Dissociative Identity Disorder: Treatment and Management

by Hassaan Tohid

Dissociative Psychosis One type of severe decompensation of DID is called as “revolving door crisis” [7] when the alternate personality states enter in a loop of rapid switching. An alternative to this situation is the collapse of dissociative barriers: “co-consciousness crisis (Kluft, personal communication 1995). Both conditions may evolve to a “dissociative psychosis,” a condition formerly known as hysterical psychosis [20]. Amnesias, hallucinations, somatic experiences, and discontinuities in associations may appear like manic, schizophrenic, or delirious conditions. Such brief psychotic attacks may cease in a few hours or a few weeks latest. Nevertheless, there are cases of dissociative psychosis with a longer duration that resemble schizophrenic disorder.