A chang chuan nangmah ni lo ang maiin i inhria em? Hei hi multiple personality disorder a ni em? (Dissociative Identity Disorder - DID) tih a ni a, a rilru a hah lutuk chuan a rilru a buai em em a.

I thusawi emaw, i thiltih emaw chungah thunun thei lo ang maiin i inhria ngai em, emaw, nangmah i ni lo tih i inhriat ngai em? A nih loh leh, i thusawi emaw, i thil tih emaw i theihnghilh a, midangte’n an sawi lai khan mak i ti ngai em? Vawiin hian mi tam takin an hriat loh rilru lam dinhmun, a buaithlak deuh, mahse a pawimawh em em mai kan sawi dawn a ni. Hei hi multiple personality disorder kan tih chu a ni a, damdawi lam pawhin `(Dissociative Identity Disorder - DID)` kan tih chu a ni. Tun hma chuan `(Multiple Personality Disorder)` an ti thin.

He multiple personality disorder (DID) hi eng nge ni?

A awlsam zawngin sawi ila, `(Dissociative Identity Disorder - DID)` chu i rilru leh taksaah nangmah bakah mize dang pakhat emaw, a aia tam emaw nei ang maia i inhriat emaw, i chetna emaw a ni. I taksa chhungah hian mi chi hrang hrang engemaw zat cheng ang maiin ngaihtuah rawh. ``Dissociate`` tih thumal hian ``separation`` emaw ``disconnection`` emaw a kawk a ni.

Hetiang natna vei hian mize hrang hrang (doctor-te'n ``alters'' an tih) a nei thei a ni. Hêng ``alters'', a nih loh leh mize hrang hrangte hian anmahni nungchang, hriatrengna, ngaihtuahna, thusawi, duh leh duh loh, a châng chuan kum leh mipa leh hmeichhia pawh an nei thei a ni. A châng chuan heng mize hrang hrangte hi hnam hrang hrang angin an awm thei a, an chhehvêl nêna an inpawh dân pawh a inang lo thei bawk.

Heng mize hrang hrangte hian hun hrang hrangah i nungchang an thunun thei a ni. A hlauhawm ber chu hriatrengnate hi mize pakhat atanga mize dangah a transfer loh hi a ni. Hei hian hriatrengna hloh emaw, hriatrengna lama harsatna (amnesia) emaw a thlen thei a ni. He hriatrengna hloh hi doctor-te’n he natna an hmuhchhuah huna an ngaihven ber pakhat a ni.

DID hi natna khirh tak a ni thei a, nitin nunah i hnathawh theihna a tibuai thei a ni. Chhûngte leh ṭhiante nêna in inlaichînna te, sikul hnathawh te, leh i hnathawhna te a nghawng thei a ni. DID hi rilru lam natna chi hrang hrang, dissociative disorders an tih zinga mi a ni. Heng natnate hian thil tak tak nena inzawmna i neih theihna a nghawng a ni.

Heng DID chi hrang hrang hi a awm em?

Ni e, `DID` hi chi hnih a awm a:

1. Possession form: Hei hi pawn lam mi emaw thlarau emawin i taksa a luah a, midangte tan chuan possession i ni tih a hriat hian a ni. I thusawi leh nungchang danglam tak i tan nghal a, chu chu midangte tan chuan a chiang hle. Hei hi i duh loh mize inthlak danglamna a ni a, mize inthlak danglamna chu i thunun lohvin a thleng thin. Hei hi kan hnam nunphung rinna thenkhatin an sawi ‘rin lohna’ nen hian inthlau tur a ni lo. DID hi rilru lam natna a ni.

2. Thil neih loh form: 1.1 .Hetiang a nih chuan mize inthlâk danglamna chu mi dangte tân chutiang chuan a lang lo. I nihnaah inthlak danglamna i nei nghal mai thei. Movie-a en che ang maiin a lang thei (`(out-of-body experience)`), i thusawi, i rilru put hmang leh nungchang i thunun thei lo ang maiin i inhria thei bawk.

