and symptom reduction. ...
  2. Confronting, working through, and integrating traumatic memories. ...
  3. Integration and rehabilitation.
Jan 31, 2018

What medication is used to treat dissociative disorder?

Studies show that a combination of selective serotonin reuptake inhibitors (SSRI), a specific kind of antidepressant medication, and lamotrigine, an anticonvulsant and mood stabilizer, is an effective treatment for dissociative disorders, especially depersonalization-derealization disorder.Oct 19, 2021

What is phasic treatment?

Phasic trauma treatment is a psychotherapeutic treatment that has three phases: Safety and stability. Work on traumatic memories. Re-integration into life.

What is the treatment goal for DID?

The goals of treatment for dissociative disorders are to help the patient safely recall and process painful memories, develop coping skills, and, in the case of dissociative identity disorder, to integrate the different identities into one functional person.

Do antipsychotics help with DID?

Antipsychotic medications for dissociative identity disorder (DID) are sometimes used although DID is not treated with psychiatric medications like other mental illnesses are. However, there are medications that can help alleviate the symptoms that tend to go along with DID.Aug 30, 2018

What is the treatment for a person who has dissociated?

Most treatment plans for people with DID focus on talk therapy (aka psychotherapy ). Talk therapy can help you understand why you dissociate and give you the tools to cope. Other treatment options include medication for co-occurring issues and hospital visits.

How to help dissociative disorder?

While more research is needed on complementary treatments for dissociative disorders, a small 2016 study found that some symptoms improved for young participants enrolled in a mindfulness program over the course of 6 weeks. You could start by checking out some meditation apps.

What is a DID?

DID is a mental health condition characterized by extreme dissociation involving “switching” between two or more distinct identities. Once known as multiple personality disorder, the causes and treatment options for DID haven’t always been well understood.

What is the treatment plan for DID?

The treatment plan for DID centers around talk therapy, where you can learn to understand your symptoms, their causes, and ways to manage dissociative episodes.

What is the first line of treatment for DID?

For this reason, working closely with a compassionate, knowledgeable mental health professional is considered the first-line treatment for DID. Talk therapy has been shown to improve symptoms of DID in the long term.

What does it mean when you feel like you are disconnected from your environment?

Derealization. This is the sensation of being disconnected from your physical environment, experiencing your surroundings as dream-like, or feeling like people and events aren’t real. Identity confusion. This means you may have a difficult time pinning down your core interests, goals, style, opinions, values, and beliefs.

What does it mean to be depersonalized?

Depersonalization. This is the feeling of being disconnected from your physical self or having an “out of body” experience, like observing yourself from a passenger’s perspective or watching a movie of yourself .

What is dissociative identity disorder?

Here is more on dissociative identity disorder: who gets it, what causes it, what its symptoms are, and how it’s treated.

How many types of dissociative disorders are there?

As defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM), there are three kinds of dissociative disorders.

What percentage of people with dissociative identity disorder have a past history of childhood neglect and abuse?

While there is no specific roadmap of who gets this disorder, statistics show that around 90 percent of people with dissociative identity disorder have a past history of childhood neglect and abuse. And these numbers are not just from the United States but Canada and Europe too.

What are the causes of DID?

There are a few things that cause DID. These include long-term sexual abuse, child abuse, emotional abuse, physical abuse, and traumas like those from combat or natural disasters.

Can medication help with dissociative identity disorder?

While there are no specific medications that cure dissociative identity disorder, medication may treat some of the symptoms. For example, depression can be treated with anti-depressants.

Does cultural background count as dissociative disorder?

For example, a person from another country who is exposed to another culture may seem to exhibit an alternative personality. Yet, this does not count.

Is being possessed a dissociative disorder?

Yet, this does not count. The disturbance must not be a normal part of a broadly accepted cultural or religious practice. As noted in the DSM-51, in many cultures around the world, experiences of being possessed are a normal part of spiritual practice and are not dissociative disorders.

What's Schizophrenia? Symptoms, Types, Causes, Treatment

What is the definition of schizophrenia? What is paranoid schizophrenia? Read about schizophrenia types and learn about...

