The dissociative Identity disorder lacks a distinct picture

The Dissociative identity  disorder lacks a distinct picture, laboratory test, natural history, or familial pattern compared to personality disorders. The dissociative identity disorder should equal any other psychiatric disorder in the DSM-5 diagnostic criteria (APA, 2013). There are also saying that DID may not be traumatic based but instead iatrogenic (Brand et al. 2016). Dissociative identity disorder is caused by childhood distress. Some researchers feel a mix of traumas and causes of cognitive implication (Brand et al., 2016). The DID symptoms are insomnia, sexual dysfunction, hostility, suicidal ideation, and self-mutilation. Also, DID symptoms are drug and alcohol misuse, anxiety, paranoia, somatization, dissociation, mood swings, and pathological alterations in relationships. As a result of protracted recurrent trauma, the dissociative disorder is a disorder of high stress, a complicated post-traumatic stress disorder. The dissociative disorder should not be used as an illicit directional, with all offenders claiming responsibility held accountable. However, legislation can be overturned (Grande, 2018).

The strategies for maintaining the therapeutic relationship with a client 

An expert therapist understands that dissociative disorders are essential and can diagnose them appropriately (Leonard & Tiller, 2016). Psychodynamic psychotherapy, which trauma-focused cognitive behavioral therapy and dialectical behavioral therapy (DBT), are essential in helping with the therapeutic relationship. Education, emotional regulation, managing stressors, and daily functioning are critical to helping people with borderline personality disorder and DID who suffer from everyday life. When a clinician is knowledgeable in this area, that makes the patient feel a safe and therapeutic relationship. The therapist must avoid early prescriptions caused by a lack of understanding of the dissociative process and misconceptions about clinical symptoms. Before attempting to treat the dissociative disorder, formal psychotherapy training is required. While the patient is in therapy, the therapist should be able to detect any psychotic breakdown and intervene accordingly.

The ethical and legal considerations related to dissociative disorders 

It is confusing and needs to clearly explain the difference between the symptoms of dissociative disorder and multiple personality disorder. One of the primary considerations is the client and practitioner’s safety (Ducharme, 2017). This eliminates the possibility of misdiagnosing one as the other and, as a result, ensures effective treatment of the condition in question. According to the advice given to legislative departments, people claiming to have dissociative disorder should only be held accountable with the authorization of a qualified therapist. It should eliminate erroneous convictions and protect the proper fulfillment gratification of civil rights. As a clinician, it is essential to work with these clients neutral. Each case may be different, with several altered egos. The clinicians treating must understand vulnerable populations and be able to emotional support no matter their condition.


American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Author.

Brand, B. L., Sar, V., Stavropoulos, P., Krüger, C., Korzekwa, M., Martínez-Taboas, A., & Middleton, W. (2016). Separating Fact from Fiction: An Empirical Examination of Six Myths About Dissociative Identity Disorder. Harvard review of psychiatry, 24(4), 257- 270.

Ducharme, E. L. (2017). Best practices in working with complex trauma and dissociative identity disorder. Practice Innovations, 2(3), 150-161.

Grande, T. (2018, October 22). The dissociative identity disorder controversy (Trauma vs. latrogenic). [Video]. YouTube.

Leonard, D., & Tiller, J. (2016). Dissociative identity disorder (DID) in clinical practice—What you don’t see may hurt you. Australasian Psychiatry, 24(1), 39-41. Loewenstein R. J. (2018). Dissociation debates: everything you know is wrong. Dialogues in clinical neuroscience, 20(3), 229-242.

Loewenstein R. J. (2018). Dissociation debates: everything you know is wrong. Dialogues in clinical neuroscience, 20(3), 229-242.

Reinders, A. A. T. S., Marquand, A. F., Schlumpf, Y. R., Chalavi, S., Vissia, E. M., Nijenhuis, E. R. S., Dazzan, P., Jäncke, L., & Veltman, D. J. (2019). Aiding the diagnosis of dissociative identity disorder: pattern recognition study of brain biomarkers. British Journal of Psychiatry, 215(3), 536-544.


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