Note apps and apps that help you keep things as organized as possible are a very individual thing and quite frankly we haven't found many good ones, so... There won't be too many of those here, apologies. We actually still like to use phone widgets for quick notes or to-do lists that we literally have to have stuck on our forehead (metaphorically) to not forget them.
Other than that we've used daylio in the past, which was pretty good but not quite what we would have wanted out of it (we have terribly high standards though), as well as a diary app.
Please feel free to add onto the list, the more the merrier!
【 General 】
Simply plural - This app is so versatile! No wonder it gets recommended a lot. It feels like everything people could possibly need already and the creators still seem to update it frequently. We personally love that you can send any of your SP data to your mail in form of a document, brilliant, and now with the added chat function, what doesn't this app have!? Even if you dislike certain visual interface choices, maybe check up on it every now and then, it could be that it may look different from when you last used it or new features could make the whole experience more enjoyable. It also has a web function.
Simply Plural Web App.
Antar - Though seemingly created as a therapeutic self development tool, Antar doubles up as a wonderful organization tool with it's beautiful flowchart feature! There are still some kinks hereabd there, but it seems to be pretty solid. You can customize it so much, it works perfectly fine for systems. Sadly it doesn't seem as frequently updated currently.
- Meet Antar, a window to your inner world. It's a new approach to align your thoughts, emotions and decisions.
- Antar offers you a uniqu
Align your thoughts, emotions and decisions with Antar. Diary, Journal, Notes.
【 Personal spaces and ways to communicate as yourself 】
PhotoNote [ and other Instagram apps] - Is Instagram something you like from a visual standpoint? Are you just wanting a personal space, like a digital picture book for each and every single one of you and aren't gung ho about being part of the dreadful social media treadmill? Then maybe this app is something you'll enjoy!
An unofficial SNS style notepad.
Your notes will not be shared with others and will be stored within the app.
You can freely set the icon,
TwiNote [and other fake Twitter apps] - Do you enjoy Twitter aesthetically but are bugged by the experiences on there? Or want to vent tweet shout out your unfiltered thoughts without any bad consequences? Well, if it's not about the validation from stranger's liking your post sand just wanting a personal space to shout your heart out to, this might be a good solution?
It is a convenient SNS style memo pad.
Mytter - SNS style app, like the two previous examples. Good communication tool and which one you prefer or end up using is probably mostly an aesthetic choice.
Make notes with SNS-style icons. You can add comments like an outline editor.
PluralKit [Or other discord bots] - Which of course means having discord in and of itself beforehand is a requirement, otherwise getting the bot would be entirely useless. You can by the way also make private servers and having a system server is something many people enjoy!
【 To find or make references 】
Pinterest - Great for finding pictures of absolutely anything for absolutely anything! Aesthetics galore!
Discover recipes, home ideas, style inspiration and other ideas to try.
Picsart - One of the best free editing apps we could find out there. Now any other one will do as well, but it really offers so much, wow!
Picsart website
*All of these are available on both IOS and Android unless stated otherwise, apparently there is a 10 links per post limit and it would clutter things up too much.
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
✓ Live Streaming✓ Interactive Chat✓ Private Shows✓ HD Quality
Anya is LIVE right now
FREE
Free to watch • No registration required • HD streaming
We've been told, and have read online, that keeping a physical log of a conversation between alters can be beneficial. We're not doubting that, I'm sure it works for many systems out there. Our experience however was a bit chaotic. We would talk over each other, not be able to write fast enough, forget to change colors, and eventually we gave up. I wish we could've done it but we're just gonna stick with our inner dialogue. Has anyone else tried this? Did you find it helpful?
[ID]
Panel 1: Jak and Kyra are sitting at a table across from each other. There is a notebook between them and they each have a pen in their color. Kyra says "So I've read that keeping a written log of a conversation can help communication between alters." Jak says, "Sure I'll try it." and Kyra responds with "Okay you write in your color, I'll use mine."
Panel 2: The panel is filled with the page in the journal, and the page in the journal is filled with their conversation, Jak in purple and Kyra in blue. It plays out like this:
Jak: This was a good idea.