Stress

Stress occurs when forces from the outside world impinge on the individual. Stress is a normal part of life. However, over-stress, can be harmful. There is now speculation, as well as some evidence, that points to the abnormal stress responses as being involved in causing various diseases or conditions.

Anxiety

Anxiety is a feeling of apprehension and fear characterized by symptoms such as trouble concentrating, headaches, sleep problems, and irritability. Anxiety disorders are serious medical illnesses that affect approximately 19 million American adults. Treatment for anxiety may incorporate medications and psychotherapy.

Depression

Depression is an illness that involves the body, mood, and thoughts and affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. The principal types of depression are major depression, dysthymia, and bipolar disease (also called manic-depressive disease).

Mental Illness in Children

About 5 million children and adolescents in the U.S. suffer from a serious mental illness such as eating disorders, anxiety disorders, disruptive behavior disorders, pervasive development disorders, elimination disorders, learning disorders, schizophrenia, tic disorders, and mood disorders.

Schizophrenia

Schizophrenia is a disabling brain disorder that may cause hallucinations and delusions and affect a person's ability to communicate and pay attention. Symptoms of psychosis appear in men in their late teens and early 20s and in women in their mid-20s to early 30s.

Suicide

Suicide is the process of intentionally ending one's own life. Approximately 1 million people worldwide commit suicide each year, and 10 million to 20 million attempt suicide annually.

How to treat dissociative disorder?

Dissociative disorders treatment may vary based on the type of disorder you have, but generally include psychotherapy and medication.

What is dissociative identity disorder?

For dissociative identity disorder: You display, or others observe, two or more distinct identities or personalities, which may be described in some cultures as possession that is unwanted and involuntary. Each identity has its own pattern of perceiving, relating to and thinking about yourself and the world.

What is the DSM-5?

Your mental health professional may compare your symptoms to the criteria for diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), published by the American Psychiatric Association. For diagnosis of dissociative disorders, the DSM-5 lists these criteria.

What is dissociative fugue?

You may also experience dissociative fugue, where you purposefully travel or experience confused wandering that involves amnesia — inability to remember your identity or other important personal information.

What is the best medication for dissociative disorder?

Although there are no medications that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medications or antipsychotic drugs to help control the mental health symptoms associated with dissociative disorders.

What is it called when you can't remember your identity?

Dissociative amnesia. For dissociative amnesia: You've had one or more episodes in which you couldn't remember important personal information — usually something traumatic or stressful — or you can't remember your identity or life history. This memory loss is too extensive to be explained by ordinary forgetfulness.

What is the diagnosis of a mental illness?

Diagnosis usually involves assessment of symptoms and ruling out any medical condition that could cause the symptoms. Testing and diagnosis often involves a referral to a mental health professional to determine your diagnosis.

What are the best medications for dissociative identity disorder?

Antidepressant medication has little effect on dissociative identity disorder. However, these medications are commonly used to treat depression, a mental health condition that commonly co-occurs with DID. Whether depression reaches a level requiring clinical diagnosis, treatment with antidepressants may help elevate mood. Some antidepressants that may be prescribed to someone with DID include: 1 Selective serotonin reuptake inhibitors (SSRIs) 2 Tricyclic antidepressants like Doxepin 3 Clonidine 4 Anticonvulsants 5 Benzodiazepines

What is the treatment for DID?

Treatment for DID will likely consist of therapy and in some cases, medication management. While there are several approaches to treat DID, most treatment methods have the goal of reconnecting the patient’s multiple personalities into one identity.

What is EDMR therapy?

This type of therapy was initially developed to alleviate the stress associated with traumatic events and memories. The focus of EDMR is to relieve distress, reformulate negative thoughts and reduce physiological arousal. During and EDMR session, the patient is exposed to emotionally disturbing content in brief, sequential doses while also being instructed to focus on external stimuli.

Why do people avoid benzodiazepines?

Treatment providers typically avoid prescribing benzodiazepines because of the high risk of addiction. People living with mental health conditions are more likely to develop addictions because of neurotransmitters in the brain. If someone has less serotonin or dopamine in their brain, they may turn to abuse substances and develop a mental health disorder like DID or both.

