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Bipolar Disorders - especially Bipolar IIĬhanges in mood occur in Dissociative Identity Disorder due to switching between alters (alters often have different mood states to each other).Because of this, Other specified depressive disorder may be diagnosed along with DID. Major Depressive Disorder (often just called "depression").ĭepression is very common in people with DID, but both depressed mood and depressive thoughts fluctuate because they are present in some alters but not others.The two most common forms of Other Specified Dissociative Disorder involve having amnesia and dissociative parts of your personality which are not quite distinct/separate enough for DID, and having dissociative parts which are distinct enough to be alter personalities but without amnesia between them. This can't occur alongside DID because it is only diagnosed when someone does not quite meet the DID criteria. Other Specified Dissociative Disorder (formerly Dissociative Disorder Not Otherwise Specified).
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Any of these can be co-morbid with Dissociative Identity Disorder, except for Other Specified Dissociative Disorder. The DSM 5 lists the following alternative diagnoses, which may be considered/ruled out during the Dissociative Identity Disorder diagnostic process. The symptoms are not attributable to the physiological effects of a substance (e.g., blackouts or chaotic behavior during alcohol intoxication) or another medical condition (e.g., complex partial seizures)." :292 Note: In children, the symptoms are not better explained by imaginary playmates or other fantasy play. The disturbance is not a normal part of a broadly accepted cultural or religious practice. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting. These signs and symptoms may be observed by others or reported by the individual. The disruption of marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning. Disruption of identity characterized by two or more distinct personality states, which may be described in some cultures as an experience of possession. The DSM-5 gives the following diagnostic criteria for Dissociative Identity Disorder: The most commonly guide used in psychiatry to diagnose mental disorders is the DSM-5, released by the APA in 2013. Jessica explains what it is like to have a diagnosis of Dissociative Identity Disorder, and to live with alter personalities. It is generally accepted that developing multiple identities protects the child psychologically by keeping trauma memories and emotions contained with specific identities, rather than overwhelming the child completely. Over time, the early dissociated behavioral states, influenced by the trauma, develop into dissociative identities (also known as dissociative personality states, distinct personality states, alternate identities or alters). Instead of integrating into a core personality, people with DID experience prolonged trauma in early childhood which causes the original different "behavioral states" present from birth to become parts of the personality that are increasingly dissociated (disconnected) from each other, which prevents them from integrating to form a core personality. :294Įarly childhood trauma causes Dissociative Identity Disorder to develop by preventing the child from forming a cohesive and fully integrated or unified sense of self, known as a core or fully integrated personality, during their earliest years. :122-123 Other early and chronic traumatization can cause it, e.g., medical trauma, involving multiple painful and prolonged medical procedures at an early age. Dissociative Identity Disorder is often, but not always, caused by early child abuse (including neglect and the failure to respond to the child). :293, :122 The child's repeated, overwhelming experiences usually occur alongside a disturbed or disrupted attachment style between the parent/caregiver and the child. Conversion/ Dissociative Motor Disorderĭissociative Identity Disorder is caused by "overwhelming experiences, traumatic events, and/or abuse occurring in childhood", particularly when repeated traumas begin before age 5 or 6.Dissociative Identity Disorder Dissociative Identity Disorder.Other Specified Dissociative Disorder & DDNOS.Depersonalization/ Derealization Disorder.Dissociative Disorders Dissociative Disorders.Borderline Personality Disorder and Others.Trauma Related Disorders Related Disorders.Overview of Trauma and Stressor-related Disorders.Trauma & Stressor Disorders Trauma & Stressor Disorders.