Kyra: Yes. Now the topic at hand--
Jak: Do you think bears appreciate nature? I was thinking--
Kyra: That's not what--
Jak: --that they do because--
Kyra: Can I spe--
Jak: I just think we should consider that--
Kyra: I hate you so much right now.
Panel 3: The next page continues the conversation:
Kyra: Will you please let me say something?
Jak (written in Kyra's color): Yeah sure go ahead.
Kyra: You didn't switch colors!
Jak: There ya go, happy? I can't write as fast as I can think.
Kyra: Yeah me too...
Panel 4: Kyra peeks over the top of the notebook at Jak, who says "Should we just go back to our usual method of shouting at each other in the headspace?" and Kyra answers "Gladly."
Atom's not big on fronting. He typically only comes out if he feels he needs to step in on whatever's happening. If given the choice though, he'd much rather stay co-conscious, or even unconscious in the background. It's normally not a big deal but sometimes the host just wants to do nothing for a while, and he's not reliable to be the one to take over!
[ID]
Panel 1: Atom is leaning against the wall, looking at his hand, when Jak comes in and says "Hey! The front's available for you." to which Atom replies, "Nah, I'm good." and Jak confusedly says "What?"
Panel 2: Atom says "Being in the front is just work. Having to talk to people, doing things, back pain...no thanks."
Panel 3: Jak throws his arms forward pleadlingly, he says "But...but...you can do whatever you want!" and Atom responds with "What I want to do is relax, and I can do that where I'm at."
Panel 4: Jak has his head bowed and Atom resumes looking at his hand. Jak says "I wanted to relax..." Atom says "Well go relax on your own, I'm busy." Jak exclaims "You're not doing anything!" and Atom simply responds, "Precisely."
We've been told, and have read online, that keeping a physical log of a conversation between alters can be beneficial. We're not doubting that, I'm sure it works for many systems out there. Our experience however was a bit chaotic. We would talk over each other, not be able to write fast enough, forget to change colors, and eventually we gave up. I wish we could've done it but we're just gonna stick with our inner dialogue. Has anyone else tried this? Did you find it helpful?
[ID]
Panel 1: Jak and Kyra are sitting at a table across from each other. There is a notebook between them and they each have a pen in their color. Kyra says "So I've read that keeping a written log of a conversation can help communication between alters." Jak says, "Sure I'll try it." and Kyra responds with "Okay you write in your color, I'll use mine."
Panel 2: The panel is filled with the page in the journal, and the page in the journal is filled with their conversation, Jak in purple and Kyra in blue. It plays out like this:
Jak: This was a good idea.
Kyra: Yes. Now the topic at hand--
Jak: Do you think bears appreciate nature? I was thinking--
Kyra: That's not what--
Jak: --that they do because--
Kyra: Can I spe--
Jak: I just think we should consider that--
Kyra: I hate you so much right now.
Panel 3: The next page continues the conversation:
Kyra: Will you please let me say something?
Jak (written in Kyra's color): Yeah sure go ahead.
Kyra: You didn't switch colors!
Jak: There ya go, happy? I can't write as fast as I can think.
Kyra: Yeah me too...
Panel 4: Kyra peeks over the top of the notebook at Jak, who says "Should we just go back to our usual method of shouting at each other in the headspace?" and Kyra answers "Gladly."
Rapid switching can be quite uncomfortable and in our experience usually happens when two or more alters are very excited about the same thing, be it an event, an action, or a story; everybody wants to take control. It's different than being coconscious in that coconsciousness is a host alter accompanied by one or more watching alters. Rapid switching is multiple alters jockying for control and going back and forth between them. I can't say for everyone out there but it can .ake us feel a little sick!