Pawimawh tak chu ‘possession’ tih hi khawvel hmun hrang hranga hnam hrang hrang leh sakhaw hrang hranga rin dan tlanglawn tak a ni. Amaherawhchu, chutianga mahni duhthua thlarau lam thil tih hian `DID` nen hian inzawmna a nei lo.

DID hi engtiang chiahin nge a awm?

DID hi a awm fo lo . United States-a zirchianna tenau tak pakhatah chuan mipui 1.5% vel a nghawng thei tih hmuhchhuah a ni. Mahse, he estimate hi diagnostic criteria thar (`(Diagnostic and Statistical Manual of Mental Disorders, 5th Edition - DSM-5)`) hmangin a danglam thei a ni.

DID natna lan chhuahna chu engte nge ni?

`DID` chhinchhiahna lian ber berte chu:

• Mihring nihna hrang hrang (personality states) pahnih tal neih. Chûngte chuan i nungchang, i hriatrengna, i inhriat dân leh i ngaihtuahnate a nghawng a ni.
• Nitin thil thleng, mimal chanchin, leh thil rapthlak tak takte avanga hriatrengna hloh (amnesia) emaw hriatrengna gap emaw. A châng chuan, darkar tam tak emaw, ni tam tak emaw chhûng chu thil i hre reng lo mai thei.
• Mize hrang hrang avanga in khawtlang nun, hnathawh, inchhung hnathawh, sikul hnathawh tihbuai.

Chu bâkah, DID-ah hian a hnuaia rilru lam harsatnate hi a châng chuan (mahse a awm reng lo) hmuh theih a ni:

• Hlauhthawnna
• Delusions - thil dik lo rinna.
• Lungngaihna
• Mahni intihhlum
• Substance hmansualna (substance hmansualna) te
• Mahni intihhlum tumna

DID vei chu engtin nge a awm?

`DID` i neih chuan hetiang hi i hre thei emaw, i tawng thei bawk:

• Thil tak tak nena inzawmna nei lo anga inhriatna, i rilru put hmang, leh "Kei" i hriatna.
• I nungchang chungchanga midangte thusawi avanga buai taka awm . (Entirnan, miin, "Nizan khan chutiang chuan i sawi" a tih chuan i hre reng lo mai thei.)
• I hriatrengna gap awmte avanga lungawi lohna .
• Engmah thunun theih loh avanga pressure nasa tak nei.
• Hnunglam atanga en che ang mai a ni a, pawn lam atanga entu ang maiin i inhria .

A awlsam zawngin, `DID` i neih hian "nangmah" angin i inhria lo. Hei hi mi tin tan a danglamin a lang thei. Thil dik lo nia i hriat chuan, i thil tawn leh hriatrengna a inmil lo a nih chuan doctor hmu la, he thu hi sawipui ngei ang che.

Miin DID a nei tih a hriat loh chuan a awm thei em?

Ni e, chu chu a theih.Mi ṭhenkhat chuan an mize hrang hrang an hriat laiin, mi tam tak chuan mize thar lo chhuakin anmahni a thunun hun lai chu an hre lo. Mihring thar a lo chhuah hian, chu thiltawnte chu mize danglam takin a tawn a nih avângin thilthleng ṭhenkhat chu i hre reng lo mai thei. Hei hi memory lapses, a nih loh leh ``amnesia'' thlentu a ni.

DID awm chhante chu engte nge ni?

DID thlentu ber chu naupan laia thil tawn na tak, lungchhiatthlak tak tak a ni nia ngaih a ni. Chûng zîngah chuan:

• Stressful thil tawn te
• Lungchhiatthlak
• Taksa, mipat hmeichhiatna emaw rilru lama tihduhdahna (Abuse) .
• Ngaihsak lo

Kum naupang têa hetiang thil tawn tuar theih lohte a hmachhawn hian rilru chuan invênhim a tum a ni. `DID` hi chutiang trauma rapthlak tak atanga rilruin a inhlat nan a hman thin defense mechanism chi khat a ni. Chu thil tawn rapthlak tak chu "box" hranpaah dahin rilru hmun dangah thup ang mai a ni.

