Dissociative Identity Disorder Follow-up

Updated: Sep 25, 2018
  • Author: Muhammad Waseem, MBBS, MS, FAAP, FACEP, FAHA; Chief Editor: Caroly Pataki, MD  more...
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Follow-up

Further Outpatient Care

If a child or adolescent is being treated, the parent or guardian must be seen. The guardian or parent must learn how to deal with the child during expression of multiple personalities or amnestic episodes.

A mental health professional with special experience in this area should provide follow-up care for these patients.

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Further Inpatient Care

Hospital admission is indicated for children in the following cases:

  • When medical or surgical condition requires inpatient management

  • When the diagnosis is unclear

  • When no alternative safe place for custody is immediately available

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Deterrence/Prevention

Stopping child abuse as early as possible maximizes chances for prevention.

With suspicion of abuse, siblings should undergo full examinations within 24 hours.

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Complications

In 1981, Allison found criminal activity in patients with MPD. [31]

Other literature also notes complications of other social problems, such as prostitution and antisocial outbursts and actions.

Childhood sexual and physical abuse are highlighted as predictors of both paranoid and antisocial personality disorders. Patients with dissociative disorder also reported suicide attempts and self-mutilative behavior.

It is also associated with frequent suicide attempts and self-injurious behavior. [32]

One study has also suggested that complex dissociative disorders contribute to functional impairment above and beyond the impact of coexisting nondissociative axis I disorders. [33]

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Prognosis

The prognosis in children and adolescents can vary widely among patients and between the specific types of dissociation disorder; however early treatment offers the greatest possibility of full recovery. [34] Recovery requires specially trained skilled psychiatrists who thoroughly understand the condition.

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Patient Education

Patient education is of utmost importance. When patients with MPD understand what is really happening in their lives, they become excellent, cooperative patients.

For excellent patient education resources, visit eMedicineHealth's Children's Health Center. Also, see eMedicineHealth's patient education articles Child Abuse and Sexual Assault.

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