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The diagnostic criteria in DSM-IV Dissociative disorders section 300.14 require:

* The presence of two or more distinct identities or personality states, each with its own relatively enduring pattern of perceiving, relating to, and thinking about the environment and self.
* At least two of these identities or personality states recurrently take control of the person's behavior.
* Inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness.
* The disturbance is not due to the direct physiological effects of a substance (e.g., blackouts or chaotic behavior during Alcohol Intoxication) or a general medical condition (e.g., complex partial seizures). In children, the symptoms are not attributable to imaginary playmates or other fantasy play.[1] A patient history, x-rays, blood tests, and other procedures can be used to eliminate symptoms being due to traumatic brain injury, medication, sleep deprivation, or intoxicants, all of which can mimic symptoms of DID.[39]