Dissociative Identity Disorder (DID) Diagnosis in Adolescents and Young Adults

Рет қаралды 10,796

Utah Center for Evidence Based Treatment

Күн бұрын

Dissociative Identity Disorder (DID) is a diagnosis that has been mired in controversy even before social media has broadened awareness of it in recent years. Research has encompassed empirical investigation into its etiology, including trauma-dissociation and malingering/suggestion models. With more adolescents and young adults presenting with traits of DID, it is imperative for clinicians to have the tools for accurate assessment and diagnosis and for supporting our clients in engaging in evidence-based treatment.
This talk will address barriers to accurate DID diagnosis, including limitations in research on BIPOC and minority populations, tools to support DID assessment that address potential malingering, and strategies for communicating case conceptualizations to clients, who may have a strong attachment to a DID diagnosis.
This talk will also provide a brief overview of evidence-based intervention for individuals with DID and individuals with traits of dissociation, but who do not necessarily fit a DID diagnosis.
Learning Statement:
At the conclusion of this presentation, attendees should be able to describe barriers to accurate DID assessment, identify tools in the research for accurate assessment and diagnosis, and identify evidence-based interventions to support individuals with dissociation.
Learning Objectives:
• List evidence for proposed etiology models of DID
• Describe at least 3 barriers to accurate DID diagnosis
• List 3 assessment tools that have research-supported specificity and sensitivity for DID
• Describe the basic principles for at least 2 evidence-based interventions for DID
References:
Brand, B. L., Barth, M., Schlumpf, Y. R., Schielke, H., Chalavi, S., Vissia, E. M., Nijenhuis, E. R. S., Jäncke, L., & Reinders, A. A. T. S. (2021). The utility of the Structured Inventory of Malingered Symptomatology for distinguishing individuals with Dissociative Identity Disorder (DID) from DID simulators and healthy controls. European Journal of Psychotraumatology, 12(1). doi.org/10.1080/20008198.2021...
Brand, B. L., Webermann, A. R., Snyder, B. L., & Kaliush, P. R. (2019). Detecting clinical and simulated dissociative identity disorder with the Test of Memory Malingering. Psychological Trauma: Theory, Research, Practice, and Policy, 11(5), 513 520. doi.org/10.1037/tra0000405
Krüger, C. (2019). Culture, trauma and dissociation: A broadening perspective for our field. Journal of Trauma & Dissociation, 21(1), 1-13. doi.org/10.1080/15299732.2020...
Pietkiewicz, I. J., Bańbura-Nowak, A., Tomalski, R., & Boon, S. (2021). Revisiting False-Positive and Imitated Dissociative Identity Disorder. Frontiers in Psychology, 12. doi.org/10.3389/fpsyg.2021.63...
Reinders, A. A. T. S., & Veltman, D. J. (2020). Dissociative identity disorder: out of the shadows at last? The British Journal of Psychiatry, 219(2), 1-2. doi.org/10.1192/bjp.2020.168
Wilkinson, S., & DeJong, M. (2020). Dissociative identity disorder: a developmental perspective. BJPsych Advances, 27(2), 1-3. doi.org/10.1192/bja.2020.35
About the presenter:
Laura Rowley, Ph.D., licensed clinical psychologist. Laura obtained her doctorate from Wayne State University. She completed her APA-accredited internship and postdoctoral fellowship at Primary Children’s Hospital. Laura is currently the Program Director for the Assessment and Testing Team at Utah Center for Evidence Based Treatment. Her expertise in assessment includes assessment and differentiating diagnosis of developmental vulnerabilities, complex trauma and dissociation, and personality disorders. ucebt.com/about-us/primary-st...
Triona McMaster, LCSW is the Executive Clinical Director at Life Stone Counseling Centers. Triona received her Master's of Social Work from the University of Utah and has worked in both the inpatient and outpatient settings for over a decade. She is an approved EMDRIA Consultant and Trauma Recovery/HAP Facilitator and provides consultation to other clinicians as they work to improve their knowledge and practice in EMDR. She is passionate about working with those who suffer from anxiety, depression, dissociation, and who have experienced trauma; and has extensive training in these areas. www.lifestonecenter.com/triona...
Dr. Rowley, Triona McMaster, and UCEBT have not received any commercial support for this program or its contents and will not receive any commercial support prior to or during this program.
ucebt.com/

Пікірлер: 36

@Nexus.system 6 ай бұрын

Elliot, hi I’m a member of a dissociative identity disorder. System called the Nexxus system, hosted by Nicholas Abrahamson. We are riding today because we have some major concerns with your video. One of the concerns has already been addressed in comments switching versus fronting, however, another major concern is your confusion about Integration and final fusion versus fusion. Fronting is when an alter takes control. Switching is when another altar switches in which may mean they are fronting and or may mean they are co-con. These are different things. Let’s discuss integration versus fusion versus final fusion. Integration is when alters learn to work together. Fusion is when one alter may fuse into other alters, or may fuse into one single altar, and thus no longer exist. Final fusion would mean that there is no repeat no sense of other alters, and there is a singular sense of self and one single sense of identity. Because you have mixed up these major terms, this leaves me to some major concern for other mental health professionals like myself, or who are not systems, but who are in the mental health field taking these definitions you have given back to clients. Were we to take these definitions back to clients that we see many of them would run from Therapy never to be seen again! Why? Because they may not want final fusion and because you have mixed it up with integration, I, a mental health, professional, possibly only finding your video as having definitions of these terms, am now unable to talk to them about integration, because I myself, the mental health professional, seeing said client, is confused on the terms. for a better understanding of said terms and less complicated explanation, which may go over better with client. Please see a video done by Dr. Mike Lloyd at the SeaTac clinic labeled fusion integration part two.

