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No, there are not 69 of us but we are hiding in a trenchcoat.. medically recognised adult DID system studying to become a clinical psych. We are aware we make mistakes, we know we make mistakes, we're open to kind discussion!!!! 🇳🇿🏳️🌈🏳️⚧️ Please remember, there is a person behind almost every post on the internet, including syscourse. Be kind.
1611 posts
Faces Carved Into The Walls Of The Paris Catacombs
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Faces carved into the walls of the Paris Catacombs
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More Posts from 69constellationsinatrenchcoat
Not an OSDD system, but as you (OP) said, a lot of it comes from back when OSDD was called DDNOS in the DSM IV.
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DDNOS-1a and DDNOS-1b were legitimate psych diagnoses pre DSM-V, and a lot of information was updated to say OSDD, but didn't take into account the removal of 1, 1a, and 1b (I wouldn't be surprised if people used find and replace on website resources)
DDNOS 1 – DID but switching not observed by clinician, or amnesia for the significant past but not everyday life. DDNOS 1a – Like DID, but with less distinct parts/no alters. Alters may be emotional fragments or the same individual at different ages. Can experience emotional amnesia rather than physical amnesia. DDNOS 1b – Like DID, but no amnesia between alters.
Similar to how some chose to continue calling themselves MPD, those that were diagnosed using the DSM-IV or earlier just chose to continue using those clarifiers, or they find adding the clarifiers create a shortcut to explaining their symptom set; especially in system spaces.
P-DID isn't recognised in the DSM, however it is used in the ICD* *Chapter 6 of the ICD specifically covers mental, behavioural and neurodevelopmental disorders. Moreover, while the DSM is the most popular diagnostic system for mental disorders in the US, the ICD is used more widely in Europe and other parts of the world, giving it a far larger reach than the DSM. An international survey of psychiatrists in sixty-six countries compared the use of the ICD-10 and DSM-IV. It found the former was more often used for clinical diagnosis while the latter was more valued for research.[14] This may be because the DSM tends to put more emphasis on clear diagnostic criteria, while the ICD tends to put more emphasis on clinician judgement and avoiding diagnostic criteria unless they are independently validated. That is, the ICD descriptions of psychiatric disorders tend to be more qualitative information, such as general descriptions of what various disorders tend to look like. The DSM focuses more on quantitative and operationalized criteria; e.g., to be diagnosed with X disorder, one must fulfill 5 of 9 criteria for at least 6 months - wikipedia (DSM). Who does your diagnosis and what country you are in will influence whether you're able to get a P-DID diagnosis; the same goes for complex PSTD. C-PSTD (complex ptsd) is only recognised as a diagnosis by the ICD, however there is hope that with the DSM-VI (DSM-6) that they may add C-PTSD as a differing diagnosis from PTSD.
Question for OSDD-1a/1b systems: Why do you use 1a/1b?
I ask because 1a and 1b do not exist within OSDD. What you're thinking of is DDNOS-1a/1b which are outdated. Similar to how MPD is the outdated term for DID. To my knowledge, OSDD-1a/1b has never been a thing before. OSDD is just OSDD or P-DID, depending on where you live. So where did this idea come from in system communities? You can't be diagnosed with OSDD-1a/1b, so if you've done extensive research to self diagnose with this, where did you get the idea that OSDD-1a/1b is a thing instead of just OSDD or P-DID? *DISCLAIMER: This is not asked out of hate. I am genuinely curious. Genuine answers will not be met with arguments.*
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Yet another comic about leaving the Mormon church that can be applied to a variety of things.
The sad thing about being chronically ill, especially as a teen: how many of your own boundaries you have to jump over to gain support.
I had my first invasive pelvic exam done by a gynecologist at the age of 13. Age of consent is 16 here. I wasn't old enough to consent to having sex but I had no choice but to accept the pelvic exam, including a transvaginal ultrasound, if I wanted any kind of further treatment - I didn't want to let a random stranger feel around inside my body but to for them to continue to testing, I had to. They gave me the illusion of free choice, but realistically, I only had one option if I wanted my pain to go away.
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Don't get me wrong, I'm glad I had the exams when I did, and that they meant I got diagnosed with endometriosis in four years rather than the usual seven.. but that's not to say they haven't affected me in the long run.
eheh when your bf is in cocon and asks nicely if we can listen to soundtracks from his 3 fav versions of home ( I'm not complaining, Nintendo had some amazing music to sleep to )
Ohh my gosh, all of this.
"just a me thing" was my excuse for everything
don't remember yesterday? forgot to eat? randomly got anxious without a clear trigger? forgot our bff's name? feel disconnected from everyone around me? can't remember my name? suddenly like foods that'd normally make me sick? desire to change gender and name change after stress? age regress and forget what happened when i regressed? randomly behave like a completely different person? have panic attacks after our ex had breakdowns and switched themselves (and then forget later)?
"Haha, sorry. It's just a me thing" I'd say with a smile.
Oh, how wrong I was.... that was an ✨ us ✨thing.
Overcompensation is a massive thing; especially when it came to friend interactions. There are pages and pages of notes where I'd leave reminders for later because 'haha, I'm super forgetful, oopsie! 😅' and the kinds of things were so mundane, like reminding myself I'd already put the rubbish out, or fed the cat or had my medication bc otherwise I wouldn't know it had been done in 1-2 hours.
Frankly, my dual autism and ADHD diagnosis the month before my 17th birthday didn't help — I had a new reason to say I was forgetting things. Without addressing all the underlying disassociation, depersonalisation, derealisation, blacking out/waking up and hearing voices, I could grin and say 'sorry, it's just the ADHD, lemme write that down or I'll forget'. The psych who did the assessment didn't go into trauma stuff and bc me being an oblivious dumbass host, I didn't remember anything and the only way she could explain the symptoms I experienced were AuDHD. I do think the diagnosis was correct though, I've always been autistic and ADHD, which worsened my trauma, just.. didn't have the words nor the memories to give her context for why I got angry and irritable at loud noises, panicked when someone touched my shoulders etc... the context I had was AuDHD.
;-;
thanks to the parts for that lil challenge.
A lot of people think "Wouldn't you easily notice if you had DID?" and even without accounting for amnesia, it's probably harder than you'd think.
Since DID is formed in development and prevents the integration of your personality, you have never lived as a singlet. You have no idea what it's like. Your symptoms are just generally "your normal", as well.
People can also naturally accommodate their own symptoms without realizing by simple trial and error. I used to write my math notes in heavy, near-excessive detail, since I knew there was a chance I wouldn't understand what I meant later.
Finally, a lot of people pre-realization just write off DID symptoms as "just a me thing" or a quirk.