Working with Young Alters in Dissociative Identity Disorder

March 2, 2016 Crystalie Matulewicz

Dissociative identity disorder (DID) alters come in all shapes, sizes, and ages and you need to know how to work with young alters. Alters can stay the same age forever, change age depending on the situation (age-sliding), or age normally. Many systems have alters of various ages, including ones that are older and ones that are younger than the body. It is important to recognize these age differences and work with alters at age-appropriate levels. Young alters can be complicated to work with, but there are things you can do to work better with your younger alters in dissociative identity disorder.

Communicating with Young Alters in Dissociative Identity Disorder

It is important to remember that most child alters think, behave, and feel in similar ways as regular children. They may not be able to understand adult topics or complicated words. Communicate with your younger alters as you would any child. Try to use a soft tone and be encouraging. Explain things in ways a child could understand. Be patient. If you are not co-conscious with your younger parts, you can find other ways to communicate indirectly with them. Write notes in a journal with their name on it, so they can read it when they are out. Talk out loud to them; even if they don't answer back, they may still be listening on the inside.

Young Alters in Dissociative Identity Disorder Can Express Themselves in Many Ways

All children should be free to express themselves. For younger alters who may have experienced trauma, self-expression can be difficult. Some alters may not be able to communicate verbally for various reasons: they are pre-verbal, dWorking with young alters in dissociative identity disorder requires special skills. Learn how to comfort and encourage your young alters. Read this.eaf or mute, or they are afraid. If this holds true for any of your parts, try to find other ways for them to express themselves. Encourage creativity like coloring, drawing, molding with clay, or building with blocks. Some younger parts may even prefer to write. You can get a notebook or a folder for each alter and allow them to keep his or her drawings or notes inside. This also helps your parts know that they are important.

Working with Young Alters in DID: Alters Need to Feel Safe

For younger alters that hold memories of trauma, they may still feel like they are in danger even when the situation is no longer unsafe. It is essential to reassure your younger parts that you are all safe and protected and that they don't have to be scared anymore. This was the case for me. Several of my younger alters had expressed fear of our abuser, even though we were safe and free from harm. In one of my DID support groups, a member mentioned a book written especially for young alters. The book, Dear Little Ones by Jade Miller, is available here. It explains DID in a way that young parts can understand and helps them to feel safe. I read it every night, and it is helping my younger parts tremendously. I recommend the book for anyone with child alters.

Lastly, for those in therapy, be sure to allow your young alters to work with your therapist as well. They can talk to the therapist whenever they feel safe and ready to. Your therapist can also help you work together with your younger parts outside of therapy in ways that work best for your system. Allow your younger parts to have a say. They are part of the system, too, and are just as important as any other alter.

Find Crystalie on Google+, Facebook, Twitter, her website and her blog.

APA Reference
Matulewicz, C. (2016, March 2). Working with Young Alters in Dissociative Identity Disorder, HealthyPlace. Retrieved on 2024, May 27 from

Author: Crystalie Matulewicz

Crystalie is the founder of PAFPAC, is a published author and the writer of Life Without Hurt. She has a BA in psychology and will soon have an MS in Experimental Psychology, with a focus on trauma. Crystalie manages life with PTSD, DID, major depression, and an eating disorder. You can find Crystalie on FacebookGoogle+, and Twitter.

November, 14 2021 at 2:44 pm

I'm not sure if I have OSDD/DID. I'm thinking OSDD type 1B. I have a little alter, named Peachie, and she ranges from the ages of 5-8. I also have Oswald Cobblepot from the Batman series. It's really difficult because I can't talk to them or hear them inside my head. I don't have a headspace either. I don't know if I'm faking all of this for attention and it's really confusing and scary as a high schooler. I have no amnesia though, so that's why I'm assuming it's fake. Can someone help?

November, 11 2022 at 8:33 am

Dear Lena, I'm sorry this is late to reply. I will try to help the best I can. I should specify the following comment is not mine, rather of one of my alters that has been in a difficult situation for a while now. As she is not in a position where she can respond, I will for her. But rest reassured that all of the following has been thought by her.
I've been dealing with the same issue, not exactly same, but very similar. It took me 3 years of researching, reading, talking to diagnosed systems to come to terms with the fact I'm likely not making this up. I started having dissociative episodes in elementary school. When I reached 13 I started finding sketches, notes, and hearing this guy talk to me. I didn't know his name for a long time, he eventually told me his name was Joseph. I thought he was an imaginary friend (my first imaginary friend, who was actually an alter, was at the age of 4) and I felt like he knew me. I started getting freaked out when he wouldn't do what I wanted him to do, which imaginary friends should. I stopped thinking about him for a year and that was the worst year of my life. I developed severe depression and anxiety, and time literally flew by. Eventually I started seeing him, not like a hallucination, but I could physically see him transparently. He became my boyfriend, because I knew, at this point, he was a person. The first time I heard the name DID I was 12. It was a TV show and I remember thinking "That's like the people I see!!! Cool" and telling my parents about it. They never believed it. Anyway, fast forward 3 years (I'm now 16) and more people came out. I now am aware of 29 alters (30 maybe?) with only 3 of them being fictives from TV shows. I used to stay up at night, finding reasons that would prove I was just making it all up. And every time I convinced myself of that, I would lose time, I would fall into a depressive spiral and find self harm scars. I somehow managed to accept I'm not faking, though I sometimes wish I was. Chances are if you think you're faking, if you're worried you're faking, you're likely not. -Rebecca
I hope this helps somewhat -Jeremiah