Can antidepressants help with dissociative identity disorder?

Antidepressant medication has little effect on dissociative identity disorder. However, these medications are commonly used to treat depression, a mental health condition that commonly co-occurs with DID. Whether depression reaches a level requiring clinical diagnosis, treatment with antidepressants may help elevate mood. Some antidepressants that may be prescribed to someone with DID include:

Is substance use common in people with a dissociative identity disorder?

Substance use is common in people with a dissociative identity disorder. The difficulties caused by living with DID can be challenging and some people may turn to substance misuse to numb their symptoms.

Can co-occurring disorders be treated at the same time?

When seeking treatment for a co-occurring disorder, it’s important to find a facility that can treat both disorders at the same time. If someone with co-occurring disorders only treats one disorder, they are more likely to experience setbacks with the other disorder or the untreated condition could worsen.

What to do if a child is dissociative?

If the reason for the dissociative disorder is likely abuse, promptly initiate appropriate medical, surgical, and mental health consultation. The law requires that a child suspected of being abused or neglected be reported immediately to CPS. Psychiatrist or behavioral/developmental pediatrician.

What is the primary focus of a patient's coping skills?

Encouraging healthy coping behaviors. The primary focus is to help patients learn to control and contain their symptoms. Patients must learn to deal with dissociation, flashbacks, and intense affects such as rage, terror, and despair.

What is the main form of treatment for dissociative disorders?

Psychotherapy , which is a form of psychology, uses psychological methods that are based on the regular interaction between a mental healthcare professional and their patient. Psychotherapy is the main form of treatment for those suffering from dissociative disorders. It is also known as counselling, talk therapy and psychosocial therapy.

What is the therapy called for a person who has DID?

A form of therapy that is used in a number of cases of DID is known as dialectical behaviour therapy (DBT). This kind of psychotherapy is a type of cognitive behavioural therapy that focuses on mindfulness and aids the patient through decreasing their negative reactions to specific stressors or triggers. Dialectical behaviour therapy focuses on the following factors:

What is the goal of reintegration therapy?

Therefore, the therapist will work towards achieving a peaceful coexistence within the individual’s different personalities. This goal is vastly different than reintegrating all of these multiple personalities into one single state of identity. While the goal of reintegration may form an integral part of the therapy sessions, this is sometimes done as an underlying goal as the patient suffering from DID may feel as though the therapist is seeking to ‘kill’ or ‘destroy’ certain parts of them and may feel attacked if this is the case.

What does a therapist need to treat a case of DID?

The therapist treating a case of DID will need to have a thorough understanding of the condition in order to adequately deal with the different alters or personalities of the patient and be able to identify whom they are working with at any given session. The psychology behind these alters will be explained further in the section that follows.

Why is it important to take caution when administering medication to a DID patient?

Caution should be taken when administering medication to DID individuals as a number of these can often make the patient feel ‘numb’ and in a sense, ‘controlled’. This can cause the patient to experience a form of trauma and provoke emotions of distress.

Can you prescribe medication for dissociative disorder?

There are currently no specific medications to treat someone with a dissociative condition, however , the medical professional working with the patient will typically prescribe medications to address a number of other health disorders that those suffering from DID often have, these include:

Can dissociative identity disorder be treated?

There has been research that shows that those suffering from dissociative identity disorder will have the best chance of living a healthy and productive life if they are able to undergo comprehensive treatment for their disorder. Granted, there are often a number of variables present in how different practitioners conduct their diagnostic procedure and treatment plans. These differences make it rather difficult to predict the outcomes for patients.

What is the cornerstone of treatment for dissociative disorders?

Psychotherapy is the cornerstone of treatment for dissociative disorders and hence choosing the right therapist is of paramount importance. The following section enumerates the characteristics of a therapist ideally suited to engage in therapy for dissociative disorders.

What training is needed for a dissociative disorder?