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
✓ Live Streaming✓ Interactive Chat✓ Private Shows✓ HD Quality
Anya is LIVE right now
FREE
Free to watch • No registration required • HD streaming
this is more of a rant but you can count it as an affirmation if you want
we are allowed to be happy as a system. we don't have to be sad all of the time we are allowed to feel other emotions we are allowed to post positive things about being a system and still being a system. we don't have to post every single negative thing some people can enjoy being a system. i am happy being a system why? because without it we would probably be dead by now no one else has a right to our emotions we can feel whatever we want we can feel angry about being a system we can feel sad or anything negative but we can also love being a system because it has saved us. everyone is allowed to post about the positive things about being a system, i am tired of whenever i talk to singlets i have to point out the negative because no one will listen to the positive things we are more healthy we are recovering more since we have found out we are a system and yes sometimes it is a burden and i wish i could give it to someone else but sometimes it is so helpful and it helps us do daily chores
you are allowed to be happy. feel anything you want about being a system don't let other people decide how you feel about it
A New Model of Dissociative Identity Disorder by Paul F. Dell, PhD
For the first article that I submit to this page, I wanted it to be Paul F. Dell’s work on DID. Mostly because to date, he is my favorite research psychologist doing work on DID. I found his work to be rather thorough and really accurate comparatively to the DSM’s criteria and the current vision of DID that people seem to have.
This specific article outlines P. Dell’s suggestions for the DSM 5 (which is now out - and his research was completely ignored). Of course, his research proves pretty much the opposite of what we’ve been saying DID is for at least the last 40 years.
“Awareness of the presence of other personalities has been widely reported in the empirical literature on DID. Such awareness is a common occurrence in DID. Moreover, many patients who have DID hear or see what some personalities say or do when they are ‘‘out.’’ Many
clinicians have incorrectly assumed that a person who has DID can never be aware of the activities of another personality.
[…]
With the exception of amnesia, dissociative individuals have contemporaneous, conscious awareness of all other dissociative intrusions (eg, depersonalization, derealization, voices, intrusive thoughts, ‘‘made’’ actions). Thus, with the exception of amnesia, all dissociative events are partially conscious. A major shortcoming of the DSM-IV is encountered here. DSM-IV’s classic picture of DID embraces full dissociation (ie, amnesia), but omits partial dissociation. This omission is a problem because incidents of partial dissociation are vastly more common than incidents of switching-accompanied-by-amnesia.”
Basically, what he’s saying is that most people with DID have some awareness of the actions of their alters - and that this has been proven time and time again — but the people who put together the DSM are purposely ignoring this fact, which results in people who would properly be diagnosed DID often ending up with a diagnosis of DDNOS.
P. Dell found that most people with DID are rather partially dissociated (essentially just ‘zoned out’/disconnected) when they switch, rather than fully amnesic.
This is especially important to note, as the entire ideal of DID that has been put out by the media and popular culture is one of complete amnesia and a total lack of knowledge of being DID, which is not even remotely the truth - in fact is so not the truth, that it’s been proven time and time again that most multiples have some awareness of their others.
(This of course does not mean that there’s never amnesia, obviously, or that all people with DID are fully aware of their others… but that this vision of always being amnesic and never being aware us so incredibly wrong and unfounded by empirical evidence.)
Furthermore, P. Dell suggested a complete overhaul of the diagnostic criteria of DID.
The subjective/phenomenological model of Dissociative Identity Disorder
General dissociative symptoms (4 of 6 required)
Memory problems
Depersonalization
Derealization
Posttraumatic flashbacks
Somatoform symptoms
Trance
Evidence of the partially dissociated intrusions of another self-state,as indicated by either 1 or 2:
1. Clinician observation of a self-state that claims (or appears) to be someone other than the person being interviewed, as indicated by the person’s Co-conscious awareness of the activities of the self-state; and Remembering what the self-state said and did Experiencing the self-state as ‘‘other.’’
2. At least 6 of the following 11 symptoms of intrusion by a partially dissociated self-state:
Child voices
Internal struggle, conversation, or argument
Persecutory voices that comment harshly, make threats, or command self-destructive acts
Speech insertion (unintentional or disowned utterances)
Thought insertion or withdrawal
‘‘Made’’ or intrusive feelings and emotions
‘‘Made’’ or intrusive impulses
‘‘Made’’ or intrusive actions
Temporary loss of well-rehearsed knowledge or skills
Disconcerting experiences of self-alteration
Self-puzzlement
Evidence of the fully dissociated intrusions of another self-state(ie, amnesia), as indicated by either 1 or 2:
1. Clinician observation of a self-state that claims (or seems) to be someone other than the person being interviewed, followed by the person’s subsequent amnesia for the clinician’s encounter with the self-state.
