Diagnosis Tools

Dissociative Disorders Packet

printable version

This packet contains information on:

Medical Rule Outs
Screeners
Diagnosis & Symptoms
Three Phases of Treatment
Treatment Goals (didplurality.blogspot.com)

Dissociative Experiences Scale (DES–II): Carlson & Putnam. 28-items

Multidimensional Inventory of Dissociation (MID): Paul Dell. 218-items

Multi-scale Dissociation Inventory (MDI): John Briere. 30-items

Dissociative Disorders Interview Schedule: Colin Ross. 132-items

The Dissociative Disorders Interview Schedule (DDIS) 130 questions (registered clients)

Download the DDIS PDF

https://www.rossinst.com/Downloads/DDIS-DSM-5-Scoring-Rules.pdf

*The Multidimensional Inventory of Dissociation, the Dissociative Disorders Interview Schedule, or the Structured Clinical Interview for Dissociative Disorders, the last of which is considered the "gold-star" for diagnosis.

"The most commonly used screening tool for dissociation is the Dissociative Experiences Scale. It is most useful for DID and misses many cases of dissociative amnesia, depersonalization/derealization, and more subtle identity intrusions such as those found in other specified dissociative disorder subtype 1 (OSSD-1); however, it can nonetheless be helpful for recognizing that dissociation may be present."

Note: The DESii is available through Patient Forms on the Portal (for registered clients). Dissociative Experiences Scale (DES-II): Screening for Dissociative Identity Disorder and more (traumadissociation.com) fillable and calculates result

Download a DES fillable
Scoring DES-II (google.com) (for registered clients)

Mental Status

“An Office Mental Status Examination For Complex Chronic Dissociative Symptoms And Multiple Personality Disorder” Richard Loewenstein, MD google form

DID Mental Status PDF

DIS-Q QUESTIONNAIRE for registered clients

DIS-Q Dissociation Questionnaire pdf

62 item Dissociation Questionnaire DIS-Q.

F48.1 Depersonalization/Derealization Quiz

Cambridge Depersonalization Scale PDF

Another screening tool which is often used in research contexts, the Multiscale Dissociation Inventory, is more sensitive to detachment-related experiences but is still ultimately focused on DID.

Manual | The Multidimensional Inventory of Dissociation (mid-assessment.com)

MID folder

https://didplurality.blogspot.com/p/identifying-dissociation-and.html

Other instruments that will not be discussed here include the following: the Child/Adolescent and the Child Dissociative Checklists (screening tools for children and adolescents); the Clinician Administered Dissociative States Scale (used to measure dissociative states at discrete points in time); and the Questionnaire of Experiences of Dissociation (QED), Dissociation Questionnaire (DIS-Q), Somatoform Dissociation Questionnaire (SDQ-20), and the Adolescent Dissociative Experiences Scale (ADES) (all of which are self-report measures of dissociation). Screening tools for trauma and posttraumatic stress may also be helpful. Examples include the Life Events Checklist for DSM-5 (LEC-5), PTSD Checklist for DSM-5 (PCL-5), and UCLA Child/Adolescent PTSD Reaction Index for DSM-5."

Also

Dissociative Experiences Scale - a 28-item self-report instrument whose items primarily tap the absorption of outside information, use of imagination depersonalization, derealization, and amnesia.[12]

Dissociation Questionnaire - 63 questions that measure identity confusion and fragmentation, loss of control, amnesia, and absorption.

Difficulties in Emotion Regulation Scale (DERS) - 36-question subjective questions around challenges in goal-directed work, impulsivity, emotional responses to situations, ability to self-regulate emotions, etc.[13]