DID symptoms hi hetiang hian a lo awm thei a ni:

• Stressful emaw traumatic environment (e.g., in sawn) i chhuahsan hian.
• I chhungte hnai ber emaw, i fa ngei emaw, chu trauma chu i chunga a thlen kum i thlen chuan.
• Tun hnaia traumatic emaw severe stressor (e.g., car accident na tak) tawk tawh.
• I tihduhdahtu a thih emaw, nunna atana hlauhawm natna a neih emaw chuan.

DID vei theihna tur risk factors te chu engte nge ni?

A hnuaia thilte hi i tawn tawh chuan DID vei theihna i nei sang zawk mai thei:

• Naupan laia taksa emaw, mipat hmeichhiatna lama tihduhdah a nih.
• Nu leh pa emaw, enkawltu emaw hnen atanga ngaihsak loh.
• Naupangte a nih laiin medical surgery emaw procedure emaw engemaw zat neih a ngai.
• Indona emaw, firfiak thiltih emaw ang chi thil hmachhawn.

DID avanga harsatna awm thei te chu engte nge ni?

DID vei te hi mahni intihhlum an hlauhawm hle . DID vei nia hriat zinga 70% aia tam chuan mahni intihhlum an tum emaw, mahni intihhlum tum emaw an ni.

Mahni intihhlum duh nia i inhriat chuan tanpuina zawng nghal rawh. United States-ah chuan 988-ah call emaw, Suicide & Crisis Lifeline-ah text emaw theih a ni. I ram chhunga emergency mental health service hnenah zawhfiah rawh. Nangmah chauh i ni lo, tanpui theitu a awm.

Doctor-te hian engtin nge DID hi an hriat chhuah?

DID hi psychiatrist emaw psychologist emaw atanga hriat chhuah a ni tlangpui. I medical history kimchang an la ang a, i symptoms te an zawt ang che. A châng chuan nangmah hre chiangtu leh i bula hun hmang tam berte hnen aṭangin thu an dawng thei bawk. Vawi tam tak chu, i hnaih bertu tu emaw chuan i mize inthlâk danglamna chu a hmu hmasa ang a, i ngaihtuahna a sawi hmasa ang.

DID hriat theihna tur test pakhat mah a awm lo. I doctor chuan taksa enfiahna leh thluak lam enfiahna a nei ang a, chu chuan i natna lan chhuahna chhan ni thei damdawi dang a awm lo ang. Chumi hnuah chuan i natna lan chhuah dan chu American Psychiatric Association atanga kaihhruaina Diagnostic and Statistical Manual, 5th edition (DSM-5)-a tehfung nen an khaikhin ang.

Chu bakah, i doctor chuan i dissociative behavior tehna atan zawhna leh chhanna hrang hrang emaw, scale emaw a hmang thei bawk. Entirna thenkhat chu:

• Dissociative Experiences Scale: Hei hian nitin i thil tawn chungchangah zawhna 28 a zawt a.
• Dissociation Questionnaire: Identity dissociation nasat dan tehna tur zawhna 63 a awm a.
• Emotion Regulation Scale-a harsatna awmte: I emotion i regulate dan tur zawhna 36 a awm a.

DID vei zingah mahni intihhlum theihna a sang hle a, chuvang chuan doctor chuan chutiang lam pawh chu zawhna a zawt ang che.

Engtikah nge DID hi hmuhchhuah a nih tlangpui?

DID chhinchhiahna hi naupan lai, kum 5 leh 10 inkar velah a lang fo thin a, mahse, nu leh pa, enkawltu, zirtirtu leh doctor-te chuan heng chhinchhiahna hmasa berte hi an hre lo emaw, an hrethiam lo emaw a ni thei. DID hi nungchang emaw zirlai lama harsatna dang, Attention-Deficit/Hyperactivity Disorder (ADHD) te nen an inzawm tir thei a ni. Chuvang chuan DID hi puitlingah hmuhchhuah a ni fo thin.