2. Recurrent amnesia, as indicated by the person’s report of multiple incidents of at least two of the following:
Time loss
‘‘Coming to’’
Fugues
Being told of disremembered actions
Finding objects among one’s possessions
Finding evidence of one’s recent actions
The sad thing about this criteria is that P. Dell found it to be more accurate than the previous criteria for diagnosing DID… but the DSM 5 acknowledged none of his suggested changes - even though it was as accurate as the MID for diagnosing DID (the MID (Multidemensional Inventory of Dissociation) is list of questions intended to figure out where people fall on the dissociative scale).
((Note: The MID questions are available online, but they require a special Excel spreadsheet to score - which can only be obtained by psychologists by ordering it from the psychologist who created it. Sad day.))
In conclusion:
The sociocognitive model of DID is necessarily wed to the DSM-IV’s model of classic DID. Why? Because the general culture’s model of DID is classic DID. Classic DID is clearly reflected in Sybil. Classic DID has also been reflected in countless portrayals of DID in contemporary films and television programs. In short, the DSM-IV’s essential phenomena of classic DID (ie, multiple personalities + switching + amnesia) are very familiar to the general culture.
Although not intended as such, the present findings refute the sociocognitive model of DID because 15 of the 23 subjective dissociative symptoms that were measured (the criterion A symptoms except for trance and the criterion B symptoms except for self-alteration) are invisible (ie, completely experiential), unknown to the media, unknown to the general public, and largely unknown to the mental health field. Nevertheless, these 15 subjective dissociative symptoms occurred in 83% to 95% of persons who had DID. The pervasive presence of these symptoms cannot be explained (away) by the sociocognitive model’s ‘‘usual suspects’’ - therapist cueing, media influences, and sociocultural expectations regarding the clinical features of DID. There can be no therapist cueing, media influences, or sociocultural expectations about dissociative symptoms that are invisible, unknown to the media, unknown to the culture, and largely unknown to the mental health field.
Basically what this is saying is that what we’ve been taught about DID is wrong - that it’s been modeled after Sybyl’s story (which, as we know, was highly inaccurate and exaggerated for entertainment value) - and that many of the symptoms P. Dell found to be common amongst people with DID can not be explained by social/media influence, or even caused by the therapist - as most people are COMPLETELY UNAWARE OF IT.
So basically, every time someone says “you’re DID because you have the internet” or “because you saw Sybyl”, they’re completely wrong - as the symptoms of DID, many of which are not noted in the DSM or in popular media are unknown to the general public, including psychologists.
I just wanted to list the most important parts of the article (or rather, what I thought was important for this page). As much of it is information from studies that Dell has done, the language of the article is a little clinical and dry. I really didn’t want to make anyone read that if they didn’t want to. You are welcome to read the actual article (it is here: http://www.copingwithdissociation.com/Dell_2006_ANewModelofDID1.pdf#bib1), and if you want to know more about Paul Dell, here is his website: http://understandingdissociation.com/
I am just going to say this outright and bare with me until the last paragraph. The idea that "the few people who are faking this disorder aren't actually hurting real people with DID or taking away resources" is demonstrably false. I check around sometimes for other people looking for dissociative specialists and ever since ~2019/8, if I call and ask a therapist if they have experience with DID their questions are "does this person spend a lot of time on social media" and "have they actually been diagnosed with DID before." I've met therapists who took their dissociation specialty off of their websites because they kept getting tons of calls from people who were seeking a diagnosis and they could not keep up.
