What Are The Signs of a Dissociative Identity Disorder (DID)?

what are the signs of a dissociative identity disorder (did) - npaddictionclinic.com

Dissociative Identity Disorder (DID) is a complex and often misunderstood mental health condition that is characterized by the presence of two or more distinct identities or personalities within one individual. These identities can take control of the person’s thoughts, feelings, and behavior at different times, often resulting in significant disruptions in daily life.

While the symptoms of DID can vary widely between individuals and may not always be easy to recognize, there are several signs that may indicate the presence of the disorder.

Here are some common signs of DID to look out for:

How to Spot Signs and Symptoms of DID

1. Memory loss

One of the hallmark features of DID is the presence of memory loss or gaps in memory, especially for traumatic events. This can include forgetting significant events or periods of time, feeling as if you are watching yourself from a distance or experiencing things as if they are happening to someone else, and feeling as if you have lost time.

These memory lapses are often a result of different identities taking control of the person’s consciousness at different times, making it difficult for the person to remember what happened while they were not in control.

2. Feeling detached from oneself or surroundings

Another common sign of DID is feeling detached from one’s body or surroundings, as if watching oneself from a distance (depersonalization) or experiencing things as unreal or dreamlike (derealization). This can include feeling as if you are in a fog or in a dream state, feeling as if your body is not your own, or feeling as if you are observing your thoughts and actions from a distance.

3. Internal voices or conversations

internal voices or conversations - npaddictionclinic.com

People with DID often report hearing internal voices or having internal conversations with themselves. These voices may be different from their own voice and may represent different identities or personalities. These internal conversations can be confusing and distracting, and may interfere with daily activities.

4. Feeling as if one has multiple personalities or identities

Feeling as if one has multiple personalities or identities is another common sign of DID. This can include feeling as if there are different parts of oneself or different versions of oneself, or feeling as if one has different personas or roles.

These different identities or personalities may have their own unique names, ages, genders, voices, mannerisms, memories, and behaviors, and may take turns controlling the person’s behavior or consciousness.

5. Sudden and dramatic shifts in mood or behavior

People with DID may experience sudden and dramatic shifts in mood, behavior, or personality that are not explainable by other factors. These shifts can be confusing and distressing, and may result in changes in relationships or work performance. The person may also have difficulty remembering what happened during these shifts or may feel as if they were not in control of their behavior. People with DID also sometimes develop a co-occurring substance use disorder.

6. Recurrent nightmares or flashbacks related to past trauma

People with DID often have a history of significant trauma, such as physical or sexual abuse, neglect, or other forms of interpersonal violence. As a result, they may experience recurrent nightmares or flashbacks related to these traumatic events. These nightmares or flashbacks can be distressing and may interfere with sleep and daily activities.

7. Self-harm, substance abuse, impulsivity or risk-taking

self-harm, substance abuse, impulsivity or risk-taking - npaddictionclinic.com

People with DID may engage in self-harming behaviors, substance abuse, or other forms of impulsivity or risk-taking. These behaviors may be a way of coping with the

distress and confusion associated with the disorder, and may result in further harm to the person’s physical or mental health.

8. Dissociative seizures or other physical symptoms

Some people with DID may experience dissociative seizures or other physical symptoms that cannot be explained by medical tests. These symptoms may include

paralysis, blindness, or other sensory disturbances, and may be related to the different identities taking control of the person’s consciousness. It is important to note that not all people with dissociative disorders have these experiences.

Treatment Can Make Living with DID Much Easier

There is no question that living with DID can be challenging for both the sufferer and their loved ones and close friends. Different identities can have unique behaviors and memories that can be difficult to manage.

However, with proper treatment, people with DID can learn to manage their symptoms and live a rewarding and enjoyable life. Treatment for DID often involves individual therapy, where the person works with a mental health professional to develop coping strategies and identify triggers.

Additionally, medication may be prescribed to manage other mental health conditions that often co-occur with DID, such as depression or anxiety.

One key component of treatment for DID is creating a safe and supportive environment. This involves building a trusting relationship with the therapist and creating a sense of stability and routine in the person’s daily life.

The therapist may also work with the person to develop communication strategies between the different identities to promote cooperation and reduce conflicts.

How Do I Get Treatment for DID?

If you’ve realized that you or someone you love may have a dissociative disorder like DID, the next step is reaching out for help. Recognizing a need for mental health treatment and being ready to do something about it is the key to initiating real change.

Don’t worry about trying to figure out a precise diagnosis or what type of treatment you need. That is best left to the professionals. Give the Neuro Psychiatric Addiction Clinic a call at (772) 444-8822, we’re here to listen and ready to help.

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Samantha Kelly​

Director of National Business Development & Admissions Coordinator

I am a dedicated and passionate professional with extensive experience in business development Admissions and marketing. I have an incredible passion for showing others that there is a light at the end of this dark tunnel if someone truly wants it.
Being in recovery myself I understand the struggles of addiction and alcoholism. I Started this Career path in 2009. With multiple years of experience, I bring a multi-faceted approach and am always seeking new ways to make a difference in the lives of those I work with.

