Dissociative Identity Disorder Case Study

Introduction There are a wide range of problems that are considered psychological disorders; these include mental or emotional disorders, drug and alcohol abuse, and some disorders that involve emotional and physical symptoms. These types of disorders usually occur during childhood, but during teenage years there is a steep increase in the number of people affected by them. Approximately 20% of the population will struggle with a type of mental disorder at some point in their life. (Bayer, 2000) The Diagnostic and Statistical Manual of Mental Disorders identified Dissociative Identity Disorder (DID) by the following four criteria: (a) there must be evidence of two or more distinct and enduring personality states, defined as a unique way of

"People may be born with some risk factors, while others may be triggered by physical or emotional trauma, stress, drug abuse, or physical illness." (Bjornlund, 2011) DID sufferers frequently report severe abuse as a child, either physical or sexual. (Dissociative Identity Disorder (Multiple Personality Disorder), Nov. 2014) “Child, persecutor, and protector identity states are often exhibited by DID sufferers.” (Rosik, 2012). Research shows that the development of the disorder is probably a mental response to interpersonal and environmental hardships, particularly at a young age when emotional abandonment or abuse can interfere with personality growth and development. (Goldberg, 2014) “The common belief among most professionals is the personality splintered or fractured before the age of five.” (Swartz, 2001) Victims use their multiple personalities as a coping mechanism when too difficult to remember the trauma they have been through. For example, in the study Recovering Identity, the abuse history

Diagnosing an individual with DID can take several years. “Due to the variety of [Sophia’s] symptoms, accurate diagnosis puzzled not only her but also the practitioners from whom she sought help.” (Fox, et. al., 2013) It is estimated that people with dissociative disorders have spent more than seven years in the mental health system prior to receiving an accurate diagnosis. With this complex psychological disorder, misdiagnosis is common because the series of symptoms that cause an individual with a dissociative disorder to search for treatment is very comparable to those of multiple other psychiatric diagnoses. As a matter of fact, many people who are diagnosed with dissociative disorders also struggle with secondary diagnoses of depression, anxiety, or panic disorders. (Goldberg, 2014) For example, “dissociative symptoms commonly co-occur with borderline personality disorder (BPD) and the prevalence of DID among outpatients with borderline personality disorder (BPD) was 24% in two separate studies.” (Chelbowski & Gregory, 2012) Again referring to the case study Recovering Identity, Sophia describes her diagnosis, “I was diagnosed with everything. I was schizophrenic, schizoaffective, borderline, bi-polar, ADHD.” (Fox, et. al., 2013) Clinicians perceived her unwillingness to accept