Dissociative Identity Disorder: Signs and Seeking Help - Psychiatry

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Dissociative Identity Disorder (DID)


Hello Dr.
Wu, during my school years, I was bullied.
If I remember correctly, it started in elementary school when I began to have conversations in my mind with people who either really existed or didn't exist at all.
This has been the case for over a decade, but recently I've noticed that regardless of whether I'm meeting friends, I command myself to ask them questions.
However, immediately another persona emerges, asking, "What questions should I ask?" Does this indicate multiple personality disorder? Additionally, I was once a patient of Dr.
Cheng Ying-Chih.
I recently heard that she has left Taoyuan Hospital, and I would like to continue seeing her.
Could you please let me know if she is still practicing in Taoyuan, and if so, which hospital she is currently affiliated with?

Lucia, 30~39 year old female. Ask Date: 2021/05/21

Dr. Wu Enliang reply Psychiatry


Hello, netizen: It is indeed possible that it is Dissociative Identity Disorder.
Dr.
Cheng Ying-Chih serves in the Psychiatry Department at the Hsinchu Branch of China Medical University in Zhubei, Hsinchu.
Dr.
Wu En-Liang.

Reply Date: 2021/05/21

More Info


Dissociative Identity Disorder (DID), formerly known as multiple personality disorder, is a complex psychological condition that is often misunderstood. It typically arises as a coping mechanism in response to severe trauma, particularly during formative years, such as childhood bullying or abuse. Individuals with DID may experience the presence of two or more distinct identities or personality states, each with its own way of perceiving and interacting with the world. These identities may have their own names, ages, histories, and characteristics, and they can take control of the individual's behavior at different times.

In your case, the experiences you describe—having conversations in your mind with both real and imaginary individuals, along with the emergence of different personas—could be indicative of dissociative processes. However, it is essential to note that not everyone who experiences these symptoms has DID. The key factors that differentiate DID from other dissociative experiences include the presence of distinct identities that have their own memories and behaviors, significant disruptions in identity, and the impact on daily functioning.

To determine whether you might have DID or another dissociative disorder, it is crucial to seek a professional evaluation from a qualified mental health provider, such as a psychiatrist or psychologist. They can conduct a thorough assessment, which may include clinical interviews, questionnaires, and discussions about your history and symptoms. This evaluation will help clarify your diagnosis and guide appropriate treatment options.

Regarding your concern about whether to inform your family about your experiences, this is a personal decision that depends on your comfort level and the dynamics within your family. If you feel that sharing this information could lead to support and understanding, it might be beneficial. However, if you anticipate negative reactions or misunderstandings, it may be wise to seek professional guidance first.

As for your inquiry about Dr. Cheng Ying-Chih, I recommend contacting the hospital or clinic where she previously worked to inquire about her current practice location. Healthcare providers often have administrative staff who can assist with such inquiries, or you may find updated information on the hospital's website.

In summary, if you are experiencing symptoms that concern you, it is essential to seek help from a mental health professional who can provide a proper diagnosis and treatment plan. Dissociative Identity Disorder is a serious condition that can significantly impact your life, but with appropriate support and therapy, individuals can work towards understanding their experiences and improving their quality of life. Remember, you are not alone, and there are resources available to help you navigate this journey.

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