I have seen it before. I think her pain looks really real. I do not believe the switching is real. But I think of it like this. She really seems tight with her husband and in their home, where it is safe, it is possible that alters come to talk to him. All this could still be true. But then imagine being actually accepted as a guest at Dr Phil and be on stage.

It's probably not very easy, you'd be nervous as heck, right? But now you have caught the attention of this "famous" and actually very popular and influential man (gag I hate the guy), so now you feel you owe him something.

Isn't it possible that when she realizes none of her alters want to come out, that she at that moment decides to fake them? If she knows them well enough, and she has done a lot of exploration, she would know roughly what kinds of things they would say. It is not harder than faking being another person.

I think this is what happens here.

And Dr Phil is a creep for thinking dissociation to that degree is VERY VERY RARE and is very clear about that he does NOT believe DID exists (read between the lines). Also, IF he actually believed in DID and knew about the child alter, he would not allowed the child alter out because he does not allow children on stage.

That guy sucks big butts and is the worst narcissist out there.