Reluctance to Consider the Diagnosis of DID, Leading to an Incomplete and Misdiagnosis of the Disorder, Preventing Effective Treatment

The combination of inadequate training in recognizing traumatic dissociation, limited exposure to correct scientific information about IPD, symptom similarities with other disorders (such as schizophrenia, bipolar disorder, and borderline personality disorder), and discussion of etiology has led to reluctance to consider the diagnosis of DID, leading to an incomplete and misdiagnosis of the disorder. hindered effective treatment. Reference Reinders , Marquand , Schlumpf , Chalavi , Vissia and Nijenhuis 5 From the time they seek treatment for symptoms to the moment DID is correctly diagnosed, individuals on average have four other prediagnoses, inadequate pharmacological treatments, few hospitalizations, and ultimately extended periodsin mental health services. they spend years. These years of misdirected treatment cause prolonged personal suffering and high direct and indirect societal costs. Other causes are unfamiliarity with the spectrum of dissociative disorders, the presence of false DID , the reluctance of individuals with DID to present their dissociative symptoms , often because of feelings of shame, and a lack of knowledge and appreciation of its epidemiology. (“Dissociative identity disorder: out of the shadows at last?”) Factors contributing to the underdiagnosis and misdiagnosis of dissociative identity disorder (DID). The lifetime prevalence of DID is estimated to be about 1.5%, Reference. Reinders , Marquand , Schlumpf , Chalavi , Vissia and Nijenhuis5 mean that at least one million people in the UK will suffer from DID in their lifetime . (“Dsm v dissociative identity disorder pdf”) It is therefore clinically extremely important to bring DID out of the shadows to ease earlier correct diagnosis, avoid unnecessary suffering, and encourage research into faster and more targeted interventions . of the DKB Evidence from brain biology supporting the trauma theory According to criteria set out in DSM-5, dissociative identity disorder (DID) is characterized by fluctuating consciousness as well as two or more distinct identities or overlapping personality states. Keywords: DID, DID, EMDR, Treatment of Dissociative Disorders, Dissociative Disorders, Dissociative Personality Disorde