Dissociative Identity Disorder(Multiple Personality Disorder): DID (MPD)
DID is the existence of two or more separate personalities or personality states within one person, with each alter having distinctly different ways of thinking, feeling, behaving and relating to the world and distinctly different memories, each part having amnesia for the other parts' memories. It is born from repeated and severe abuse and involves the defense mechanism of dissociation and generally develops before the age of 10 as children are far more likely to dissociate.
DID is often misdiagnosed and it is very common for a person to have had multiple different psychiatric diagnoses before it is definitively identified as DID. The symptoms frequently overlap with symptoms of schizophrenia, Bipolar Disorder, Depression, Anxiety Disorders (all), PTSD, other Dissociative Disorders and Somatoform Disorders as well as Borderline Personality. It requires extremely careful assessment and a high level of trust by the patient before alters reveal themselves. The diagnosis cannot be finalized before a therapist has actually made contact with another alter and observed the switch between alters.
The hallmark symptom is amnesia, which can be partial or complete depending on the level co-consciousness that exists between alters. Folks with the disorder describe the amnesia as "missing time" or blank periods, often daily or weekly, where they cannot account for their whereabouts or behavior. It is this amnesic barrier between parts that often leads to the most bizarre and distinctive signs and symptoms: not recognizing familiar people; not remembering highly significant events in their lives (like the birth of their first child, for example); finding purchases or articles of clothing/possessions, writings or drawings that they have no recollection of having bought or created. They are frequently accused of lying because they disavow their own behavior which is remembered by one part, while the amnestic part is completely unaware of it. Other unusual symptoms include: an exceptionally high tolerance for physical pain (they split off physical sensation which becomes encapsulated in one or several alters without others feeling it); not recognizing themselves in a mirror; using different names; having dramatically different skills and abilities that seem to be alternately present and then vanish (one alter may be able to drive a car while the sudden emergence of a child alter results in complete loss of this ability until the adult alter re-emerges); completely different opinions and behaviors (leading to the mislabelling of Bipolar or Borderline Personality.
Often communication across between separate alters takes place in the form of hearing voices, hence these folks frequently get misdiagnosed as schizophrenic. The key distinction here is whether the voices are experienced as coming from inside the person's head (DID) or outside one's head (Schizophrenia/Bipolar Disorder).
The separate identities develop in response to traumatic experiences which the child is unable to integrate and so they become "split off" from awareness and begin to take on a life of their own.
Folks with DID often self-injure, frequently a result of internal battles between persecutor alters and weaker alters and there are continual battles for control of the body and "time out" in the body between competing alters.
Symptoms of depression and anxiety are frequent and common and the picture is further complicated by the fact that one alter can meet all clinical criteria for Depression, while another part experiences no symptoms whatsoever. One part can be psychotic and experience no side effects from meds while another non-psychotic part has all the side effects and will stop taking meds.You can imagine that attempting to medicate such a disorder becomes an absolute nightmare.
Other symptoms include flashbacks and nightmares, hence the confusion with PTSD. Sometimes there are fugue states and clients will switch and "come to" in the body and have no idea how they arrived in the situation they are in, not know the people they are with and be completely disoriented. I had one client call me from another state after being away for a few days and having no idea how she got there or how to get home. Depersonalization and trance states are common and hence the overlap with other Dissociative disorders.
Folks with DID frequently experience multiple somatic symptoms for which there is no organic basis. They experience partial body memories of abuse without the actual memory of the event and thus exhibit strange physiological symptoms and are often labelled as Somatoform disorders or hypochondriacs.
I could go on and on, but suffice it to say that virtually any symptom of any disorder can be found at some point in a person with DID. Treatment is almost exclusively through psychotherapy as medication is merely palliative and an adjunct during periods of acute anxiety or depression. Treatment aims at initially contracting against suicidal and self-destructive behavior and attempts to establish safety first. Many DID folks enter treatment in horrendous circumstances where they are frequently in highly abusive relationships or are themselves abusive. Given the multiple alters, they may be both victim and perpetrator both within themselves alone and in the context of their relationships. The second primary goal is establishing communication and negotiation among alters to decrease amnesia and contradictory, self-defeating behavior. Ultimately the goal becomes integration of alters into one cohesive whole which involves sharing of memories and feelings across alters and a merging, where all parts continue to be present, but constant.
2007-05-01 00:59:19
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answer #1
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answered by Opester 5
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When a person has more than one personality, it is called MPD multiple personality disorder - only now they have given it a new name. DID dissociative identity disorder. I have known 3 people who have more than one personality, and have met a number of others. Surprisingly, of all the personality/mental disorders, multiple personality is the ONLY ONE that can be cured. I have seen it.
How do you fix it? Working longterm, with a therapist who is well experienced in multiple personalities/ DID, there is an order to progress through a series of stages.