A formal training in psychotherapy is desirable before the therapist attempts to undertake therapy for dissociative disorders. Patients with dissociative disorders may need to be approached from a psychodynamic perspective to gain a better understanding of the role of past trauma in the manifestation of their current symptoms and unless the therapist is well versed in the nuances of psychodynamic approach and trained formally in psychotherapy, only crisis intervention and supportive therapy will be done, which will partially ameliorate the patient's symptoms. Ideally, an experienced therapist should be able to incorporate eclectic therapeutic techniques, psychoeducation and skills development flexibly within an overall psychodynamic framework and undertake therapy.

What is dissociative disorder?

Dissociative disorders as described by ICD 10 include a range of disorders and combine what are conversion disorders (assumed under somatoform disorders in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition) and the cluster of dissociative disorders. The mutual idea shared by these disorders is a partial or complete loss of usual integration between memories, cognizance of identity, and immediate sensations and voluntary control of body movements. Conversion occurs when there are clinical symptoms representing alteration of functioning of motor or sensory systems and which do not follow a pattern of a known neurological or medical disease. Dissociation is a mechanism that allows the mind to compartmentalize certain memories or thoughts from normal consciousness. These split-off mental contents are available and may return to consciousness either by an event or spontaneously.

What is dissociation in psychology?

Dissociation is a mechanism that allows the mind to compartmentalize certain memories or thoughts from normal consciousness. These split-off mental contents are available and may return to consciousness either by an event or spontaneously. Broadly, dissociative disorders may be viewed as shown in Table 1. Table 1.

What is the process of desensitization?

The process of desensitization involves: Therapist guided lateral eye movements and substitute activities in the patient, in order to process the target picture, emotion, physical symptoms, and cognitions. Once the process of desensitization is achieved a positive/healthier cognition is paired with eye movement.

What happens when a therapist explores unconscious conflicts?

As therapy progresses, the therapist explores the patient's unconscious conflicts which may be a cause of maladaptive functioning. Also, resistance emerges and the therapist may experience counter transference. The therapist should be experienced enough to recognize counter transference which can provide valuable information about the original trauma by its re-enactment within the therapeutic context and to manage it sensitively so that trust in the therapeutic alliance is maintained

What are the principles of dissociation?

Three principles for treatment of dissociation in a contextual approach. Psychoanalytical symptoms have a relation with the unconscious conflict. Psychological (learning) Symptoms are learnt in childhood as a means of coping with unpleasant events. Role of trauma and altered information processing.

How to treat dissociative identity disorder?

As with many mental illnesses, the main component of treatment for dissociative identity disorder is psychotherapy with a licensed professional therapist who is specially trained for this type of illness.

Why is it important to know more about dissociative identity disorder?

In order to combat the myths about dissociative identity disorder, it is important to know more about the illness itself and how it affects people. The condition is characterized by two or more distinct identities and personalities which are present in the same individual and have power over their behavior.

What is the most well known dissociative disorder?

Although there are a few different types of dissociative disorders, the most well-known is dissociative identity disorder which was once called multiple personality disorder. This dissociative disorders guide helps to provide some information for people and their loved ones suffering.

What to do if you score high on a dissociative disorder test?

If you score high for having a dissociative disorder on the test then you should seek a medical professional to help you get an evaluation and diagnosis. Once you receive a diagnosis you can then take the steps towards getting treatment for the disorder and reducing symptoms with psychotherapy.

What is the best medication for manic behavior?

These can be treated with various types of medication such as anti-depressants such citalopram or sertraline and anxiety medication such as Xanax and valium. For people with DID who have manic or violent behavior, depressants can be helpful in diminishing the hyperactivity of the brain and also prevent seizures which can sometimes occur with the disorder.

Why is it important to live in a residential treatment facility?

Because it is such a difficult disorder to live with, it is often helpful for people to enter residential treatment for dissociative disorder for a period of time. Living in a treatment facility allows them to receive 24 hour care from a team of professionals that are specially trained to understand people with DID.

Is a dissociative disorder a clinical exam?

These types of test are by no means a diagnosis and they are not a true clinical exam but merely a way to determine if a serious assessment by a psychiatrist is necessary. If you score high for having a dissociative disorder on the test then you should seek a medical professional to help you get an evaluation and diagnosis. Once you receive a diagnosis you can then take the steps towards getting treatment for the disorder and reducing symptoms with psychotherapy.

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