Dissociative Identity Disorder Definition/Description • • Split personality that disrupts identity Involves having multiple distinct identities or personality states Epidemiology • • More common in females Can manifest at any age Associated medical conditions • • • • • History of physical/sexual abuse and/or neglect during childhood Major depressive disorder PTSD Borderline personality disorder Somatic symptom disorder Diagnosis DSM-V A. Alteration of at least two separate personality states that cause identity disruption and dominant at different times, manifesting with the following: - Distinct memory, behaviour, affect, perception, consciousness, cognition and/or sensory motor functioning (derealisation) - Discontinuity in sense of self (depersonalisation) and agency B. Frequent gaps in recall of normal daily events or personal information that are significantly different from ordinary forgetfulness. C. Symptoms cause significant social or occupational impairments. D. Symptoms are not related to substance use or another medical condition. E. Symptoms can not be explained by broadly accepted religious or cultural practices. - In children cannot be attributed to imaginary friends or fantasy play Treatment and management • • Psychotherapy – MAIN TREATMENT - CBT - DBT SSRI for comorbid conditions such as depression and PTSD