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WHAT ARE THE SIGNS A PERSON HAS MPD?

1 History of depression or suicidal behavior.
2. Childhood history of physical, sexual, emotional, or psychological abuse... reports one parent was very cold and critical reports of "wonderful" parents by a person who is clearly emotionally troubled.
3. Abusive relationships in adulthood 
4. Strong attacks of shame; sees self as bad or undeserving sacrifices self for others feels does not deserve help; is a burden, reluctant to ask for help is sure you do not want to be troubled with seeing him or her
5. Reports being able to turn off pain or "put it out of my mind."
6.Self-mutilation or self-injuring behavior. 
7. Hears voices from the inside. 
8. Flashbacks (visual, auditory, somatic, affective, or behavioral) 
9. History of unsuccessful therapy. 
10. Multiple past diagnoses (e.g.: major depression, schizophrenia, bipolar disorder, borderline personality disorder, substance abuse). 
11. History of shifting symptom picture.(On monday there are syptoms of one disorder on tuesday there's syptoms of another disorder.) 
12. Reports of odd changes or variations in physical skills or interests.
13.. Described by significant other as having 2 personalities or being a "Dr. Jekyll & Mr. Hyde." 
14. Family history of dissociation. 
15. Phobia or panic attacks. 
16. Loss of time (mins, hours,days,months,years) 
17. Daytime enuresis or encopresis. 
18. History of psycho physiological symptoms. 
19. Seizure-like episodes.
20.History of nightmare and sleep disorders. 
21. History of sleepwalking. 
22. School problems. 
23. Reports psychic experiences. 
24. Anorexia or Bulimia.
25.. Sexual difficulties. 
26. Substance abuse.


The presence of two positive items from among items a through p mandates consideration of a diagnosis of a Dissociative disorder (e.g.: DISSOCIATIVE DISORDER NOS (not otherwise specified) or possible POST TRAUMATIC STRESS DISORDER.)
Four or more positive items (especially among a through p) mandate serious consideration of the possibility of MULTIPLE PERSONALITY DISORDER.
For many observers, MPD is a fascinating, exotic, and weird phenomenon. For the patient, it is confusing, unpleasant, sometimes terrifying, and always a source of the unexpected. The treatment of MPD is excruciatingly uncomfortable for the patient. The dissociated trauma and memory must be faced, experienced, metabolized, and integrated into the patient's view of him/herself. Similarly, the nature of one's parents, one's life, and the day-to-day world must be re-thought. As each alter metabolizes his/her trauma, then that alter can yield it's separateness and re-integrate (because that alter is no longer needed to contain undigested trauma).
 


 

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