Saturday, 14 May 2016

Medication and D.I.D.

Medication can be both helpful and unhelpful when it comes to the treatment of D.I.D. There is no such thing as a magic cure and there currently is no form of psychiatric medication that stops switching completely. Medication is normally used in conjunction with therapy (whether that be EMDR, MBT, CBT, DBT, CAT etc). While medication cannot really help stop switching it can be used to treat co-occurring mental health problems that go alongside DID. It is rare for someone with DID to not have another disorder alongside it. Some disorders that can occur can include - but not limited to - borderline personality disorder, psychotic disorder, depression, bipolar, eating disorders and PTSD. 

I asked some people that have DID to tell me what medication they take and whether it helps. Many of them felt the medication helpful in treating symptoms that were caused by another disorder, such as depression or psychosis. However, a few people thought that medication could do more harm than good. It is hard for someone with DID to be put on medication when their switching has become out of control and frequent as many alters may have differing views on medication which could mean some alters stash medication, fail to take them completely or alter the dosage they are supposed to have.

Here is a very short list of the medication a dozen people I asked are on. These are just a few examples of the kind of medication someone with DID can take (and the reason why) if they have symptoms that are affecting their day to day life (not including the rapid switching of alters);

Psychosis - Amisulpride, Olanzapine, Quetiapine, Clopixol, Risperidone, Geodon
Depression - Mirtazapine, Sertraline, Venlafaxine, Florouxetine, Wellbutrin, Effexor
Mania - Lamictal
Anxiety - Diazepam, Lorazepam, Promethazine, Ativan, Visteril

Taking medication is assessed on an individual basis. What works for one person may not work for another and you may have to try many if you are thinking of going down that road. Some people are quite content about being on no medication and that opinion is also perfectly valid. I, personally, have gone through over a dozen different combinations of tablets before settling on the medication I am on now that seems to be working. I'm one person with DID that needs medication to function day to day.

Always consult a psychiatrist before taking any psychiatric medication, altering your dose, or weaning off any of your medication.

1 comment:

  1. This is a great post. Deciding to go down the medication road is difficult for anyone. Everyone is so sensitive to these drugs and reactions differ in the same person over time. Not to mention alters and their views and how meds affect each alter. I would imagine it would be harder for someone with DID to be on meds than someone without with these additional considerations. However I personally for myself see meds as a good thing. I have gotten much more stable than I have been in my whole life due to meds and couldn't imagine myself without being on meds and living a healthy life.

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