ABSTRACT

This chapter begins by outlining some of the main differences to the structure of therapy sessions when working with clients with Dissociative Identity Disorder (DID). It explores some of the problems encountered when practitioners adhere to their therapy approach too closely when working with these clients and mentions some of the therapy approaches specialist practitioners working with DID advocate. The chapter focuses on the techniques and strategies that can be adopted by therapists and clients which aim to help clients cope with anxiety in particular. Clients with DID can have extremely clear detailed scenes from their past which they may replay. It is sometimes as if they are watching or participating in a recording of an incident from their former life. Clients may draw attention to themselves by scanning and being hypervigilant whilst out. When anxious it is common for us to become more sensitive to things happening in our environment.