Thankfully, both Schizophrenia and Dissociative Identity Disorder (formerly called Multiple Personality disorder) are rare conditions. Both are difficult to treat, even more difficult to live with, and are often interchanged and confused with each other. For many years, the media - both news and entertainment programming - used the terms Schizophrenia and Multiple Personality Disorder interchangeably. As more has been learned about these disorders, the confusion between the two has decreased. Both still bear a strong stigma in society, however.
Onset
Schizophrenia is a disorder that people are born with, though the onset does not usually occur until later in life. For men, the onset of Schizophrenia usually occurs anywhere from the teens to mid-20s. For women, the onset is later, occurring in the 20s or 30s. There have been cases of the onset of Schizophrenia occurring during childhood, but these cases are exceedingly rare.
Dissociative Identity Disorder (DID) is a disorder that is developed as a result of a trauma. Most cases of DID develop as a result of some kind of abuse. No one is born with the disorder and it can develop at any time. Most cases develop around the age of 5 or 6 years old.
Symptoms
Schizophrenics suffer from both delusions and hallucinations. They will believe things that are not true and often could not possibly be true. Extreme paranoia is common with Schizophrenia, a part of the irrational beliefs. Schizophrenics often feel that people are after them or something they know, usually either aliens or governments. Their actions and behaviors are a direct result of their delusions. They also suffer from hallucinations, weeing or hearing things that are not there. The voices that they hear, and respond to, are often telling them to harm themselves or others. Many times, when a Schizophrenic hurts another person, it is because a voice told them to or it was in self-defense of a threat they perceived as a result of their delusions. Although Schizophrenics may behave erratically, they have only one identity.
The primary symptom of DID is the development of one or more distinct identities aside from the original identity. These identities are often developed as a coping mechanism to help the original identity to deal with a traumatic event. These alter identities can be either gender and any age. They can, and often do, participate in activities that the original identity would not. The alter identities can take control of the body and thoughts, causing a loss of time for the original identity. In some cases, the person with DID hears voices, but the voices are attributed to the other identities. People with DID do not have hallucinations or delusions.
Treatment
Schizophrenia can be managed with a combination of medications and therapy. People with more severe cases have a harder time staying on the medications and following through with therapy. Often, the voices they are hallucinating tell them that the medications and therapy are dangerous, making it difficult to get them to even start treatment. People with less severe cases of Schizophrenia can often function successfully in society while receiving treatment and are more likely to both start and stay on the course of treatment needed to control the symptoms. There is no prevention or cure for Schizophrenia.
While people with DID may be given medications for things like depression that are a result of the disorder, there is no medication that can be given to relieve the main symptom of multiple identities existing within one person. The only treatment for the disorder itself is therapy. The goal of the therapy is to integrate all the identities into one complete identity. It can take years for successful integration. It is more likely for the person to learn to cope with the disorder rather than be completely rid of it. There have been cases of successful integrations of all the identities, but these cases are rare.
Similarities
One of the reasons the two disorders have been confused for each other is that there are some similarities in the symptoms and the way the disorders present themselves. A big similarity is the onset of depression. Both Schizophrenics and people with DID are very likely to become depressed as a result of having and dealing with a life altering disorder. The erratic behavior of a Schizophrenic is often misconstrued as being different personalities, but it is actually the facets of one personality carried to an extreme. As the different identities take control in a person with DID, it can result in erratic behavior, making the person act in a similar manner as a person with Schizophrenia. Talking to people that are not there is another symptom that the two disorders can have in common. In a Schizophrenic, the person is responding to voices that they are hearing or talking to something they are seeing that isn’t there. For a person with DID, they are interacting with the other resident identities.