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Dissociative Identity Disorder (DID)
Two or more distinct personality states (alters) with unique behaviors, voices, memories.
Recurrent memory gaps for personal information or everyday events.
Alters may differ in age, gender, abilities, or even species.
Switching is often stress- or trauma-induced.
Not due to substance use or medical condition.
Host
Primary identity
Child Alters
Represent vulnerable states
Protector Alters
Defend against trauma
Persecutor Alters
Self-destructive or aggressive
Opposite-Gender or Non-Human Alters
Unusual traits or identities
Amok (Malaysia)
Dissociative rage state
Possession States
Present in some cultures; only pathological if distressing, involuntary, and outside cultural norms
Dissociative Amnesia
Inability to recall important autobiographical information, usually related to trauma or stress.
Memory loss is too extensive to be explained by normal forgetting.
Dissociative Fugue (Specifier): Unexpected travel away from home, possible new identity, amnesia for the past.
Localized Amnesia
No memory for events in a specific time frame
Selective Amnesia
Memory gaps for parts of traumatic event
Generalized Amnesia
Complete loss of personal identity
Systematized Amnesia
Memory loss for a specific person or category
Continuous Amnesia
Ongoing memory loss from a certain point forward
Depersonalization
Detachment from self, as if observing oneself
Thoughts and emotions feel "not mine"
Body may feel foreign or unreal
Derealization
World appears dreamlike, foggy, or artificial
Distortions in perception (visual or auditory)
Depersonalization/Derealization Disorder
Persistent or recurrent symptoms
Reality testing remains intact (they know something is wrong)
Causes distress or functional impairment