People with Dissociative Identity Disorder (DID) typically experience communication with their alters in their minds rather than hearing them speak out loud as an external auditory hallucination. The communication between alters is often internal and subjective, known as "inner dialogue" or "inner communication."
The experience of inner communication can vary from person to person with DID. Some individuals may have a strong sense of distinct voices or thoughts corresponding to different alters, while others may experience it as a more subtle inner knowing or a sense of different perspectives and emotions within themselves.
It's important to note that while the communication is internal, individuals with DID may experience it as very real and distinct, akin to interacting with another person. This internal communication is a fundamental aspect of how the different alters coexist and interact within the same person's mind.
In some cases, individuals with DID may have amnesic barriers between their alters, which means they may not have immediate access to the memories or experiences of other alters. This can contribute to feelings of confusion and identity disruption, as different parts of their identity may not be fully aware of each other.
As with any mental health condition, experiences can vary, and some individuals may have unique or atypical presentations of DID. Professional assessment and therapy with a qualified mental health professional experienced in working with dissociative disorders are crucial for accurate diagnosis and appropriate support.