Signs & Symptoms

Dissociative Identity Disorder (DID) is characterised by many signs and symptoms.

People with DID may experience any of the following: depression, mood swings, suicidal thoughts or attempts, sleep disorders (insomnia, night terrors, and sleep-walking), panic attacks and phobias (flashbacks, reactions to reminders of the trauma), alcohol and drug abuse, compulsions and rituals, psychotic-like symptoms, and eating disorders. Individuals may also experience headaches, amnesia, time loss, trances, and 'out-of-body experiences'. Some people with DID have a tendency toward self-persecution, self-sabotage, and even violence (both self-inflicted and outwardly directed) (Sidran Institute, 2009).

Similar to hallucinations, they often hear different voices in their heads. Some hear child voices, others hear persecutory voices or voices that comments on their actions or voices. These voices are usually arguing or conversing (Galton & Sachs, 2008). Some of them might also have somatoform symptoms where their physical symptoms has no physical causes and are caused by mental factors such as stress (Medline Plus, 2010). They also experience a disturbed state of consciousness, known as fugues, in which the one affected seems to perform acts in full awareness but upon recovery cannot recollect them (Merriam-Webster, 2012).

Lasly, some people with DID may experience derealisation, otherwise described as a feeling of altered reality. In derealisation, one might feel as though they are in a dream or in a different dimension and that things that are happening are not real (Berman, 2009). They might also experience depersonalisation, an alteration in the perception of the self, such that the usual sense of one's own reality is lost. In depersonalisation, people with DID may feel estranged from themselves, experience changes in their body image or feel that they are not in control of their own actions and speech (Petit, 2003).






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References


Berman, C. W. (2009). 100 questions & answers about panic disorder. USA: Jones & Bartlett Learning.

Galton, G. & Sachs, A. (2008). Forensic aspects of dissociative identity disorder. Britain: Karnac Books.

Medline Plus. (2010). Somatoform pain disorder. Retrieved from http://www.nlm.nih.gov/medlineplus/ency/article/000922.htm

Merriam-Webster. (2012). Fugue. Retrieved from http://www.merriam-webster.com/medical/fugue

Petit, J. R. (2003). Handbook of emergency psychiatry. USA: Lippincott Williams & Wilkins.

Sidran Institute. (2009). What is a dissociative disorder? Retrieved from http://www.sidran.org/sub.cfm?contentID=75&sectionid=4




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