Here's the thing -- if SHE believes she is, that's what needs to be treated until reality comes to her. If they start treating "DID", she won't be able to maintain any sense of authenticity about it. You cannot FAKE DID in detail with in depth therapy. We don't know anything about the therapist who made that diagnosis, however, if she suspects/suspected it, she will have had to support it for a while anyway. And, if she suspects FAKING, she wouldn't tip her hand yet either. She is walking a fine line herself. She could "call" the patient out by telling her she's FAKING, but that would send the patient either into some sort of crisis or cause her to dig her heals in deeper.

If this woman is FAKING for manipulation or personal gain of any kind -- money, attention, etc. it would be ganser syndrome on top of something else I'd say. Ganser Syndrome involves reality perception for a patient and so it's THEIR reality that needs to be treated.

I personally think Dr. Phil made a mistake by putting this woman on camera. If this woman has Ganser Syndrome, all he did was feed her need for attention/manipulation,etc. rather than do a credible profile on DID for public understanding.

He should have done this differently. He should have had several people who were diagnosed as DID and this one so that the public could observe a bigger sampling of how DID patients respond/behave etc. I'd bet that this woman would have been outted by observation. I personally think she thinks she is DID and therefore, is, by default. If her therapist is not well versed in abuse treatment, it's possible that this woman became DID, iatrogenically, in adulthood. DID does not come about when the patient is an adult, it starts in childhood.

It is unclear, as well, as to the severity of abuse this woman suffered in childhood. DID is employed in response to very significant and chronic/daily abuse in childhood. Not "minor" or random incidents of sexual/emotional abuse. (I am not minimizing any form or "intensity" of abuse, by the way. Abuse is abuse and needs to be treated with respect and care).