DID hi natna hlauhawm tak a nih avangin leh natna lan chhuah dan chi hrang hrang a neih avangin doctor tawnhriat ngah tak takte pawhin dik taka an hriat theih nan hun engemaw chen a la ngai thei a ni.

DID enkawl dan tur chu engte nge ni?

DID enkawlna atan a hnuaia mi hi hman a ni:

• Depression leh anxiety ang chi symptoms control nana damdawi .
• Psychotherapy hmanga enkawlna . Entirnan, Cognitive Behavioral Therapy (CBT) emaw Dialectical Behavioral Therapy (DBT) emaw hmanga tih theih a ni.

Enkawlna hmasa ber chu i himna tur ngaihtuah hi a ni fo thin. Rilru natna chungchanga training bik nei doctor chuan enkawlna dik takah a refer thei che a ni. Enkawlna hi i mamawh bik phuhrukna a ni ber.

DID tan rilru lam enkawlna (counselling) pek a ni

DID tan Psychotherapy hian a bik takin:

• Hun kal tawha thil thleng rapthlak tak takte hriatchhuah leh hnathawh.
• Nungchang inthlak danglamna rang tak enkawl.
• Mihring hrang hrangte chu mize pakhat, inpumkhat takah inzawmkhawm tum .

Mimal, pawl, a nih loh leh chhungkaw therapy hmangin hlawkna i hmu thei a ni.

Psychotherapy-a tel chu thil harsa tak a ni thei tih hre reng ang che. I rilruah thil harsa leh hrehawm tak tak i sawi a, i nunpui leh a ngai dawn a ni. Chu chuan lungkhamna te, ṭanpui theih loh te, hlauhna te, leh mahni chauha awmin a siam thei che a ni. Mahse, nangmah chauh i ni lo. I therapist leh i hmangaih tak takte chu tanpui leh thlawp turin an awm reng a ni.

Hypnosis hian a pui thei ang em?

Doctor thenkhat chuan psychotherapy bakah hian hypnotherapy an rawt bawk. Hypnotherapy hi guided meditation chi khat a ni. Ṭhenkhat chuan hriatrengna tihkhawtlai tawhte chu a rawn hruai kir leh thei niin an ngai.

DID hi tihdam vek theih a ni em?

Vanduaithlak takin DID damdawi a awm lo. Mahse, i symptoms te chu a tha thei hle. He dinhmun hi i dam chhung zawng i enkawl a ngai dawn a ni. Hei hi thil harsa tak angin lang mah se, i doctor chuan i natna lan chhuah dânin i nun a thunun thei tûr damdawi dik tak emaw, enkawlna inkawp emaw zawng tûrin a ṭanpui thei che a ni.

DID hi ven theih a ni em?

DID ven dan tur bik a awm lo. Mahse, hriat hmasak leh enkawl hian natna lan chhuah dan tur a enkawl thei a ni. Nu leh pa, enkawltu leh zirtirtuten naupang tê tête zingah heng chhinchhiahnate hi an fimkhur hle tur a ni. Mi tihduhdahna emaw, trauma emaw enkawl hmasak hian DID chu a na zual lo thei lo.

Treatment hian i mizia emaw, i identity emaw tidanglamtu "triggers" te pawh a hriat theih nan a pui thei bawk. Stress enkawl dan te, ruihhlo hmansual loh te, zu in tam lutuk loh te ang chi thilte hian i alters awm fo thin chu a ti tlem thei a ni.

DID nena nun awlsam zawk dan tur a awm em?

I doctor enkawl dan tur chu zawm fo ang che. Hei hian i damdawi ei tur a tih ang anga ei leh i rilru a hahdam pawhin enkawl chhunzawm zel a huam thei. Thil harsa anga i lan emaw, a tha lo zawk nia i hriat emaw chuan i doctor hnenah hriattir nghal rawh. Chumi hnuah chuan i dam chhung zawngin i enkawlna tur ruahmanna chu a tul angin an siamrem thei ang.

