Risky behaviors can be a part of dissociative identity disorder. May is Mental Health Awareness Month, and this year's theme of risky business applies to those with dissociative disorders, including dissociative identity disorder (DID). Risky behaviors, including alcohol and drug use, risky sexual behavior, and compulsions are present in many mental illnesses, including DID. These risky behaviors can exacerbate symptoms and increase suffering. So how can we know when the risky behaviors associated with dissociative identity disorder have gone too far?

While dialectical behavior therapy (DBT) isn't the primary treatment option for dissociative identity disorder (DID), there are DBT skills, like distress tolerance skills, that can help people manage their dissociation symptoms. These skills come in handy in a crisis or when we feel ourselves heading towards dissociation. So how do you use the distress tolerance skills of DBT for the dissociation of DID?

Dissociative identity disorder (DID) and other dissociative disorders go hand-in-hand with signs and symptoms of dissociation. You can find these signs of dissociation included in many lists, and in books like the Diagnostic and Statistical Manual for Mental Disorders, Fifth Edition (DSM-5). But symptoms of dissociation aren't always so black and white. The reality of dissociation goes beyond the obvious signs and symptoms of dissociation that you read about.  So what is dissociation really like?

Managing medical issues with dissociative disorders can include reducing stress at a doctor's office. Doctors and hospitals can be stressful and anxiety-provoking, which can increase dissociation. For some, medical issues can even be a trigger of past trauma. So what can you do to stay healthy, manage medical issues and reduce stress at a doctor's office with a dissociative disorder?

My doctor questioned my dissociative identity disorder diagnosis because dissociation is a coping skill for me. Dissociative disorders are described as having dissociation as a dysfunction that impairs living life in some way. But I don't think that is always the case. While some view dissociation as a dysfunction, many view dissociation as a positive coping mechanism that actually helps them get through the day. For me, dissociation is the very thing that allows me to function. So is dissociation a coping skill or is it dysfunction?

Holidays can be a stressful time for anyone, but when you have dissociative identity disorder (DID), handling holiday stress can be especially overwhelming. Anniversary reactions, sensory overload, and boundary violations are common stressors for those with DID, and are most prevalent around the holidays. It may feel overwhelming, but there are ways to handle the holiday stress when you have DID.

There can be a lot of unknowns in dissociative identity disorder (DID), including what parts make up your DID system. While some people with DID seem to know everything about their alters, there are others with who don't even know how many parts they have. It can be frustrating when you don't have all the answers, but it's okay not to know everything. You can still live, and you can still heal, even when your DID system parts are unknown.

At one year after my dissociative identity disorder diagnosis, I can say I have learned a lot. When you receive a dissociative identity disorder (DID) diagnosis, your life changes (Criteria for Dissociative Identity Disorder in the DSM-5). You learn to adjust your life as a multiple in a world designed for singletons. Those adjustments aren't easy, but you try and figure it out. Some changes can lead to progress, while other changes can set you back. So does living with DID get easier over time? Is one year after my dissociative identity disorder diagnosis easier than day one?

Many people with dissociative identity disorder (DID) experience symptoms of depression. Sometimes, the depressive symptoms are minor and intermittent. Other times, the symptoms are substantial enough to result in an additional diagnosis of a depressive disorder. In either case, depressive symptoms can have a significant impact on those with DID, and can make living with DID a little more complex.

Life with dissociative identity disorder (DID) is often filled with self-doubt. People with DID doubt their memories and doubt themselves. It is especially difficult in the beginning of a DID diagnosis, when the urge to engage in denial is often the strongest. But the tendency towards self-doubt doesn't stop there; it can continue for years. One cause of consistent self-doubt is related to a type of psychological abuse experienced by many with DID: gaslighting.