@ArtyAntics Ай бұрын

Dr Mike’s clinic is called CTAD 😊 totally agree with your points as a system and a long time supporter of DID systems this is a very common issue that hampers recovery.

@tinyaxes 11 ай бұрын

The terms are not exactly how I would describe them... host is what we call the alter that fronts the most in our body and goes through the day to day life and used to be unaware of their system, and there is no "core" personality, because you are not born as one whole person, you exist in multiple states and eventually come together to make someone with a full consciousness that is generally aware. Also switching and fronting are different things. Switching is changing consciousnesses in front, so Alter A to Alter B, and fronting is when Alter A is in control, a switch would occur, usually with some level of dissociation between them, and Alter B would switch in and then be fronting. Sometimes passive influence can also occur where an alter is near the front (active consciousness controlling the body and influencing the decisions) where Alter B might be really angry and Alter A feel angry but does not know why, which may be a sign that Alter A is going to switch out with alter B so that they can respond and react to the situation and be in control. Something like anger would be a negative trigger, and Alter A may not remember Alter B's anger or response at all.

@tinyaxes 11 ай бұрын

Very interesting and well done! We have been given many diagnoses but did not think to ask our treatment team what they were. NOSDD was given to us two years ago, then after a hospitalization and weekly therapy, DID was given. Months later schizophrenia and Tourette's we were told, and then BPD. Unfortunately with the BPD diagnosis, the woman that diagnosed us did not want to say we had any signs of DID or schizophrenia. Very interesting how BPD and DID differ in treatment.

@rossdelman641 4 ай бұрын

I know and love one with DID and with selective mutism, and alters that also tries to make up reasons to keep quiet and to try to stop talking saying It's the head that talks and not her also eating disorder on the side It's been complicated and I been learning alot from clinic channel to learn acceptable behaviours to their shifts and It means everything to me and to be able to be a supportive system myself❤

@healingtheinnerwoundedchild 5 ай бұрын

Thanks for sharing, really informative!

@UCEBT 5 ай бұрын

Thank you so much! We are glad you enjoyed it :)

@waffelz1121 Жыл бұрын

Mr robot is pretty good representative media for did. The narrator can see the alter though so you get to understand better. In the end of the show they touch on actual did and the diagnosis of the main character. For anybody who doesn't understand why did is and what it means for somebody's life you should watch Mr. robot.

@sr2291 Ай бұрын

What treatment?

@kierstymiller6305 9 ай бұрын

What about the qEEG? Quantum Electroencephalogram for diagnosis? Too expensive? Too intrusive? Thoughts...? ✌️❤️

@drnicolaschongks 9 ай бұрын

That spund like alot of work , I just use psychedelic biweekly or when the alters trying to come out .After few months , merging all the alters is the result . So far so good

@angelinasouren 7 ай бұрын

9:37 Where is depression in this spectrum?

@allie54774 10 ай бұрын

I'm audhd and have osdd also

@monicalolsonmslpcc3072 6 ай бұрын

Around 41:49 mark, whoever this is that is presenting (Laura?) doesn’t seem sober. It’s a little cringy. I also question the validity of this presentation as a whole. Lots of “ums” and missed opportunities to come across as informed and organized in their presentation of the topic they are trying to educate others about. Long story short, they don’t really care about the topic. They’re just trying to fulfill some type of requirement.

@UCEBT 6 ай бұрын

Thank you for your feedback! We appreciate your honest response to this presentation.

@monicalolsonmslpcc3072 6 ай бұрын

@@UCEBTyes, honesty is my policy. Thank you for recognizing that.

@JesusLightsYourPath 26 күн бұрын

I agree with you. The laughter was hurtful for me. I experienced a lot of trauma as a child and I'm trying to learn more about my dissociation (I am in therapy for dissociation and trauma). I feel a lot of shame about my experiences and I'm sure many others do as well. I don't enjoy hearing the person laugh when discussing a disorder that stems from abuse.

@FlyinDogRecords 11 ай бұрын

This is an extremely serious subject. The nervous laughs throughout the presentation was very inappropriate. It seems like the person is making fun of the illness. Perhaps the presenter could take a class to improve her speaker abilities. The information was good.

@UCEBT 10 ай бұрын

Thank you for your feedback! Your input has been relayed to the presenters.

@callmekiki882 10 ай бұрын

I don't think it's a problem since this is mostly for clinicians and not targeted directly at clients who suffer from DID

@melissabeingmelissa 10 ай бұрын

@@callmekiki882we just need to include people with DID in this because the medical community/psychology field is responsible for hurting people with DID and furthering stigma, (and it’s hard because it’s hundreds to thousands of our collective experiences/our word against their certifications and degrees -__-. ). The DID community online across demographic and age is in agreement with what is helpful/hurtful in therapy and in mental health professional spaces, yet the people who need to listen to us aren’t open to. (I have DID). I think you should open up the conversation to include people with, and really find out what we think everyone else can be doing better. I don’t like DID is treated or talked about in 2023. It’s better than it used to be, but I’m in a 2050 approach. I’d like to help the field to catch up!

@higamerXD 9 ай бұрын

@@UCEBT tbh id rather you talk about it in a more light hearted way, that makes it far less intrusive to watch and it was rather helpful to me tbh

@UCEBT 9 ай бұрын

@@callmekiki882 Thank you for your input on this! Our presenters put a lot of effort into these presentations for clinicians, but being on KZfaq can certainly make things tricky when the information is delivered more widely. We appreciate your response.