Posted by: gtcounseling | February 10, 2014

Treating Dissociative Identity Disorder (DID)

Dear Grace Tree,

Do you counsel with clients that have DID? If so, is the counseling sessions once a week or can I just have counseling sessions once a month? Once a month is all I have right now for payment for a counseling session.

Thanks, Sylvia

Hi Sylvia,

Yes, I do counsel individuals with Dissociative Identity Disorder (DID) and it’s tailored to the client’s need at the time. For those of you not familiar with Dissociative Identity Disorder, it is the diagnostic term which replaced Multiple Personality Disorder (MPD) several years back. It is a rare, highly sophisticated cognitive disorder and response to severe human trauma where the self maintains recurrent distinct personality states, individual “identities” or “alters,” in order to mentally and emotionally cope and protect the individual’s psyche in response to significant or severe trauma, usually which occurred in childhood. Clients who experience DID often also suffer from other Dissociative Disorders such as Derealization Disorder and Dissociative Amnesia, along with significant symptoms for Post-traumatic Stress Disorder,  PTSD, and heightened anxiety.

If all you can afford right now is once per month Sylvia that’s fine, although progress is bound to be very slow and disjointed at that pace. If you keep that in mind, e-counseling can be a good starting point to begin to find therapeutic direction in. I say this because individuals suffering from DID really require intense treatment and more traditional face-to-face therapy has a better outcome because much more can be addressed and worked on in person than online. However, I understand that some people find it very hard and anxiety-trauma provoking in just seeking help and with trying to connect with a professional in person and begin to even trust their inner life with someone else. An online therapeutic relationship can offer a stepping stone to someone really getting a higher level of help needed if that’s what a client decides to do in the future. But, it’s always up to the client. You need to make the decision that’s right for you and online therapy can offer some help and relief. Though the problem is very complex, issues vary case-by-case and in severity so if I can be of any further help or answer more specific question you may have, please email me directly at


Carole Miller, LCSW-C


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