‘I don’t feel real. All the time—literally all the time—I feel like I’m living life from behind a glass screen, or that I’m watching life as it’s happening on TV but it’s not real. I’m always ten yards removed from it. I don’t cry. I don’t feel things. I feel like I’m in a dream. I feel like I’m going mad. Even now, talking to you, I’m not sure if this is really happening or not or if I’m just imagining it. The GP says I’m just depressed, but I’m not.’
‘I’m not seeing a doctor!’ I insisted with a look on my face that was intended to end the debate once and for all. As far as I was concerned, it was simple: I wasn’t going to the hospital, walk-in centre or GP surgery, because I couldn’t go. I couldn’t cope with going. Such was my abject terror that, unless it was a matter of life or death, I avoided all things medical.
The problem? This was rapidly becoming a matter of life and death.
Someone who has dissociative identity disorder may have distinct, coherent identities that are able to assume control of their behaviour and thought.
What medications should be used in the treatment of dissociative identity disorder? This fact sheet takes guidance from the ISSTD’s Treatment Guidelines for DID.
How should dissociative identity disorder be treated? What do the guidelines say, and who produces them?
Trauma is an event or series of events that are so overwhelming and threatening to life or sanity that a person cannot cope. The mind may switch off (dissociate) during the event or, at the very least, it will not be able to hold together the different elements of the event afterwards and ‘integrate’ them or join them together.