Dissociative personality disorder? follow up question to Opesa?!


Question:

Dissociative personality disorder? follow up question to Opesa?

Hi its me again..your answers are really good,im comfortable with it, its really helpful so im your fan now. Actually were not communicating for a while now. I think he chose so as we wont argue. To tell you its really difficult because i think no one else know whats happening to him and told me not to tell even my family so im stuck here with what's happening by myself. Its really difficult to not tell someone until i opened up here.. and im really thankful for your advices. I just need to ask this question..
I just want to ask if a person with this disorder needs to be confined in an institution? or just a session of talking to him would do? He can still do things normally and has a job..however if things are not fine he locks himself up.And i think he has suicidal tendencies? When we argue he says things like ending it. But I think hes afraid of being confined for he might loose it?I just hope hes getting the right info about it because i think hes afraid of loosing it.

Additional Details

1 week ago
Thank you so much for the info/resources given by Dr. D. Star Reader and again many many thanks to Opesa. Im really grateful that its you who have answered from the very first questions i posted. I was given one answer and opinion it doesnt confused me. Im thankful also to those who shared their opinions, experiences and what they believed and it helped me understand.
But from the last time i told you we dont have communication right now, maybe its his way so we will not argue and hurt each other.Ive hurt him because i dont know whats wrong but now i understand and i hope to understand more. I really wanted to be there for him and help him. I will just wait for the time he will communicate with me and to convince him that eveything will be fine. Thanks so much. i hope i can still ask questions.


Answers:

Rarely does someone with DID require hospitalization, but I won't say never. I had one client who had an alter that was acutely suicidal and another alter admitted herself to the hospital until the suicidal part was able to contract not to act on the thoughts.
DID is generally treated on an out-patient basis, but it is not short-term therapy unfortunately. It usually takes many years before integration is achieved, although not all folks choose integration as the goal.(I believe strongly that integration is always the goal of therapy and I explain that to clients, but I certainly respect their choice to stop short of it or take breaks from therapy as needed)
Many people with DID function exceedingly well in certain areas, but it is pretty difficult to remain dissociated and still function well in all the important areas of work, intimate relationships and social spheres. Consider that the behavior is often inconsistent in the extreme and that major chunks of memory are missing, however the greater degree of co-consciousness along with cooperation among parts predicts greater viability as these symptoms can then be greatly reduced without the necessity of fully integrating all the traumatic memories. It's been my experience that once this begins to happen and there is genuine acceptance amongst parts, integration will often begin to occur spontaneously.
Good luck and I am glad that the info was useful to you. I'd still suggest seeking a therapist for yourself as there will be many hurdles ahead for both of you and questions that only a therapist who knows you and your situation well can answer, plus the support will help diminish the sense of feeling so alone.




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