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The way many professionals treat their DID clients gives the professional power and control over their so-called client. In most client-professional relationships, the client drives the narrative and within limits controls the professional.

But not so in most mental health scenarios. DID is no different.

Here's some common issues in DID treatment that are abusive in that they rob power, control, mental health and healing from the multiple system.

Protracted Treatment Periods

When therapy is 10+ years and often several sessions a week, who benefits? Obviously it's an easy payment stream for any therapist to keep multiple systems in therapy. I'm not saying they don't need help for 10 years, but it sure does make it easier when you don't have to hunt down new patients very often.

We should question why treatment is often done in a less-than-efficient manner. When you devalue their internal support system, treatment will take longer. There's less internal support and assistance, more crisis interventions are needed, etc. "Stability" alone is insufficient to begin trauma work.

Separate from External Supports

Someone, somewhen, had a bad experience putting folk with DID into a room for group therapy. Maybe several so-called DID experts had problems with group therapy for folk with DID at various times. Yeah, no shit. Pushing boundaries, airing triggering baggage — not such a great idea.

But they unnecessarily generalized this problem to mean that multiples should not congregate.

Separate from Internal Supports

Professionals generally try to separate folks within the system, call them "just" parts of "you" and demean/belittle them. Just like abusers will talk down about your friends, try to limit you talking to them, cut you off from external support — many therapists are dead set on cutting you off from or devaluing your internal supports.

Shaming Authenticity

Along the lines of not allowing multiples to bask in the presence of one another, many professionals actively discourage "encouraging" the multiple system to be — well, to be a multiple system. They don't want to "encourage" the "alter" personalities to feel comfortable fronting. They don't want support groups or gatherings of DID folk to reinforce the idea that the alters are real.

But left to our own devices, we feel most comfortable in spaces where it's OK for our "alters" to front and take over, where we can discuss our experiences without people thinking we're crazy. It's a life-affirming experience JUST LIKE EVERY SINGLET HAS WHEN ALLOWED TO BE AUTHENTIC.

Instead, though, they discourage our authenticity and venues in which we can explore our authentic selves.

No better Trophy!

It's not a question of what's right for the multiple. In the culture of psychologists, it's all about the bragging rights for the therapist. How many multiples have you hunted down and "tamed"? Nothing less than integrating a multiple system will do as a trophy. No one brags about helping a system live as a group entity. The disappointment when a multiple refuses merging/integration is palpable. There goes the book/movie deal!

Refusal to Treat

Sometimes a dissociative disorder or plurality comes with a side helping of other issues — physical and mental health issues that the plural needs assistance with from their health team. Sometimes, having a dissociative diagnosis biases professionals from treating their comorbid issues. So a physical health team may refuse to treat someone who is plural, or a mental health team may refuse to assist a plural in finding appropriate medication for other issues, or case management, social work, support environments or hospitals may give the client the run-around and shuffle them to other units or professionals, citing "difficult patient" and exerting "difficult patient bias" on people for plurality.


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