You might notice rapid switching at these times as well as behavior that is confusing or seemingly unrelated to the outward experience. Since the energy you activate with your desires can hook up in the energy field in countless ways, you won't be able to predict how your desires will be met. However, you can know which of the opportunities available to you will connect you with your desires by following a daily practice of listening to your inner guidance. Knowing yourself and paying frequent attention to your inner guidance are the essential tools for your success. If, for example, you are having a challenge with one of your children, you want to be the best, most helpful parent that you can be. This won't come from a one-and-done moment of inspiration. It will arise from a daily practice of being clear about your desires and listening to your inner wisdom for what action to take. Perhaps one day you feel a strong knowing that your child needs to be listened to, and that is a match for your child sharing their challenges with you. Perhaps the next day you have a sudden insight about their difficulty and come up with an idea of how to help. Being a helpful parent is a daily process of tuning in to your desires as well as your inner wisdom about what is a match that day with your child's wants and needs. Let's say you want to go back to school so you can learn new skills for a different career. Chronic patients are to stay out of hospitals, because it costs a lot. And when in the clinic, they are to receive care from lower paid professionals. Cost is everything. The images, the very language is financial. Well, darn it, good care is expensive. Money talk doesn't accurately describe care; When I learned to become a psychiatrist, I learned to practice the best care I am capable of giving. It was a magical experience, like an artist in an atelier slowly working to perfect her work. It was--enchanting.

Now it's disenchantment, like being a worker in a factory turning out a standardized assembly-line product. At its most extreme, internal conflicts can lead to impulsive acting out or self-harm (drinking, rage, cutting, bingeing, and purging). People describe this internal experience in different ways, but all agree that it is a difficult and often frightening place to be. Some people talk about wanting to get little so that someone will comfort them. Others talk about wanting to isolate so that no one will see what they are going through. Almost without exception there is a pervasive sense of shame, not only about being DID but also about even being alive. People with DID need to be encouraged to reach out to friends, family, or other support people whom they know to be safe when they are struggling internally, yet shame often keeps them from doing so. For many, there is a fear that sharing that deep hurt and internal struggle will only serve to leave them vulnerable to rejection from the people they care about the most. He shouldn't have to live like this. He does not even believe I have DID. Nobody wants to be friends with someone who has so many problems. You will want to let your inner GPS guide help you. You will want to seek guidance and confirmation about which career choice will be a good match for you at this stage in your life. You will want to envision success with your schooling and seek guidance about the best time to start that process. For example, when I was doing research for this article, I knew I needed help from publishing experts on how to go about getting it published and achieving my dreams. I was aware of a writers' workshop put on by Hay House that I knew would be helpful for me. When I checked with my inner guidance about going to that workshop, I felt a strong nudge of No, not yet. I felt in harmony with that answer because when I gathered information about the amount of work that would be required when I jumped into that opportunity, I knew I wasn't quite ready for it. So I continued with my research and writing and regularly checked in with my inner guidance about the best timing for going to the workshop. About two years later when I was checking with my inner GPS, I received a great big Yes, now!

A smile came to my face, and I felt excited and confident that the timing was right for me. The HMO comes between my patient and me. It alienates us. And if the patient doesn't get better, why then shift the blame to them. They don't want to improve badly enough. They are unmotivated. Yeah, it's their fault. Psychosomatic--has a word ever been more misused? Anyway, it's their responsibility, not ours. I find myself spending half the time debunking these silly, misleading notions, and the other half diagnosing treatable psychiatric conditions in medical patients that are disguised by all this psychobabble nonsense, or that social workers and nurses can't diagnose. The system calls patients clients. If you have a person with DID in your life, learn whatever you can about the disorder from reputable sources such as those listed in appendix B. Then tell your friend or family member you are willing to be available to hear the truth of whatever it is he is going through. If you are not sure you can do that, decide what you can do and communicate it honestly. This process is an example of appropriate boundary setting. People with DID are survivors, and they are very sensitive to dishonesty in relationships. Being willing to learn about the disorder and being genuine as you relate to the other person are the most important things you can offer. BOUNDARY ISSUES Certain boundary issues immediately present themselves when you begin a relationship with someone who has DID. In therapy, the first of those issues is frequency of telephone calls.

From time to time, people with DID will find themselves experiencing feelings with which they do not feel prepared to deal. At that workshop I learned that Hay House was offering each participant a chance to submit a article proposal, and one of those people would be selected to get their article published. I felt excited about the opportunity. The timing was right for me. I knew I had the energy and focus to work hard on that proposal. Indeed, I worked very hard on it, and I won that publishing contract! Now you are reading the article. My inner wisdom helped me know when I was ready for this new adventure in my life. I am very glad I listened! Four Steps for Powerful Guidance Using your inner guidance is a process and a skill. But the only really good one is the client who doesn't show, doesn't bother the HMO. Get rid of patients fast; Frankly, I would prefer to practice where there is less, much less bureaucracy, and, yeah, more humanity. Y'all may call me a dreamer, but I know care can and should be much better than this. I don't want to talk suicidal patients into staying out of the hospital because we are already over our limit for hospitalization. I don't want to manage clients, I want to care for patients. I don't want to hide behind bureaucratic regs and physician assistants. I want to do the caring. The Sensitive Neophyte

Beaseley Will is a twenty-three-year-old medical student beginning his introductory course in clinical medicine. Sometimes they may experience extreme fear related to flashbacks. Other times they might feel what could be considered normal human emotions, even though they are experienced as overwhelming and unmanageable to the person who has the feelings. Strong emotions can trigger feelings of powerlessness and abandonment that the average person simply cannot understand. No therapist wants clients to have to experience that kind of distress. Yet responding to every call only helps increase the client's feelings of dependency and powerlessness. The key is to create clear boundaries initially that can be reworked as needed. Clients will need to know if, at a certain time each night, the therapist will be unavailable, but they also need to know that other options exist, such as voice mail or an answering service. Often, being able to leave a message on the therapist's voice mail and knowing that it will be heard is enough. Yet it can also be helpful for clients to know that at any time they can say, I am not just checking in right now. I really need you to call me. Learning how to be powerful with this ability happens through some quiet time each day. First, become aware of what is going on inside you; If you are uncertain whether you are understanding your guidance signal correctly, use a fourth step: tapping into your yes and no signals. The process and skill of powerfully using your inner wisdom usually takes a bit of time to develop. Please be patient with yourself, and give yourself permission to enjoy your progress one step at a time. Be Aware of Yourself When you are seeking guidance to hook up with what you really want, it is important to be able to discern your feelings. As you allow yourself to become calm and quiet, be aware of the thoughts and feelings you are having. You began practicing self-awareness in article 1, and you can now expand that further.