The Day-to-day life of people with DID is much harder due to the common symptoms of dissociation, emotional mood swings and mental health isssues, this deeply affects the lives people with DID, their relationships and work.

However, these symptoms can be better managed and alleviated.

Because DID is deeply rooted and correlated to intense trauma at an early age and coexists with other mental illnesses such as anxiety and depression it is important to address these symptoms so as to minimize them. Strategies to prevent the disorder from getting more stressful include the following. 

The complexity of DID requires effective and multifaceted strategies that address all parts of the disorder, although DID can not be "cured" it is through pharmacotherapy and psychotherapy that can people better cope with DID.

In some cultures, the perception of how alters switch is not seen as a psychological disorder, rather as possession or different spiritual states, this can affect the access to treatment and how DID symptoms are expressed

Although there are more cases of DID report in first world countries than in third world countries, it is understood that there are in fact more DID occurrences in third world countries than perceived due to higher rates of poverty and crime, dissociative episodes are in fact a woldwide phenomenon and have been recognized in all continents.

Many studies have proven that within the many cultures of the world, episodes of dissociation and alter switching which is recognized as possessions, for example "Djinnati" in Pakistan and Iran, a possession syndrome that entails traumatic experiences, changes in speech, language and rhythm, memory lapses and other symptoms not only is eerily similar to DID symptoms, but also its prevalence in these areas is the same as in the United States, which is around 0.5 to 1%.

The skepticisim following DID, in many cultures where DID is at times believed to be a fake and attention seeking disoder hinders the ability for those suffering of DID to express their experiences or feel valid, thus hindering the results of treatment, in western media this is further emphasized as the media uses DID as a tool for villain plot development instead of recognizing and spreading awareness of it.

With all of these considerations in mind, it is important for therapists to recognize how different cultural backgrounds may affect the expression of DID, and adapt the treatments to such cultural practices, for example cultural values, beliefs and supoprt systems can be used to lay a groundwork for helping those with DID into a better treatment plan. Therapists should also recognize stigmatizing beliefs and re-educate clients and families, so as to gain a better understanding of the problem, fostering better relationships within families and a better expression of communication, all of these factors combined help reach a more effective treatment.