In recent years, Dissociative Identity Disorder (DID) has become a trending topic on social media, particularly on platforms like TikTok. Short-form videos often depict individuals rapidly switching between so-called “alters,” complete with visual and behavioural cues. The implication—sometimes explicit, often subtle—is that these portrayals are representative of DID.
They are not.
Clinically, DID remains one of the rarest and most severe psychological responses to trauma. Its presence in the consulting room is exceptional. And when it does appear, it is neither sensational nor theatrical.
It is often profoundly confusing for the patient and represents a significant challenge to diagnose—let alone to work with therapeutically.
What is DID?
DID does not arise in response to ordinary life stress or general childhood adversity. It is a response to extreme, prolonged, and frequently unspeakable trauma—often chronic sexual abuse—occurring in early childhood, at a time when the child’s sense of self is still forming. The psyche, overwhelmed by terror and deprived of adequate relational support, fragments as a means of survival.
This fragmentation is not a performance but an act of psychic necessity. The various identities—commonly referred to as “alters”—emerge as distinct parts of the self, each holding pieces of memory, emotion, or experience that could not otherwise be processed. These parts are not necessarily “visible” in the way TikTok trends would have us believe.
Many individuals with DID are unaware of their condition until much later in life. The disorder is more often characterised by dissociative amnesia, identity confusion, and significant functional impairment than by the overt behavioural switches popular culture associates with it.
The risks of glorification
When a complex and rare condition like DID is popularised through social media, the risk is twofold. First, individuals living with the condition may feel misunderstood, invalidated, or even disbelieved. Second, such portrayals may encourage vulnerable young people to self-diagnose or mimic symptoms without understanding the gravity of what they are engaging with.
This trend trivialises and caricatures both the disorder and those who live with it.
The clinical reality of DID
In the therapy room, DID is rarely, if ever, flamboyant. It does not look like costume changes or shifting accents on cue. It looks like deep disorientation. It looks like unbearable silence and fractured memory. It looks like a long, painstaking process of building safety, recognising fragmentation, and slowly working toward integration—often over many years.
The goal is not to spotlight “alters,” if indeed the patient experiences themselves in this way, but to support the whole person in reclaiming continuity, safety, and coherence.
A note on curiosity and clinical competence
It is natural to be curious—dissociation is a fascinating and complex area of the psyche. But curiosity must be paired with caution. When complex trauma responses are reduced to trends, we risk distorting the public’s understanding of profound psychological suffering.
Most clinicians will never encounter a case of DID in their careers. It is arguably the most extreme trauma response the mind can manifest to protect itself from annihilation and psychosis. For those who do encounter it, the condition may be missed—misunderstood as something less serious—without the aid of specialist supervision.
DID is not entertainment. It is the psyche’s last defence against obliteration. It demands our respect—not our spectacle.
Mark Vahrmeyer is a UKCP-registered psychotherapist working in private practice in Hove and Lewes, East Sussex. He is trained in relational psychotherapy and uses an integrative approach of psychodynamic, attachment and body psychotherapy to facilitate change with clients.
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