Dancing David
Penultimate Amazing
A hearty welcome to the thread, Dancing David!Thanks for joining us. Your insightful comments are much appreciated.
The quote above is what I'd like to address first. I'm encouraged that you think it may be possible to get DID removed, even if it might be three versions away.
Secondly, do you have any thoughts on how DID should be diagnosed/labelled?
In my layman's opinion, it's a mess of iatrogenic problems and playacting, on top of underlying real, less "sexy" problems. Not sure how to say that in medical terms.![]()
I would say that the issue is that people who use the DSM often use labels solely for convenience. I have known some fine doctors (two at least) who used the Borderline diagnosis in the presence of an active and florid Axis I.
The consumers I worked with who favored the diagnosis of 'MMPD' were both major substance abusers. One with a likely seizure disorder, some disassociation and strange OCD complexes.
Then some clinicians are hung up on it, another consumer I worked with had a panic attack at PSR and one of my coworkers labelled it as an 'alter coming out', which I thought was ridiculous.
Then there was a consumer I worked with at the ED, whose family in the interview denied any past history of mental illness, which was quite false.
People are people and sometimes they are less than reliable historians.