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Ask Selah R, M.S. LPC Your Own Question
Selah R, M.S. LPC
Selah R, M.S. LPC, Therapist
Category: Mental Health
Satisfied Customers: 582
Experience:  Licensed Professional Counselor; over 13+ yrs exp working with adults, teens, & families/couples.
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Im an MFT Intern. I administered the Dissociative Experience Scale test to a client,

Resolved Question:

I'm an MFT Intern. I administered the Dissociative Experience Scale test to a client, suspecting possible DID. She scored 56 (30 or above, higher association with DID). Can you recommend a good assessment tool/method to give me further insight into the possibility of DID?
Thank you, XXXXX XXXXX MFT Intern
Submitted: 5 years ago.
Category: Mental Health
Expert:  Selah R, M.S. LPC replied 5 years ago.

Selah R, M.S. LPC :

Thank you for trusting JustAnswer with your important question.

Selah R, M.S. LPC :

I would recommend using the DES Taxon to get a more accurate rating than just the DES: http://www.isst-d.org/education/des-taxon-portal.htm

JACUSTOMER-tzmc562i- :

I just tried the link, said "page cannot be found".

JACUSTOMER-tzmc562i- :

Sorry, tried again - looks like it worked.

Selah R, M.S. LPC :

Try http://www.isst-d.org/sitemap/horizontal-menus/professionals-links.htm

Selah R, M.S. LPC :

There are other tools for diagnosis DID, but they are all still experimental. The SCID interview and DES are still the "gold standards."

Selah R, M.S. LPC :

It's a difficult diagnosis, and one many professionals aren't comfortable putting their name behind. Your best bet would be to find someone who is seasoned in working with complex PTSD and DID, and ask for a consult. Or make a referral for evaluation.

JACUSTOMER-tzmc562i- :

Thank you very much.

Selah R, M.S. LPC :

Treatment can take years, and it's really something you need to be sure you're ready to tackle before you jump in.

Selah R, M.S. LPC :

There are some hospital programs, such as the Trauma Unit at Timberlawn in Dallas, Texas, that specialize in DID.

Selah R, M.S. LPC :

Here's some websites that also have more information, and ways of asking for names of professionals in your area who can be resources for consults or evals:

JACUSTOMER-tzmc562i- :

We're in Los Angeles area. Are you aware of anything here?

Selah R, M.S. LPC :

http://www.isst-d.org/find-a-therapist/disclaimer-find-therapist.htm

Selah R, M.S. LPC :

http://www.sidran.org/sub.cfm?sectionID=5

JACUSTOMER-tzmc562i- :

Thanks so much, Selah. Appreciate your help.

Selah R, M.S. LPC :

Is this guy near you? http://www.southbaypsych.com/donfridley.html

Selah R, M.S. LPC :

and Del Amo hospital: http://www.delamohospital.com/

JACUSTOMER-tzmc562i- :

This may be close enough. Still looking for his address on the website

Selah R, M.S. LPC :

The biggest thing I look for is not only dissociation (which can happen in a lot of disorders and trauma survivors) but also lost time (chunks of memory that are gone), depersonalization episodes, and internal dialogue.

Selah R, M.S. LPC :

Many have inability to recall significant stretches of their life history, but also hours or days they may be unable to remember in their recent history.

Selah R, M.S. LPC :

Some are aware of other internal ego states or alters, but some do not have this knowledge because of the amnesic barriers that can be put up between ego states.

JACUSTOMER-tzmc562i- :

Definitely issues with memory, both distant and recent. Has cut without memory.

Selah R, M.S. LPC :

What else makes you think it might be DID?

JACUSTOMER-tzmc562i- :

Sudden mood shifts from dissociative to upbeat, cutting with no memory of triggering events,

JACUSTOMER-tzmc562i- :

Reports of having taken things from family members - insists she didn't but later objects are found in her possession

Selah R, M.S. LPC :

Age?

JACUSTOMER-tzmc562i- :

23

JACUSTOMER-tzmc562i- :

History of sexual abuse by step father

Selah R, M.S. LPC :

Could be, I have seen many who were DID and had more internal awareness as kids, but then go through teens without internal awareness.

JACUSTOMER-tzmc562i- :

Says she's found things she's written "in different handwriting"

Selah R, M.S. LPC :

You may be dealing with an alter that was created to "live normally" or do school or some other function, who has been cut off from the internal landscape.

Selah R, M.S. LPC :

I think you have the right hunch, but getting a second opinion is always wise. It's also legally safer to be not the only one who things this controversial diagnosis fits a client.

JACUSTOMER-tzmc562i- :

Very good advice. I have a call into her psychiatrist, and have been conferring with colleagues.

Selah R, M.S. LPC :

Anything else I can help with on this?

JACUSTOMER-tzmc562i- :

Any recommended reading?

Selah R, M.S. LPC :

For you or her?

JACUSTOMER-tzmc562i- :

Me, to start :)

Selah R, M.S. LPC :

Ok, give me a few mintues...

JACUSTOMER-tzmc562i- :

But certainly for her of her mother if you know of something.

JACUSTOMER-tzmc562i- :

I can do a search - but thought you might know something you'd recommend

JACUSTOMER-tzmc562i- :

Thanks so much, Selah.

Selah R, M.S. LPC :

Peer website that might be useful for you or her: http://2multiples.com/twcrew/

Selah R, M.S. LPC :

But also Sidran listed earlier for self-help and articles, and the ISSD's website for the gold standard in "Treatment Guidelines"

JACUSTOMER-tzmc562i- :

Wonderful. Thanks.

Selah R, M.S. LPC :

Colin Ross also wrote an excellent book on DID, but its getting a little outdated, but his research and historical work was the best:

Selah R, M.S. LPC :

Good luck :-)

JACUSTOMER-tzmc562i- :

thanks again.

Selah R, M.S. LPC and 2 other Mental Health Specialists are ready to help you