In dissociative identity disorder (DID), the alter or part that is most likely to come out first to the therapist is often referred to as the "host" or "primary identity." The host is the part of the person's identity that is most present and in control of the person's consciousness most of the time. They are the one who typically seeks therapy or help for the distressing symptoms they are experiencing, which may include memory gaps, identity confusion, and unexplained behaviors.
The appearance or noticeability of the first alter can vary significantly from person to person. In some cases, the first alter may become evident early in childhood, while in others, it may not be noticeable until adolescence or adulthood. It is not uncommon for individuals with DID to go through a lengthy period of not being aware of their alters or experiencing significant memory gaps before seeking professional help.
The average length of time for the first alter to become noticeable or for a person to become aware of their dissociative experiences can be challenging to determine precisely. Many individuals with DID experience significant delays in receiving a proper diagnosis due to the disorder's complexity and the coping mechanisms involved. Additionally, the level of awareness and acceptance of the alters can vary, leading to delays in seeking help.
When a person with DID starts therapy, it may take time for the alters to feel safe and comfortable enough to emerge and share their experiences with the therapist. Establishing trust and a therapeutic alliance is essential in working with individuals with DID. The therapy process can help facilitate communication between alters, increase co-consciousness (awareness of each other's experiences), and work toward integration or improved cooperation among the different parts of the person's identity.
It's important to note that DID is a complex and often misunderstood condition. If you or someone you know is experiencing symptoms suggestive of DID or any other mental health concerns, seeking professional help from a qualified mental health practitioner is essential for a proper evaluation and appropriate treatment.