Support system nghet tak neih hian DID nena nun enkawlna kawngah kawng thui tak a zawh thei a ni. I dinhmun hrethiam doctor, chhungte leh ṭhiante i bulah awm ngei ngei tur a ni. I support system-a awmte nen zalen tak leh rinawm takin inbiakna nei rawh. I mamawh hunah tanpuina dil hlau suh.

I hmangaih tak chuan DID a nei a nih chuan engtin nge i tanpui theih ang?

I hmangaih mi pakhatin DID a nei tih hriat chu i tan chuan a buaithlak thei a, a buaithlak thei bawk. An mizia (alters) emaw, an nungchang hrang hrangte chu engtin nge i chhan ang tih i hre lo mai thei. I tanpui theih dan tur chu hetiang hi a ni:

• DID leh a natna lan chhuah dan te zir rawh. Hriatthiamna hi a hmasa ber a ni.
• I hmangaih tak nen chhungkaw counseling emaw support group emaw-a tel duhna lantir rawh.
• Thiltih dan inthlak danglam nghal a nih chuan rilru hahdam tak leh thlawp tlat ang che.

Engtikah nge doctor i hmuh ang?

A châng chuan i natna lan chhuah dânin i nitin nunah nghawng a neih dân chu i ngaihthah thei bawk. "Hei hi chutiang khawpa lian chu a ni lo," i ti mai thei. Mahse i rilru put hmang, i hriatrengna, i hnathawh danah thil dik lo a awm nia i rinhlelh chuan doctor pan rawh.

Nangmah emaw i hriat emaw DID nei a, a hnuaia mi te hi a pholang a nih chuan damdawi lam pan nghal rawh:

• Mahni intihhlum
• Mahni intihhlum tumna
• Tharum thawhna lam hawi

United States-ah chuan Suicide and Crisis Lifeline chu 988-ah biak emaw, text emaw hmangin i biak theih a, he hotline hian local crisis center network-ah a thlunzawm a, chu chuan a thlawna leh thuruk takin emotional support a pe a ni. Heng center-te hian mahni intihhlum duhna nei emaw, rilru lama harsatna tawk emawte chu kar khatah darkar 24 chhung, kar khatah ni sarih chhung puihna an pe a ni. Nangmah emaw, i hmangaih tak emaw chu emergency-ah i awm a nih chuan 911 emaw, i awmna hmuna emergency number emaw call rawh. (Sri Lanka ramah chuan Suwaseriya Ambulance Service tan 1990 emaw police tan 119 emaw biak theih a ni.)

A tawp berah chuan hriat reng tur (Take-Home Message) .

Dissociative Identity Disorder (DID) hi rilru lam hriselna dinhmun a ni a, chutah chuan identity hrang hrang pahnih emaw a aia tam emaw i nei a ni. I nunah thil tha lo tak tak i tawn tawhte atanga i rilru tlanchhuahna kawng khat angin a thleng thei a ni. I invenna tur, hmalam pan tur chuan chu trauma chu box chhungah i dah a, i rilru hnung lamah i thup mai thei.

DID hian thil tak tak atanga tlanchhuahna a pe thei a, mahse i hmangaih tak takte leh i nihna dik tak atang pawhin a hlat tir thei bawk. Mental health counselor chuan i inpeih hunah chu box chu uluk taka hawn a, heng thil tawn harsa tak takte hi i thawh chhuah hunah a pui thei che a ni. In thawhhona chuan harsatna in tawhte chu in hrethiam zawk thei a, a tha zawngin in thawk chhuak thei bawk. Therapy i neih lai hian nangmah ni lo anga i inhriat hunah i rintlak tur mi support system nghet tak siam hi a \angkai hle thei a ni. DID i hmachhawn hian nangmah chauh i ni lo tih hre reng ang che.

Hun a kal zel a, enkawlna dik tak nen chuan i thawk tha thei a, i "nang" dik tak chungah thuneihna sang zawk neiin i nung thei bawk. Beiseina bansan suh.

` Multiple Personality Disorder, Dissociative Identity Disorder, DID, Rilru hriselna, Mihringte, Hriatrengna hloh, Trauma, Mihring chi hrang hrang natna