Dissociative disorders are mental disorders, which affect coordination between thoughts and memories, which may negatively impact individuals in different psychological aspects (Comer, 2018). This may include identity problems, behavioral, and emotional aspects. These disorders also affect the mental functioning of victims and how their normal mind functions which is important in carrying out daily activities (Comer, 2018). Some people argue that dissociative disorders such as dissociative identity disorder are not real and that individuals displaying these symptoms are faking it, which makes it important for a clinician to be able to gather adequate evidence to support any of these assertions (Comer, 2018).
In diagnosing a dissociative disorder, one of the evidence, which a clinician may use, is performing a psychiatric exam, which involves asking in-depth questions to ascertain any mental issues affecting the individual (Brand et al., 2016). A psychiatric exam involves asking questions about an individual’s thoughts and any other symptoms, which may be present on the individual. Other family members may also participate in the exam to provide more information about the patient (Brand et al., 2016). During the assessment of clients, clinicians can be able to use reliable and evidence-based clinical interviews, which have been indicated as effective in distinguishing between true and fake dissociative disorders (Brand et al., 2016).
Clinicians should also watch for behavioral cues during the interviewing process of the patients. Another evidence, which a clinician may be able to gather to support one of these assertions, is using the DSM-5 (Brand et al., 2016). The DSM-5 states that other individuals may also observe the signs and symptoms of dissociative disorder. These symptoms should also have caused significant distress on the individual (Brand et al., 2016). Comparing the signs and symptoms present in a patient to the criteria in the DSM-5 will help the clinician in making an accurate judgment. These signs and symptoms should be well analyzed as cultural as well as religious aspects may cause similar issues (Brand et al., 2016).
Brand, B. L., Sar, V., Stavropoulos, P., Krüger, C., Korzekwa, M., Martínez-Taboas, A., ; Middleton, W. (2016). Separating Fact from Fiction: An Empirical Examination of Six Myths About Dissociative Identity Disorder. Harvard review of psychiatry, 24(4), 257-270.
Comer, R. J. (2018). Abnormal psychology (10th ed.) New York, NY: Worth Publishers.