MPD, also known as Dissociative Identity Disorder or DID, is characterized by a person's identity fragmenting into two or more distinct personalities. It is caused by severe physical and psychological trauma, often abuse, in early childhood. The diagnosis requires evidence of distinct personalities along with memory gaps that are too extensive to be explained by ordinary forgetfulness. While some question if it is real, psychologists who treat MPD patients believe the disorder manifests real suffering in those diagnosed.