Kim L. Buckner


As a Substance Abuse Motivational Speaker, Pastor, Peer Advocate, and Facilitator. Kim helps clients avoid relapse by understanding their triggers. Those people, places and things that can cause craving, as well as internal triggers like feelings, thoughts, or emotions. Kim also clients with identifying and building healthy relationships now that they’re clean and sober.

Kim’s background includes extensive experience as a motivational speaker and work in faith-based organizations helping youth and adults alike. He says he is motivated by giving back to the community, understanding, and not judging who she comes into contact with. Kim’s favorite quote is by Dr. Raymond Johnson: “The respect given to others rebounds to the giver to deny the scared in the Other is to deny it in oneself.”

Caty Burns


Caty graduated from Indiana University Bloomington in 2015 with a Bachelor of Arts in Psychology and minors in Counseling and History. Throughout her undergrad, she worked at the local CASA program, supporting volunteers advocating for children who had experienced abuse and neglect. Caty worked for seven years at a community mental health center (CMHC), partnering with children, adults, and families.

During those seven years, she taught life and coping skills as well as behavior management, provided case management and peer recovery services, and facilitated treatment teams that included the client, family, providers, and community members. I have also worked at an IOP providing group therapy services. She is currently working towards my Master of Social Work.

In her free time, Caty enjoys reading, especially historical fiction, spending time outdoors and having movie nights with her family. Disney World is her happy place, and she dreams of living among the elephants.

Madison Knowles

Mental Health Therapist

My name is Madison Knowles, I am a Mental health therapist at NPAC. I am a single-mother of two and I have a daughter who is globally delayed and has been diagnosed with autism. I have been in this industry since I was 16 years old, as I was fascinated with human behavior. I obtained my masters in applied behavioral analysis and started off working with people with disabilities. I then found my love for counseling when I worked with juveniles who had mental health and substance use issues. I then decided to go back for my mental health therapy license after that and working in a forensic treatment center. I went on to obtain my therapy credentials and since 2017, I have also been working on my PhD in forensic psychology in which I am currently working on my dissertation. I am inspired by change and how resilient people can be. My favorite inspirational quote is “Some will, Some won’t, So what, NEXT!!!” This quote has inspired me to try, try, and try again no matter how hard life gets, someone will give you a chance eventually. As a therapist at NPAC, I have been given the opportunity to work with diverse populations such as in substance use and mental health and I am known for my work with people on the schizophrenic spectrum as well as with other clients with other severe conditions including personality disorders.

Megan Carmona, LMHC

Lead Therapist

Our Lead Therapist, Megan, is a bilingual Licensed Mental Health Counselor who specializes in working with adults who struggle with addiction, anxiety, depression, and trauma. As Lead Therapist, she provides individual, family, and group therapy sessions to our clients.  Megan says “I am very passionate about therapy, especially about supporting my clients in exploring their strengths and identity. My goal is to provide individuals with the tools that can help them achieve independence in coping with their challenges and facilitating personal development.” In her free time, Megan enjoys watching docu-series and playing video games with her family. Her dream is to own acres of land so she can care for vulnerable animals, especially old dogs, cats, and horses. 

Kristen Bensley

Primary Clinician

As Primary Clinician, Kristen works with all aspects of our clinical team, from case management to primary therapy.  She has broad experience working in the mental health field. Prior to joining our team at the Neuro Psychiatric Addiction Clinic, Kristen was part of the team awarded the Evernorth Behavioral Health Center of Excellence Designation by Cigna. She says her motivation is to help people rediscover who they are and become excited about the future and all the possibilities life offers. Kristen’s favorite quote is: “You can’t go back and change the beginning, but you can start where you are and change the ending.”

Ronn Daigle, MSW

Therapist, Utilization Review Clinician

Ronn Daigle services as a Therapist and Utilization Review Clinician at the Neuro Psychiatric Addiction Clinic. He has been working in the field of substance use disorder treatment since 2011, with experience in all facility-based levels of care. Ronn earned, both an Associate of Arts in Psychology (2013) and Bachelor of Science in Human Services, with an Addiction Studies Concentration (2015) from Indian River State College. 

Ronn additionally earned a Master of Social Work degree in 2021 and is a current Registered Clinical Social Work Intern working toward licensure (LCSW). He describes himself as detail oriented, and solution focused.

Ronn says: “There is nothing more fulfilling than working with someone who doesn’t believe in himself or herself, and being there in the moment with them when the belief begins. We work with individuals who come to us at a point and time in their respective lives where they do not believe that change for others is possible; let alone for themselves…throughout the process they eventually come to a point where they realize that change is not only possible, but achievable.”