This trend where large amounts of people are claiming to have RAMCOA and polyfragmentation within the past few years, which a significantly smaller number of specialists believe in and treat, IS going to detrimentally affect survivors even quicker and harder than general DID where there are a larger amount of people involved both professionally and not. I called this a few years ago that sometime in the future polyfragmentation would be commonly considered a "fake marker" (just as prior community trends turned into "fake markers" like introjects and kid parts) and that's already started.
We need to be able to talk about community issues like this from a practical perspective for people who need those resources, without it turning into a validation discussion or a discussion about malingering or pointless discourse. We need to step away from "shoulds"--yes it is true that practitioners should not let these things affect their overall care, but it does and simply saying it should not be that way doesn't fix anything. We need practical discussions that say "We are at this point. Now what?"
Some explanations about dissociated parts and memory, information from The Haunted Self and paraphrased by yours truly.
Every part deserves to have their piece respected, even if it doesn’t seem to fit in neatly with the others, even if you think it’s weirdly shaped, even if it just seems scary.
And remember: Puzzles are put together one piece at a time.
[Check out my DID/OSDD casually explained masterpost for sources and more infographics!]
Having some technical difficulties with my drawing pad so today is gonna be a repost. Should be back to normal by monday!
[ID]
Panel 1: Atom is standing with his arms folded, talking to a guy who is puffing out his chest. Atom says "Why don't you pick on someone your own size shorty." Atom is noticeably taller than the guy.
Panel 2: The guy says "Who are you calling short?! You're shorter than I am!"
Panel 3: Atom is taken aback, he says "...what?"
Panel 4: Jak is now in the front and is noticeably shorter than the other guy. He thinks to himself "Oh...right. Crap!"
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
✓ Live Streaming✓ Interactive Chat✓ Private Shows✓ HD Quality
Anya is LIVE right now
FREE
Free to watch • No registration required • HD streaming
With all of the introject discourse going on right now, despite wanting to stay out of it as much as possible, I decided I would share my story in hopes that it helps others.
I was the first alter to come forth. I wasn't aware of Nyx and she wasn't aware of me, but when I came to with my own sense of self, I already had the appearance of Yami Yugi from Yugioh. We struggled with this for years. She was and still is extremely hyperfixated on Yugioh and was aware that "if she had to pick someone to share a body with, it would be that character." This caused a lot of issues as neither of us really knew where I came from. She and I are well aware that an alter can't just come out of nowhere, and it felt beyond disrespectful to say we had DID if that's not what was going on. We knew we had a traumatic childhood, but because of the character I looked like, we could never be sure. We struggled for a long time with "are we endogenic?" Not to mention, the obvious connection between Yugioh and DID. "Did she just want a real life Yami Yugi?" What made it even more strange is that I don't act like that character at all, nor do I have any desire to be thought of as a fictive or even an introject. Considering the only thing I share with that character is the name and voice, I didn't find the label fitting.
We got our diagnosis awhile ago, but that didn't stop all of these questions from bothering us, even after we had other alters split from trauma down the line.
It wasn't until a couple of things made us realize what happened. Someone brought up to us at one point that alters can be there for years, but not come forth because they don't have an identity to latch onto. I wish I remember who told us this, because they honestly changed our entire perspective on our system. Coupled with therapy, we realized that some of the memories were indeed my own and not just hers, but I never had my own identity to come forth with until she began watching Yugioh.
A system on Tumblr (I will keep their name private unless given permission to tag) made a post about their Yami fictive, explaining "of course our brain latched onto a character who also has no memory of his past and has identity issues." That was what really solidified it for us and made us realize that I wasn't just some hyperfixation that came up out of nowhere. I have been around for years, but never realized it because it took that long to find a character to associate with and I finally came forth. My memories as who I am start with that day, but I do remember certain things from childhood that we thought were her own memories until recently.
DID is a trauma-based disorder meant to shroud our memories in a blanket of confusion. I do hope this helps introjects who may be struggling with their origins or identity.
