safety, stabilisation & symptom reduction
Often clients who suffer from DID have problems with medical procedures, for instance physical examinations (especially if intrusive) could be re-traumatising as well as many other triggering issues. It is essential the medical staff are aware of the dissociation and any specific care the individual client needs.
The treatment of choice for DID is with one to one relational-based Psychotherapy, and is long term. Therapy within a residential setting is not advisable as the client needs to be involved with a normal life to work toward healthy recovery. The most important factor of treatment is the relationship between therapist and client. The therapist needs to be warm and empathic, and consistent in their engagement.
The subject matter can be extremely distressing. It is essential for specialist supervision from someone who has experience of working with DID. The therapist needs to avoid isolation and be aware of any secondary trauma resulting from their work. It is essential to be part of a group of colleagues experienced in this field.
The sessions are minimum of once per week and often 90 minutes. Treatment is aimed toward stabilisation for the client, and increasing the level of communication and co-ordination between the clients identities. The goal being for more integrated functioning wherever possible.
The expert consensus is that phase- oriented treatment is most effective.
THREE STAGES MOST COMMONLY USED ARE :
Establishing safety, stabilisation and symptom reduction
Working through and integrating traumatic memories
Integration and rehabilitation
A variety of adjunctive therapies or techniques can be used alongside traditional talking therapies, including Dialectical Behaviour Therapy (DBT) and eye movement desensitisation and reprocessing (EMDR).
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