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Unmasking Dissociative Identity Disorder in Eating Disorders

CE Hours 1

About this course

Many eating disorder providers assume they have never worked with a client with Dissociative Identity Disorder (DID) or Other Specified Dissociative Disorder (OSDD-1). In reality, with a combined global prevalence of approximately 5.7%-7.2%, most eating disorder clinicians have treated someone with DID/OSDD-often without realizing it. This includes a notable proportion of clients with severe and enduring eating disorders (SEED), where dissociation can be especially prevalent and overlooked. The result: many remain undiagnosed, unable to access appropriate care, or are inadvertently harmed in treatment. This session will clarify what DID and OSDD are, dispel common myths, and provide practical strategies for recognizing and more effectively supporting clients with these disorders in the context of eating disorder treatment. We will explore the unique ways dissociation can shape ED presentation, complicate recovery, and impact treatment progress. Through a blend of didactic teaching, lived experience, and case examples, attendees will learn how to: Identify key indicators of DID/OSDD in eating disorder clients. Build therapeutic rapport with distinct internal parts. Apply two practical interventions-such as system mapping and between-session communication strategies-to enhance recovery outcomes. Participants will leave with a stronger understanding of the dissociative system and concrete tools to begin integrating dissociation-informed care into their work, improving long-term outcomes for clients with both DID and eating disorders.

Learning Objectives

  • Identify at least 3 red flags for DID/OSDD in initial assessments.
  • Describe how to support clients with building internal communication.
  • Apply at least two skills specific to treating a Dissociative Identity Disorder (DID) system to enhance their clinical work and improve treatment outcomes for individuals with DID and EDs.

Learning Levels

  • Intermediate
  • Advanced

Course Instructor(s)

  • Monika Ostroff , LICSW, CEDS-C

    Monika Ostroff, LICSW, CEDS-S is the Executive Director of the Multi-Service Eating Disorders Association (MEDA) and founder of Healing My Parts, a platform offering consultation, training, and resources—including a podcast and Substack—on dissociative identities for both survivors and providers. With over 25 years of experience, she has developed and led eating disorder treatment programs at every level of care. Monika is the co-author of Anorexia Nervosa: A Guide to Recovery and a contributing author to Self-Harm Behavior and Eating Disorders. Her expertise in the intersection of eating disorders and dissociation is informed by both clinical experience and lived experience with SEED and DID. Monika’s work has been featured on 60 Minutes, NPR, and at national conferences.

References

  • Brewerton, T. D., Perlman, M. M., Gavidia, I., & Suro, G. (2024). The treatment of dissociative identity disorder in an eating disorder residential treatment setting. International Journal of Eating Disorders, 57(2), 450-457. https://doi.org/10.1002/eat.24106
  • Rabito-Alcón, M. F., Baile, J. I., & Vanderlinden, J. (2020). Child trauma experiences and dissociative symptoms in women with eating disorders: case-control study. Children, 7(12), 274. https://doi.org/10.3390/children7120274
  • Myrick, A. C., Schielke, H. J., & Brand, B. L. (2024). Changes in therapists’ knowledge of symptom management and stabilization following program co-participation with dissociative patients. European Journal of Trauma & Dissociation, 8(4), 100460. https://doi.org/10.1016/j.ejtd.2024.100460

CE Process Info

Content

  • Recording
    1 parts
    • Unmasking Dissociative Identity Disorder in Eating Disorders
Unmasking Dissociative Identity Disorder in Eating Disorders
You Have Completed This course
$25
You are enrolled
  • CE Hours
    1
  • Type
    Self-Paced
  • Publication Date
    Feb 15th, 2026

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