9/11/2023 0 Comments Fugue disorder![]() Conversion/ Dissociative Motor Disorderĭissociative Disorder.Dissociative Identity Disorder Dissociative Identity Disorder.Other Specified Dissociative Disorder & DDNOS.Depersonalization/ Derealization Disorder.Dissociative Disorders Dissociative Disorders.Borderline Personality Disorder and Others.Trauma Related Disorders Related Disorders.Overview of Trauma and Stressor-related Disorders.Trauma & Stressor Disorders Trauma & Stressor Disorders.If you would like to read more about the origins and neurobiology of DID, please click here. As a result of its clinical and theoretical understanding of this subject the risk of suicide or involuntary psychiatric admissions of CDS UK’s patients has been substantially reduced. Major research from the Albert Einstein College of Medicine (Foote, Smolin, Neft and Lipschitz, 2008) has shown that adults with dissociative disorders are at high risk of suicide or self-harm, as well as sectioning and other unplanned psychiatric admissions. International research has shown that long-term specialist therapy is the most effective treatment option and that, as with all work with extreme and chronic trauma, short-term interventions are unlikely to have a lasting effect if used in isolation. A specialist assessment can be the best way for DID to be formally identified. Those working within the field find that identifying structural dissociation of the personality through a primary DID diagnosis is fundamental in offering help that is clinically meaningful to the whole person and is likely to improve quality of life. People with DID may also meet the criteria for other diagnoses and many have received multiple diagnoses over the years. Particular situations or events may trigger flashbacks or bring certain identities to the fore. Co-consciousness between identities also typically increases over the course of psychotherapy, leading to an improved quality of life and functioning. However, there may be awareness between identities (often referred to as co-consciousness), meaning that they can hear and potentially communicate with each other internally. Typically, there is amnesia between different identities (also described as parts, alters, personalities). Additionally, they can present in very different ways at different times depending on which identity or part is at the fore, which can be confusing for professionals if structural dissociation of the personality has not been identified or understood. It is not uncommon for people with DID to function well in certain areas of life and struggle greatly with others. However, contemporary international research suggests that it is present in around 1.5% of the general population, though largely undiagnosed (ref ISSTD).Īs with all trauma and mental health disorders, people with DID present with a vast spectrum of experience. There are many myths about DID as it is a complex, often poorly understood condition with many hidden symptoms. Research suggests that DID typically follows the experience of chronic and extreme early childhood trauma, along with the absence of a safe attachment figure, ie the absence of appropriate comfort or care (McQueen, D Kennedy, R Itzin, C Sinason, V Maxted, F, 2009). The different dissociative disorders are categorised as follows:Īlthough we work with all dissociative disorders, the majority of people seen at CDS UK present with Dissociative Identity Disorder (DID). We are aware that some survivors of trauma find the concept of diagnosis unhelpful or pathologising but include information about different diagnoses and types of dissociative experiences below. Many people with dissociative disorders also have multiple post-traumatic intrusions, such as flashbacks and nightmares. This can be referred to as somatoform dissociation, conversion symptoms/disorder or medically unexplained symptoms (MUS). The impact of complex trauma and dissociation can also sometimes manifest primarily in the body. ![]() At worst, they can cause extreme suffering and have a devastating impact on the person’s capacity to function overall.Īt CDS UK, we work with all named dissociative disorders, including Dissociative Amnesia, Depersonalisation/Derealisation Disorder, Other Specified Dissociative Disorder (OSDD) and Dissociative Identity Disorder (DID). ![]() This is because they usually cause great distress and significantly impaired capacity to function in at least one important area of life. ![]() ![]() Although dissociative disorders are typically an adaptive response to severe and protracted developmental trauma, they are classified as mental health disorders. ![]()
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