Is Using Dialectical Behavior Therapy (DBT) in DID Treatment Okay?

Another problem with relying on DBT for the treatment of dissociative disorders is that frequently the individual with a dissociative disorder gets triggered at the mid-brain level (fight/flight/freeze) and just goes 'off-line', which makes it impossible to use higher cortical functions (like wise-mind). The inability to be mindful in the face of being triggered creates a sense of failure (and often accusations from clinicians that the dissociative person is not trying). One has to be able to be aware of what the triggers are in order to stay mindful and avoid dissociative defenses. However, often switching occurs and the trigger is forgotten as it's left in the last identity that was in the body when the trigger occurred. One person said to me, "If I could do DBT, I wouldn't need it!" In that case, it becomes just another treatment situation in which, in order to please the therapist, the individual 'fakes' being "mindful' and then doesn't end up learning new skills. I also agree that to the extent that DBT doesn't treat the underlying problems of compartmentalization and escapism that healing cannot really occur.

Desperately seeking a cure. We have been waiting for an opening to become available with our local DBT group and are currently in weekly Psychotherapy for over six years now. Diagnosed with DID, BPD, OCD and Gender Dysmorphia. Living Hell. We have little hope that DBT will benefit us, but we will try.

When we started therapy our therapist tried DBT. It was hell. We hated it. The program is rigid and cold. Much too similar to our childhood. We would never try DBT again.

BPD sufferer here, DBT is highly praised, but let's be honest, it sucks even for BPD. My schema therapist introduced DBT elements and they were huge part why I stopped going to her after almost 3 years. Plus, DBT has misleading marketing or to make it clear: DBT proponents lie. Most BDT claims are exaggeration, half of therapy is pure speculation (never tested, if I am wrong, please, tell me where are studies about 3rdand 4th phase of DBT) and in studies 85-100% population are girls/women. How you can say that something that is tested on 20 yo girls who have significant self harm and addiction problems applies to 35-40 yo male without any kind of dependence and self harm on level "too much scratching" is beyond me. And spare me stories about studies, scientific work etc, I have published paper in high (actually huge) impact factor journal so I know thing or two about whole process. DBT gimmicks that supposed to calm me down just infuriated me and therapist (and probably supervisor how suggested inclusion of DBT or I was told that) were too stupid to see that and crumbling therapeutic alliance. But at I least, I have learned that "therapeutic alliance", "unconditional acceptance" and "limited reparenting" are just euphemisms for emotional prostitution and that therapist are just emotional prostitutes. DBT for this, DBT for that, tons of people are doing DBT therapy and I have never seen single post in any BPD or C-PTSD facebook group saying "I was doing that for 3-5 years, now I live normal life". You can read how DBT is amazing etc, some say it sucks, but where are cured people? There are almost none. And now you want to do same quackery to people with DID. What kind of people therapists are? I would say, too many (almost all?) are pure misanthropes, enjoying taking money for useless therapy or even worse, inflicting emotional wounds to highly vulnerable population that is widely open for any kind of manipulation.