We've had an introject latch on to the image of a character before, from a game we've neither watched nor played, in a genre most of us dislike or get triggered by. He felt monstrous and saw an image that called out to him, we later Googled vague search terms until we found out his source's name, which he decided to also take, is Huggy Wuggy from Poppy Playtime (fair warning, this is a jumpscare horror game, don't search if creepy stuff is upsetting to you). He's a nine foot tall gangly furry blue monster with spindly sharp teeth. I don't know what about it called to him, he's just now getting comfortable enough to come to system meetings, let alone speak in one. But the phenomenon is real. Sometimes an alter (often a former fragment who's developing into a full alter, if you have fragments) becomes attached to idea of a character and decides to take that form, or even their personality. They see some aspect of themselves in it, and the rest feels right, so they take it. Not all fictives form as fictives.
DID/OSDD vs BPD vs Schizophrenia: Differences and Similarities
Because DID and OSDD are less known about by therapists at large, and because they come with plenty of commonly comorbid disorders, they're very often mistaken for something else, typically borderline personality disorder or schizophrenia. In fact, those suffering with DID spend on average 7-10 years in the mental health system before receiving an accurate diagnosis. However, while this is talked about in shallow detail on Tumblr, I haven't seen a post talking more in-depth about their similarities and differences and why people, both professionals and laymen, mistake one for another.
PLEASE DO YOUR OWN RESEARCH AS WELL!!! this isn't meant to be a self-diagnosis tool, just an informational post by someone with an interest in psychology and mental health advocacy. Check with others, check reputable websites, check with professionals, etc.
Reblogs are very much appreciated- help spread mental health awareness!
WHAT DISORDERS ARE COMMONLY COMORBID WITH DID/OSDD?
Because it comes from intense trauma, DID and OSDD pretty much always come with other disorders. Most common is PTSD, especially complex PTSD (PTSD caused by repeated events as opposed to one). In fact, some professionals speculate that OSDDID is actually PTSD taken to an extreme level. Mood disorders such as depression and bipolar are also often present in those with OSDDID. Many personality disorders (or rather, some of their features, not always qualifying for a full diagnosis) have been found to be comorbid with OSDDID, especially borderline and avoidant, but on a less notable level, histrionic, antisocial, and narcissistic traits. Social anxiety and agoraphobia can form because of parental ridicule that causes many OSDDID cases. Likewise, because it also often forms in CSA victims, eating disorders are associated with it. In another problematic circumstance, people with OSDDID may present psychotic symptoms or be on the schizophrenia spectrum, which muddies the waters when diagnosing. OCD and intellectual/neurodevelopmental disabilities can also be comorbid with OSDDID. In all honestly, there are tons of disorders that are comorbid with OSDDID, given that it requires severe childhood trauma, which can, of course, cause many, many things.
WHAT IS DID/OSDD COMMONLY MISTAKEN FOR?
One disorder that's commonly mistaken for OSDDID is borderline personality disorder. In fact, skeptics often claim that OSDDID itself is actually a severe form of borderline personality disorder; however, there are significant differences, which I'll go into later. It's also commonly mistaken for schizophrenia or other forms of psychosis, due to hearing voices; however, there are also subtle differences in these, which I will also get into momentarily. On a similar note, alters may have traits of different mental illnesses that aren't present in others.
Because they're the two major ones- in fact, I could mostly only find resources on these two- I'll only be getting into BPD and schizophrenia.
BORDERLINE PERSONALITY DISORDER
The mixup between BPD and OSDDID is, on some level, an understandable one (especially since they both fall on the spectrum of structural dissociation, which I'll get into at a later date), but there remain significant differences. Since I have both BPD and OSDD, I'll be comparing the two from my own experience as well as listing a couple factual differences.