First stage is the getting to know each personality, who they are, and introducing them to the others. Each personality holds its own separate memories - good and bad - as well as its own special "job" (one may do math, another plays the piano, while another cannot play a note or do math)
The person coming for therapy usually comes because their life is disrupted by memory loss or odd behaviors, or horrible memories, or voices inside their head. -- In this part of the therapy, it is necessary to help the person be able to quiet the voices, and gain control over having only the core personality "out, visible, handling their life"
Next comes the memory work. Each personality was formed (usually in a person in their childhood years) when terrible things/ trauma were happening and the child was terrified. The personality was formed to "protect" the child, and to hold that memory apart from the core person -- in order for the child to feel safe. As the memory work goes on, each personality is encouraged to speak of their own memories. The therapist works with the person to piece their life/lives together -- because so many of the memories are fearful, it is necessary to work toward feeling safe and being safe.
Eventually, as all of the personalities come to be known by each other, sometime along the way 2 will merge together, into one, then 2 or three others will join, working together, and not needing to use their knowledge solo, but their knowledge and skills come to be known to the whole group. Eventually the many personalities all know each other's jobs and knowledge and can share their talents on the good side, and their memories on the unfortunate side. Confidence is gained by the core person, while therapy continues under the guidance of the psychologist. The ultimate goal is that the person will join all of their personalities together, eliminating memory and time loss, quieting the feelings of the memories, and working together toward living a more "normal life"
This process does take a few years to progress through, but it is possible.
2007-04-30 19:32:19
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answer #2
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answered by Hope 7
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It is called dissociative identity disorder, formerly multiple personality disorder. The person will usually have 2 or more distinct personalities. The first is usually restrained and dull, the second more impulsive and unhibited. Each personality has its own voice and mannerisms, and the original personality typically denies awareness of the other. People who are diagnosed with having this are usually (not always), women, most of whom reportedly suffered physical, sexual, or emotional abuse as children. The multiple personalities are the seperate attempts of the traumatized person to flee inward. This is how they cope with and survive the stresses of life. There is help for this, through therapy and medications. If you have this I suggest you get help asap! I hope this helped you. I was a psychology major in college.
2007-04-30 18:29:29
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answer #3
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answered by ashlynn 1
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Multiple personality or split personality is a personality disorder. It is like broken pieces of glass all over your face. You reflect many different things at different times. Scheizophrenia, paranoia, manic depressiveness, aedipus complex, cleptomania, physchosis, nuerosis, excessive compulsiveness etc; are various forms of persoanlity disorders. The presnece of this can change the personality on a timely basis and excess of whic can make you think you are someone else and variations of which can cause all the problems you describe. Sometimes in extreme id tensed states you can acquire extreme fear phsychosis or persecution complexes which can lead to behavior failure or systemic failure or even physchosomatic diseases.
2016-05-17 22:10:04
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answer #4
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answered by ? 3
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There are many mental illnesses and other causes that produce Multiple Personalities. One is called Schizophrenia. Another would be a Psychotic Breakdown. To "fix" them, you have to know what is causing or did cause the affliction. Proper medications and living habits do the trick.
2007-04-30 18:15:15
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answer #5
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answered by Velvet 1
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I believe that what you're talking is most commonly called bipolar disorder, or even manic-depression.
Wikipedia's articles looks pretty good:
"Bipolar disorder, often referred to as manic-depression in the general literature, is a psychiatric condition defined by periods of extreme mood. These moods can occur on a spectrum ranging from debilitating depression to unbridled mania. Individuals suffering a bipolar disorder generally experience fluid states of mania, hypomania or what is referred to as a mixed states in concert with clinical depression...."
And under treatment of bipolar disorder:
"Bipolar disorder has not currently been cured but it can be managed. The emphasis of the treatment of bipolar disorder is on effective management of the long-term course of the illness, which can involve treatment of emergent symptoms. Treatment methods include pharmacological and psychological techniques.
A variety of medications are used to treat bipolar disorder; most people with bipolar disorder require combinations of medications. There is little evidence, however, that alternative or complementary treatments used alone work well for the long-term treatment of the disorder."
Please visit the articles for more info! Good luck!
2007-04-30 18:14:52
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answer #6
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answered by Laura 1
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You do not have two personalities. All healthy and balanced individual have two sides to their nature. Good and Bad are relative terms taught to an individual by the culture they grow up in. Understand both aspects make you what you are and if you do not like some aspect of your nature simply change it.
2007-04-30 22:17:53
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answer #7
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answered by Anonymous
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When a person has a split personality its called split persona i think but the reason to that is mabye because of peer pressure and acting to impress or un impress a certain group or person.
2007-04-30 18:11:38
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answer #8
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answered by PR 2
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its called schizophrenia---and the best way to cure that problem is intense psycho-theyapy!!!
2007-04-30 18:25:48
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answer #9
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answered by Anonymous
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