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“People with DID often experience conflicting advice or opinions emanating from their alter personalities. Individual alter personalities may have coherent, consistent identities, but, taken as a group, the incompatible internal personalities generate an atmosphere of conflict as well as incoherence. As one patient described it, "Do you know how hard it is to get a hundred and four minds to come together to a single decision?”

“It is not unusual for subjects diagnosed with a Dissociative Disorder on the SCID-D to be surprised at having their symptoms validated by a clinician who understands the nature of their disorder.”

“Dissociative Disorders have a high rate of responsiveness to therapy and that with proper treatment, their prognosis is quite good.”

“The SCID-D may be used to assess the nature and severity of dissociative symptoms in a variety of Axis I and II psychiatric disorders, including the Anxiety Disorders (such as Posttraumatic Stress Disorder [PTSD] and Acute Stress Disorder), Affective Disorders, Psychotic Disorders, Eating Disorders, and Personality Disorders. The SCID-D was developed to reduce variability in clinical diagnostic procedures and was designed for use with psychiatric patients as well as with nonpatients (community subjects or research subjects in primary care).”

“Due to previous lack of systematic assessment of dissociative symptoms, many subjects experience the SCID-D as their first opportunity to describe their symptoms in their own words to a receptive listener.”

“Although Dissociative Disorders have been observed from the beginnings of psychiatry, the Structured Clinical Interview for DSM-III-R Dissociative Disorders (Steinberg 1985) was the first diagnostic instrument for the comprehensive evaluation of dissociative symptoms and to diagnose the presence of Dissociative Disorders.”

“To achieve a diagnostic assessment, it is important to remember that diagnosis does not hinge on the subjects answer to any single question on the SCID-D. A positive response regarding one dissociative symptom often has several possible ramifications, which must be explored through persistence with related questions. Isolated dissociative symptoms may occur in a number of different psychiatric syndromes, both dissociative and nondissociative. An isolated dissociative symptom, such as use of an alternate name or an amnestic episode, is insufficient grounds for diagnosis. To provide evidence sufficient for an accurate diagnosis, the symptom must exist in combination with other symptoms that, as a group, conform to the characteristic pattern of one of the five disorders oudined in the Diagnostic Work Sheets in Appendix 2.”