Nursing Process for Client with

Dissociative Identity Disorder

By: Septi Rizkia Amalida,

1006672970

Highlight

Definition

Causes

Nursing
Process

What do you
know about
DID?

Definition
Dissociative identity disorder is a psychiatric diagnose and
describes a condition in which a person displays multiple
distinct identities or personalities (known as alter egos or
alters), each with its own pattern of perceiving and
interacting with the environment

Etiology
Genetic Predispotition
Emotionaly, physically, sexual abuse
Lack of nuturing experience to assist
recovery from abuse
Traumatic before 15
Low self esteem

Nursing Process
Assess
ment

Treatm
ent

Nursing
Process

Interve
ntion

Diagn
ose

Thank You for Your Attention

Any question
about ME?

Mindy: how to prevent

DID? How many cases
of DID in Indonesia
Rizka: How can we find
the true personality?
Amel: Is DID sufferer
really know what their
personality?

Conclusion
DID person is one who has two or
more personalities. DID
commonly caused by sexual
abuse in childhood. Every DID
person has one true personality
who recognizes the other
personalities. The objective of
nursing process is to merge all the
fake personalities into one true
personality. The key point is nurse
have to be really patient to the
client

Assessment
o Guilt and Shame
o Low Esteem
o Hallucination
o Recurrent deppression
o Sexual Dysfunction
oSleep disorder
oSuicidal tendency, etc

Diagnose
Risk of Self
mutilation
Distrubed personal
identity
Chronic low
esteem

Intervention
Establish trusting relation

Assist client in recognizing each

personalities to work in integration

Encourage client to identify emotion

Treatment
Hypnosis to revisit trauma
Implementation of sucide
precaution
Psychotherapy
Medication
Treatment for sleep
disoder, eat disorder, sex
dysfunction