Imaginary Friends or Dissociative Identity? Your Experience - Psychiatry

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Imaginary friends or dissociative identity disorder?


Hello, I have had imaginary friends for as long as I can remember (I am now 25 years old).
Some leave, while new ones appear, and some even dislike me.
We have conversations in my mind (or I talk to myself when alone).
I know they are not real, and I do not experience hallucinations or auditory hallucinations.
My husband has never thought I was abnormal.
I experienced sexual abuse and abandonment by relatives during my childhood, and I was bullied throughout my schooling.
I am not good at socializing, and apart from my husband, I spend most of my time with my imaginary friends.
Recently, I started to suspect that my imaginary friends might actually be aspects of my personality for the following reasons: it feels like we have a microphone in our minds, and those who want to speak step forward, but I cannot control which friends speak.
We all know each other, and there is no memory loss, but sometimes I do things I do not want to do, and afterward, I feel regret.
For example, I am generally timid, but sometimes I become very talkative or enjoy making sarcastic remarks.
Or, even though I cannot handle spicy food, there are times I crave it, which I later realized aligns with the characteristics of my imaginary friends.
Some of them have names, genders, appearances, and backgrounds, while others do not.
Recently, due to family issues, I have been feeling a lot of pressure, and I gradually started feeling uncomfortable when others call my name because it feels like it is not mine.
Even when discussing past abuse, sometimes I feel hurt, but suddenly I feel like the person who was abused is not me, but rather a misconception of someone else, leading me to feel sad one moment and then angry or resentful the next.
I understand this is happening in the same body, but I cannot feel that it is me.
My imaginary friends sometimes talk to me and control my hands or my mouth, which affects my life.
Sometimes I treat my husband poorly, but I cannot explain that those are not my thoughts.
I would like to ask if they are imaginary friends or other aspects of my personality.
Do I need to unify them or make them disappear? We are aware of each other and coexist (some friends cannot know what others are thinking, while some can, but the memories and knowledge are mutually understood).
They do not harm others or myself, and most importantly, I do not want them to disappear.
I have been very lonely, and they have accompanied me for many years.
Thank you.

Li Ya, 20~29 year old female. Ask Date: 2021/03/13

Dr. Wu Enliang reply Psychiatry


Hello, netizen: It is indeed possible that there are other personalities.
If they do not affect your daily life, it may be best to coexist peacefully with them.
However, if they cause significant distress, it is advisable to seek medical treatment.
Dr.
Wu Enliang

Reply Date: 2021/03/13

More Info


Your experience raises important questions about the nature of your imaginary friends and whether they might be indicative of a dissociative identity disorder (DID) or simply a coping mechanism stemming from your past traumas. Understanding the distinction between imaginary friends and dissociative identities is crucial, especially considering your history of trauma, including abuse and bullying.

Imaginary friends are typically a normal part of childhood development, often serving as companions for children who may feel lonely or isolated. They can provide comfort and a safe space for emotional expression. However, as you have described, your situation seems to extend beyond typical imaginary friends. The complexity of your interactions with these entities, including their distinct personalities, names, and the way they influence your behavior, suggests a more intricate psychological phenomenon.

Dissociative Identity Disorder, formerly known as multiple personality disorder, is characterized by the presence of two or more distinct personality states or an experience of possession. These identities may have their own names, ages, histories, and characteristics. Individuals with DID often experience gaps in memory regarding everyday events, personal information, and traumatic events. However, you mentioned that you do not experience memory loss, which is a key feature of DID. Instead, you seem to have a level of awareness and communication between these identities, which complicates the diagnosis.

Your feelings of disconnection from your own identity, particularly when recalling traumatic experiences, can be indicative of dissociation, a common response to trauma. This can manifest as feeling detached from oneself or one’s surroundings, which might explain why you sometimes feel that the person who was victimized is not you. The emotional fluctuations you experience—shifting from sadness to anger—can also be a sign of internal conflict between these identities or aspects of yourself.

The fact that your imaginary friends do not harm you or others is a positive aspect, but the control they exert over your actions and feelings can be concerning. It’s essential to consider the impact this has on your daily life and relationships, particularly with your husband. If these experiences are causing distress or affecting your ability to function, seeking professional help from a mental health provider would be beneficial. A therapist can help you explore these identities, understand their origins, and develop strategies to integrate them in a way that feels safe and manageable.

In terms of whether you should unify or eliminate these identities, it’s important to approach this with care. Many individuals with DID find that their identities serve protective functions, helping them cope with trauma. Instead of trying to make them disappear, consider working towards understanding and integrating these aspects of yourself. This can involve therapy techniques such as grounding exercises, narrative therapy, or even art therapy, which can provide a safe outlet for expression.

Ultimately, the goal is to foster a sense of wholeness and self-acceptance. You are not alone in this journey; many people have navigated similar paths and found ways to coexist with their internal experiences. It’s crucial to prioritize your mental health and well-being, and reaching out for professional support can be a significant step in that direction. Remember, you deserve to feel connected to yourself and to others, and there are resources available to help you achieve that.

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