I think this dx is so hard to deal with in this respect. Good question to post!

I think it's so hard due to the compartmentalized and varied states/parts of our own mind.

For instance, one state/part might think we're more challeneged than we actually are while another feels there's not a thing wrong in the world.

We can be influenced by those states/parts when there's not a complete amnesia going on (or the thick walls of dissociation are thinned for whatever reason). It can really be confusing and difficult.

In fact, it wasn't until I dealt with some healing that I could totally accept this about myself. I could by looking back and being able to see the separation.

I think it's good at all times to be honest with t so that he/she can help with the internal stuggles on this one.

Even though I've not read alot about DID (for my own reasons), I once came upon this word, "intrapsychic". We can sometimes pick up on other parts feelings and thoughts but not necessarily understand what's going on because we're just getting bits and pieces. I think that can happen with the feelings of being "fake"...we might be "picking up" on the feelings/thoughts of the part of us that know nothing of the illness and feels there is nothing at all wrong.

KD