the Signs of Dissociative Identity Disorder: When to Seek Help

Suspecting that you have multiple personalities?

Hello, doctor! I previously had a very difficult relationship with my boyfriend.
After I broke up with him, he exhibited behaviors typical of a stalker.
I sought help from a psychiatrist because I have been having persistent thoughts of wanting to die, which have affected my ability to think clearly and have led me to self-harm and suicidal actions.
However, the pressure from public opinion has created a rift between me and my classmates, and false rumors about my ex-boyfriend have surfaced.
Additionally, a doctor at a large hospital told me that my condition did not require medication, so I stopped seeking treatment.
Recently, I have started having thoughts of wanting to kill him.
Just hearing or seeing his name, or even thinking about habits we share (even if they are common habits), makes me feel inexplicably irritated, nauseous, and angry.
When I am alone, I sometimes laugh uncontrollably and grit my teeth while saying things I don't even understand.
I constantly imagine myself using various tools to kill him, picturing the scene with blood everywhere, and then I find myself laughing maniacally.
However, I can disguise my feelings very well in front of others, acting as if nothing has ever upset me; these episodes only occur when I am alone.
Doctor, should I seek psychiatric help again? Does this count as a precursor to multiple personality disorder? Thank you for patiently reading my message!

Xiao Yu, 10~19 year old female. Ask Date: 2020/03/29

Dr. Wu Enliang reply Psychiatry

Hello, it seems that you are indeed experiencing emotional distress.
I recommend that you seek further evaluation from a psychiatrist.
Psychiatry is not solely about prescribing medication; it can also involve arranging psychotherapy or non-pharmacological treatments such as relaxation training.
Your situation does not indicate multiple personality disorder.
Dr.
Wu Enliang

Reply Date: 2020/03/29

More Info

It sounds like you are experiencing a very challenging and distressing situation. Based on your description, it is crucial to address your mental health concerns seriously and seek professional help. Dissociative Identity Disorder (DID), formerly known as Multiple Personality Disorder, is characterized by the presence of two or more distinct personality states or an experience of possession. However, it is essential to note that not all symptoms of dissociation or identity disturbance indicate DID.
Your feelings of anger, the urge to harm your ex-boyfriend, and the intense emotional reactions you described could be indicative of several underlying issues, including trauma, anxiety, or other mood disorders. The fact that you have had thoughts of self-harm and suicide is particularly concerning and should not be taken lightly. It is vital to seek help from a mental health professional who can provide a thorough evaluation and appropriate treatment.

When considering whether to seek help, here are some signs that indicate it may be time to consult a mental health professional:
1. Persistent Thoughts of Self-Harm or Suicide: If you are having thoughts of wanting to harm yourself or end your life, it is crucial to reach out for help immediately. This is a serious matter, and professionals can provide the support you need.

2. Intense Emotional Distress: Feelings of anger, irritability, or distress that interfere with your daily life and relationships are significant indicators that you should seek help.

3. Dissociative Symptoms: If you find yourself feeling detached from reality, experiencing memory gaps, or having episodes where you feel like you are not yourself, these could be signs of dissociation.

4. Inability to Cope with Stress: If you are struggling to manage stress or are overwhelmed by your emotions, talking to a therapist can help you develop coping strategies.

5. Changes in Behavior: Engaging in behaviors that are out of character for you, such as laughing uncontrollably or expressing violent thoughts, can be a sign that something is not right.

Given your history of seeking help and the current distressing thoughts and feelings you are experiencing, it would be wise to consult a mental health professional again. They can help you explore your feelings, provide a diagnosis if applicable, and work with you on a treatment plan that may include therapy, medication, or other interventions.

As for whether you should inform your family or friends about your situation, that decision is personal and depends on your comfort level. However, having a support system can be beneficial, especially when dealing with intense emotions. If you feel safe and supported by certain individuals, sharing your experiences with them may help alleviate some of the burdens you are carrying.

In summary, please consider reaching out to a mental health professional as soon as possible. Your safety and well-being are paramount, and there are resources available to help you navigate through this difficult time. Remember, you are not alone, and there are people who can support you in your journey toward healing.

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