Dissociative Identity Disorder (DID) / Dissociation
Hello, I would like to ask if dissociative identity disorder (formerly known as multiple personality disorder) is classified as a mental illness.
If it is currently classified as such, will it one day be removed from the DSM like homosexuality was? If a person does not exhibit extreme behaviors that affect others, can they live a normal life? If they can live normally, do they still need to seek help? Thank you.
xiang guan xin de ren, 0~9 year old female. Ask Date: 2015/12/03
Dr. Li Zhengfeng reply Psychiatry
Hello: Dissociative Identity Disorder (DID) is classified as a mental illness.
Is there a possibility that one day it could be removed from the DSM like homosexuality? The likelihood is low.
Typically, individuals with Dissociative Identity Disorder have poor occupational and social functioning, making it difficult for them to lead normal lives.
Most require professional treatment.
Reply Date: 2015/12/03
More Info
Dissociative Identity Disorder (DID), formerly known as multiple personality disorder, is indeed classified as a mental health condition in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). It is characterized by the presence of two or more distinct personality states or an experience of possession, along with recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events. This disorder often arises as a coping mechanism in response to severe trauma, particularly during childhood, and can significantly impact an individual's daily functioning and quality of life.
To address your question about whether DID might one day be removed from the DSM, it is essential to understand that the classification of mental health disorders is based on extensive research, clinical observations, and consensus within the psychiatric community. Unlike sexual orientation, which is not a mental disorder and has been recognized as a natural variation of human experience, DID is rooted in psychological trauma and has identifiable symptoms that can disrupt an individual's life. Therefore, it is unlikely that DID will be removed from the DSM in the same way that homosexuality was declassified as a mental disorder in the 1970s.
Regarding your question about living a normal life with DID, it is possible for individuals with this disorder to lead fulfilling lives, especially if they have developed effective coping strategies and support systems. However, the presence of multiple identities can complicate relationships, work, and self-perception. Many individuals with DID may experience significant distress, confusion, or impairment in their daily functioning, which can lead to challenges in maintaining employment, relationships, and overall well-being.
While some individuals with DID may feel that their condition does not interfere with their daily lives, it is important to recognize that the disorder can manifest in various ways, and symptoms may fluctuate over time. Even if one feels capable of managing their life, seeking professional help can provide valuable insights, coping strategies, and support. Therapy, particularly trauma-informed approaches like Eye Movement Desensitization and Reprocessing (EMDR) or Dialectical Behavior Therapy (DBT), can be beneficial in addressing the underlying trauma and integrating the different aspects of the self.
In conclusion, Dissociative Identity Disorder is a recognized mental health condition that can significantly impact an individual's life. While some may manage their symptoms without seeking help, professional support can enhance understanding, coping mechanisms, and overall quality of life. If you or someone you know is experiencing symptoms of DID or any mental health concerns, it is advisable to consult a mental health professional for a comprehensive evaluation and tailored treatment plan.
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