Erika Melecio, LMHC, MCAP, CEI

Assistant Clinical Director

Erika Melecio, LMHC, MCAP, CEI is the Assistant Clinical Director at Neuropsychiatric Addiction Clinic who specializes in the treatment of LGBTQ, addiction, as well as mental health disorders ranging from depression and anxiety, to Bipolar Disorder, trauma, personality disorders, psychotic disorders, and eating disorders. Erika utilizes a number of modalities including Cognitive Behavioral Therapy, Solution Focused Therapy, Motivational Interviewing, Dialectical Behavioral Therapy, and Mindfulness amongst others. Erika has been in practice for close to a decade and has earned her license in Mental Health Counseling, as well as being a Master’s Certified Addiction Professional. Erika has worked with many individuals including couples counseling and family therapy, and is fluent in Spanish.
Throughout my years of practice, one of the things I enjoy helping people find is inner peace. Whether you are in the deepest parts of depression, overrun by your anxiety, controlled by your addiction, or there are certain issues in your life that are negatively impacting your ability to function, and have a happy, healthy life, maybe now is the time to talk about it. I am a big believer in empowerment, working hard in therapy, and utilizing different techniques to help you regain that inner peace that may have been lost along the way. I want to work with you as a team because with two people, absolutely everything is possible. I want to be there as a therapist, to help build you up, support you, but also help you be honest with yourself and accountable. At the end of the day, when all is said and done, my biggest goal for you is going to be simple….for you to no longer need my services. Why? Because if you no longer need my services, it means that you have regained your peace, you have regained your strength, you have regained your confidence. It means that you now have the tools to address any issues that try to derail you, and best of all, you will have the insight to overcome and thrive. So let’s begin this journey together, and get you to the place you want to be, emotionally, mentally, psychologically, and in your sobriety.

Aurelio Ayuso, MSW, LCSW, CAP, ICADC

Clinical Director

Aurelio has worked with those that suffer from the disease of addiction in adults and juveniles alike for over 10 years, beginning in the United States Navy where he proudly served for 20 years, working with those that were succumbed by addiction due to trauma and continuing his passion for helping those in need locally in Central Florida.

He specializes in both Addictions and Trauma, he has worked first as a therapist then as the clinical supervisor to both the Juvenile and Adult Drug Court programs in Brevard County. Aurelio has been instrumental in developing substance abuse treatment programs directly tailored to help those that also suffer from complex trauma due to their addiction. He has been recognized by several organizations for his forward thinking and ability to tailor treatment to individuals in the most restrictive environments.

Mr. Ayuso received his Graduate Degree in Clinical Social Work from the University of Central Florida in Orlando. He is a Licensed Clinical Social Worker as well as Certified Addictions Professional in the State of Florida, and Internationally Certified Alcohol & Drug Counselor. Aurelio specializes in the treatment of Addiction, Trauma, and Abandonment using strength based strategies deeply rooted in Solution Focused, and Mindfulness Therapies. At the Neuropsychiatric Addiction Clinic he passionately develops holistic curriculums that foster the belief that through addressing the mind, body, and spirit together, the Disease of Addiction can be addressed successfully.

Robert Lehmann, MHSA

Chief Operating Officer

Bob Lehmann is the Chief Operating Officer at the Neuro Psychiatric Addiction Clinic. He has a Master’s Degree in Human Services Administration with a concentration in Mental Health Administration and over twenty-five years of experience as a senior executive at addiction and mental health treatment facilities.

One of the reasons for his commitment to excellence in addiction treatment was his experience related to family members who suffered from the disease of addiction. Bob has been actively involved in community organizations throughout his career. Recently he was one of the founders of the Florida Addiction Treatment Coalition (FATC) and is its present Vice President. FATC was designed to bring together treatment executives in Florida to advocate on behalf of treatment facilities and the clients they serve adhering to a foundation of integrity and service excellence.

Jose R. Toledo, M.D.

Medical Director

A well-rounded and accomplished individual, Jose R. Toledo, M.D., is the Medical Director of Neuro Psychiatric Addiction Clinic.

Dr. Toledo is a neurologist with 25 years of experience and has been in private practice since 1991 on the Treasure Coast of Florida. He completed his neurology training at the State University of New York and his Fellowship training at the University of Pittsburgh in Epilepsy and Clinical Neurophysiology.

He also completed 24 months of acute inpatient psychiatry at the Western Missouri Mental Health Center, University of Missouri in Kansas City. In 2008, Dr. Toledo participated in and was certified in the continuing medical education activity entitled “Buprenorphine and Office-Based Treatment of Opioid Dependence” from The Medical University of South Carolina during which began his quest to found and head Neuropsychiatric Addiction Clinic.

Dr. Toledo is a brain specialist with particular competence in addiction medicine and out-patient detoxification treatment and integrates the fields seamlessly. He is certified to prescribe Buprenorphine (Suboxone). He incorporates his background in neurology into the addiction field. Dr. Toledo is member/fellow of The American Medical Association, The Florida Medical Association and The American Society of Addiction Medicine