Dissociative Identity Disorder Dissociative identity disorder, formerly known as multiple personality disorder until it was changed in 1994 due to a better understanding, is a complex condition that is most likely caused by trauma during someone’s childhood. Only two percent of the population experiences DID and is more likely to occur in women than men. Dissociative identity disorder involves a severe dissociation,which leads to a lack of connection between time, memories, ideas, feelings and actions. The act of dissociating is thought to be used as a coping mechanism in the brain. This allows the subject to disconnect from their situation that is traumatic or painful and go to somewhere they are comfortable. When hearing this, many questions come to mind to help one fully understand. The cause of DID is not fully understood but in many cases sexual and physical abuse during the childhood inflicts this disorder. Ninety percent of those experiencing DID from the United States,Canada and Europe have reported childhood lifetime abuse. Accidents, natural disasters, war and losing loved ones close to you can also provoke DID. prolonged isolation can also generate dissociative identity disorder. The disorder may start at anytime in one’s life and not just when the incident inducing the disorder happens. A certain criteria must be met in order to be diagnosed with dissociative identity disorder. The subject must experience at least two different personalities with their own unique behavior, environment, memories, consciousness, perception and motor skills. The individual experiences gaps in the memory different from average forgetting. It includes frequent gaps in the memory about people, location and activities from the recent and distant past. The transition between personalities is usually triggered by psychological stress and specific personalities depend on the situation. The experience the patients have may include: depersonalization, an out of body experience when you are not attached to your body, amnesia, failure to recall personal information much more extensive than natural forgetfulness, identity confusion, when one is confused about who they are and they’re likes and dislikes. The last experience is derealization, when those affected see the world foggy or unreal. Diagnoses does not come easy for the disorder. Individuals have spent 7 years with many doctors in the mental health field trying to discover their disorder due to the broad lists of symptoms. Once the patient is diagnosed it usually begins with two to four personalities then throughout the treatment an average of thirteen to fifteen personalities may occur. The environment one is in will trigger the the change of personality. During the treatment the goal is to make the patient with DID feel safe and then reflect back on the memories that were too painful and suppressed. Next is to bring the personalities together in harmony and have them work together as a whole functioning person. There are no known drugs to help treat dissociative identity disorder, just therapy. However drugs can be used to combat some of the symptoms that come along with DID. Below are two cases studies of DID. The first case is about a patient “Kathy” who was given this false name for identity protection. During her childhood both of her parents were violent alcoholics who were aggressive towards Kathy and each other. When Kathy was five her parents decided to get a divorce and she went to live with her mother. Multiple different men whom her mother introduced as “step fathers” physically and sexually abused her. At age 13 she was hospitalized for an overdose on tylenol. Soon after she decided to not go back to school and began to live on the streets, selling her body for food and shelter. Her next four years were spent in a residential program as a ward of state for juvenile authorities. Due to the program she went back to high school and got a job as a secretary. She married at twenty but with this came problems. She would have flashbacks of abuse while her and her husband had sex and become overwhelmingly moody. For the next ten years she would be hospitalized encounter many diagnosis during the time period. She had seen her most current therapist for six months where they had discussed hoe she cut to relieve the pain and bad pressure inside her from the mean voices in her head. Kathy said she lost track of time with no recollection of what had happened. The therapist was even able to bring out her other personality, Julie, who said she helped Kathy through times of stress. She was later admitted to the Ross Institution program. With a large group of professionals ranging from psychiatrists, psychologists and case investigators created a unique treatment for her. She used both group and individual therapy sessions where her and her therapist would work on identifying the alter personalities and allowing them to talk about their feelings. Her group sessions were directed to help her work with her defenses and helping her not rely on escaping to the other personalities. After her time at the Ross Institute she was aided in finding a home close to the hospital since she lived out of state prior to the program and still being able to practice her new skills. The second case is about Kim Noble who was born in the UK in 1960. As a child her parents were unhappily married she was physically abused at a young age and in her teen years suffered from multiple mental breakdowns. She overdosed and then was immediately placed in a mental hospital. There her multiple personalities were discovered. The alter personalities were exceedingly violent. One incident with the personality Julie was especially destructive. Kim was a van driver and Julie took over on the job and crashed into multiple cars. Kim also somehow got caught up in a pedophile ring due to a different personality. She decided to go to the police with this information and soon after gained multiple threats. Following this her house was set on fire and acid was threw at her face. Kim doesn’t remember these incidents occurring. In 1995 at age thirty five she was diagnosed with dissociative identity disorder and began recieve help instantly. Today she is an artist and believes she has about one hundred personalities, the most common being Patricia, a strong confident woman. Another dominant one is Haley, the personality that got caught up in the pedophile ring. Kim, as Patricia, appeared on the Oprah Winfrey show and discussed her disorder. DID tends to affect women more than men because the ratio of abuse experienced by the two is ten to one. It is very dangerous to be not treat the disorder because it could lead to more abuse. There is not a true “cure” for this disorder but is seen by the patient whether they are cured or not. It is determined by if the patient thinks they are safe and not bothered with their other personalities. Works Cited”Case Studies .” The Colin A. Ross Institute, www.rossinst.com/case_studies.html.”10 Famous Cases Of Dissociative Identity Disorder.” Listverse, 15 Mar. 2015, listverse.com/2015/03/16/10-famous-cases-of-dissociative-identity-disorder/.”Dissociative Identity Disorder (Multiple Personality Disorder).” WebMD, WebMD, www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personality-disorder#1.”Dissociative Identity Disorder (Multiple Personality Disorder).” Psychology Today, Sussex Publishers, 24 Feb. 2017, www.psychologytoday.com/conditions/dissociative-identity-disorder-multiple-personality-disorder.”NAMI.” NAMI: National Alliance on Mental Illness, www.nami.org/Learn-More/Mental-Health-Conditions/Dissociative-Disorders/Treatment.