January, 26 2024 at 5:25 am

it is normal to feel like you are faking because your brain isn't supposed to know you have it. sometimes people don't know they have a head space but do. try to write notes to your alters

September, 21 2020 at 11:13 am

I have a little, i am in highschool, how do i keep her from coming out in a lesson? im not sure how to communicate with her i have no idea how old she might be, and i have another alter who tries to front, but does no work, and doesnt really care. i dont know if i should give her toys and bring them to school? i dont want her getting lost and i dont want the body to start acting like a child.

Kai Holt
October, 5 2021 at 7:42 pm

When I’m at school I have one of my other alters take care of my little so she doesn’t try to front. I know it’s a challenging to do with littles.

White Hawk
January, 7 2019 at 1:11 am

I have a 4 year old daughter that I believe has DID but because one alter stands between us and keeps her from talking to me, I cannot know what is going on. What can I do to help integrate her alters? I know “she” is “in there”. Occasionally a faint voice answers my question or calls me mommy. I can faintly hear “her” (the original core personality). I feel she suffers derealization for sure. I believe she has been intensionally programmed with 3 specific cartoons which she repeats the lines like a broken record as if the cartoon is her world. There are no specific names or sudden changes of alters, it seems to run together but I can wave my hand in front of her face, and she won’t see it, plus her body is doing movement that pertains to her trauma as if she is living it. Sometimes she makes sounds that were her infant sounds. Random shrilling screams and out of the blue crying... How can I help my daughter? What can I as her mother do? I am searching for a therapist but I have been looking for almost 2 years without luck.

September, 14 2020 at 10:04 pm

Hi. I'm Vanessa and I am the mother of a 7 year old dealing with basically IDENTICAL symptoms. It is heartbreaking. I am searching the internet for more information to better help my child and I came across your comment. I am hoping we can connect and possibly gain further insights, or at the very least know we aren't alone in this. I made an email account just now where you can reach me. I hope to hear from you soon. Hugs mama, we got this. -

white lotus system
July, 15 2021 at 11:36 am

Please don't try to force your daughters alters to integrate. Support the system, get her a PTSD/c-PTSD alter. Help her emotionally, learn to manage her emotions. Don't force integration. Allow the system to decide once they're all old enough to communicate.

Justin Sims
February, 27 2023 at 4:49 pm

If you ever look at this agin I whude recommend you see if she might instead have autism as whut you speak of seems veary common in autistic individuals at a young age. I have autism level two and when I whas younger I was a lot like that

August, 24 2017 at 9:44 pm

I do not know if I have DID but I do sort of switch into one of several other people; they are of different ages and temperament. Two are little, and one is very little, nonverbal in fact. I only seldom experience dissociative amnesia, though this was a real issue as child.

June, 29 2016 at 9:35 am

Dear Kelly, I myself am an protector alter and when through something similar. My host and I could not figure out what to do for the longest time and eventually found out that the little one only wanted a hug. After that, it integrated into host has never been a problem. (We believe that it was caused by a lack of affection) hope this helps.
With hugs
Madelyn Rusco

March, 2 2016 at 12:19 pm

Right now I have two alters, one is Little Girl (4 years old) and the other is a 14 year old. I haven't had a problem providing toys and comfort (dolls) for the 4 year old but I am at a loss for the 14 year old. She has only shown herself to my therapist a handful of times and to my husband a few times. She is full of shame, never looking at anyone and often when she shows up she is crouched on the floor curled up in a ball. The doll that comforts Little Girl doesn't work for the 14 year old or blankets. If you have any suggestions I am willing to try anything!

In reply to by Anonymous (not verified)

June, 5 2017 at 8:43 am

Does she like music? That might be another way to provide an escape, comfort, distraction or a way to express herself.

In reply to by Anonymous (not verified)

August, 15 2017 at 4:50 am

I got one of mine a journal to write in. Some of my other teen alters needed something to take care of: bird feeder for birds, flowers to tend to. Others loved music or a sketch book. You might also try going to the store and making sure she knows she can spend a certain amount of money to pick out something on her own. Make sure someone is there to supervise, like your husband.

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