This has contributed to public suspicion about the reality of MPD Alleged victim-survivors of MPD have appeared on many TV talk shows. Some have given unconvincing, artificial, often comic performances of alter switching. Observation by some skeptics that MPD symptoms only appear after the beginning of therapy. These symptoms tend to rapidly disappear after the patient terminates treatment and is isolated from their therapist. Some insurance companies have become alarmed at the extremely high cost of the long-term treatment of patients in MPD clinics.
Costs sometimes run over a million dollars per patient.
Malpractice lawsuits against MPD therapists, their clinics and affiliated hospitals have been launched in recent years. Some settlements have run into millions of dollars. It rapidly grew in acceptance among a minority of therapists, reached a plateau and then started to decline in popularity. They reached a peak in 1994. Between 1997 and 2000, there have been only three books written which deal with therapeutic techniques.