You are treating a? 58-year-old patient who presented with an altered level of consciousness. this could be due to a number of conditions including each of those listed? below, except:

This could be due to a number of conditions including kidney pain. An altered level of consciousness or as called LOC refers to an alteration in a patient state of awareness or the ability to relate to self and the environment and arousal or alertness ranging from a state of unconsciousness to hyper arousal. An altered level of consciousness is a symbol of a central nervous system infection or injury and is often due to an organic cause. Organic reasons can be characterized as having whichever a structural or toxic-metabolic basis. An additional communal cause of an altered level of consciousness is psychiatric-based reasons.

The average length of time between an individual's first symptoms of DID and the diagnosis is around 7 years. This is because it is commonly misdiagnosed (Usually as Bipolar Disorder) and because not many people are educated on the disorder so they may not seek treatment for it.