Both BPD and OSDDID are characterized in part by unstable identities. People with BPD may flip-flop between loving themselves and hating themselves, perceiving themselves as a good or bad person, what job they want to pursue, etc. However, OSDDID alters don't simply differ in these areas. For example, I hate spiders, and that didn't change whether I wanted to be a psychologist or an actor, whether I thought I was hot shit or completely worthless, etc. However, my co-host Rom is quite fond of spiders. He also prefers a slightly different clothing style (though, luckily for him, similar enough to incorporate it into my wardrobe without anyone questioning it), speaks in a slightly lower voice, is far more abrasive, is triggered by different things, etc. In this aspect, he could be considered a "bundle" of traits that differ from mine and always go together (liking spiders, being interested in a creative project I'm not, being prone to picking fights, preferring more professional/conventional clothes, etc.), whereas with BPD, it's a lot more fluid. When I was dead-set on making a career out of my writing, I identified as a lesbian, bisexual, and a gay man, all the while not having my feelings change on that. I split on people (switched from loving to hating and back again), but my sexuality didn't change between those opinions. See how it doesn't come in a "bundle"?
Differences in the presentation of OSDDID and BPD according to professional research include the following: those with OSDDID (and without BPD) are less prone to strong rejection sensitivity, a hallmark of BPD; also, BPD symptoms, due to being ingrained in the personality, are always present to some degree, whereas in systems who don't also have BPD, it's often only during times of great duress.
SCHIZOPHRENIA
As I mentioned earlier, schizophrenia is a common misdiagnosis for OSDDID. This is another understandable one: hearing voices is often associated with psychotic/schizophrenia-spectrum disorders. The differences between these voices lies in how one hears them. Because alters "live inside" a shared brain, when they speak, it sounds like thinking, just in a different voice. Hallucinations are somewhat different- typically, they sound more clear, like they're from 'outside' the brain, like someone talking out loud.
The cause of schizophrenia also differs majorly from OSDDID. Whereas OSDDID is caused exclusively by repetitive childhood trauma, schizophrenia doesn't necessarily require trauma at all- it certainly doesn't help, and the stress that "activates" schizophrenia later in life can qualify as traumatic, but the more significant cause is genetics. In addition to this, the age of onset is different in the two of them- because schizophrenia's symptoms only set in after a particularly stressful event, it most commonly manifests as late as in one's 30s, whereas OSDDID symptoms, though subtle at first, will begin showing themselves in childhood. (Note that schizophrenia can also show subtle symptoms in childhood- this isn't universally indicative.)
The unfortunate thing about schizophrenia/psychosis as a misdiagnosis is that antipsychotics will sometimes (though not always) harm systems. They may stop the system from switching so much, but for some, they can also hinder communication, which is counteractive to the treatment of OSDDID as well as often distressing for the alters in the system. This ties into the problem of schizophrenia and OSDDID being perfectly capable of comorbidity; depending on how a system reacts to the antipsychotics, they may have to choose between better communication and a lessening of the symptoms of schizophrenia.
SO, WHY DOES IT MATTER?
When someone is in charge of your treatment, misdiagnoses can be dangerous. This is very true of dissociative disorders, which require different healing processes from things such as personality and mood disorders. As I mentioned, antipsychotics can actively harm systems, and care should be taken in prescribing them to people with OSDDID.
Misdiagnoses in self-diagnostic cases are also dangerous. In my opinion, thoroughly researched self-diagnosis is valid- especially since having OSDDID on one's record has legal consequences- but, even if someone thinks they know themself like the back of their hand, sometimes people are just mistaken. This isn't a moral failing, but if a singlet, for example, stopped taking their antipsychotics because they feel like their (in reality, nonexistent) communication is being blocked, they could both 1. suffer from withdrawal symptoms and 2. harm their own mental health by going off of meds that were actually helping their mood.
While misdiagnoses are sometimes a simple mistake that isn't too detrimental- for example, misdiagnosing BPD with HPD- this specific situation is not one of those cases, and education is important to stop this from happening. While I can't exactly teach professionals about this stuff, I can at least make posts for those who are considering a self-diagnosis of OSDDID (or BPD, or a psychotic disorder).
WHO TOLD YOU ALL THIS?
I learned all this from the following sources:
American Psychiatric Association. (2022). Diagnostic and statistical manual of mental disorders (5th ed., Text Revision).
National Alliance on Mental Illness: "Dissociative Identity Disorder."
Mayo Clinic: "Dissociative disorders."
Brand BL, et al. (2016). Separating fact from fiction: An empirical examination of six myths about dissociative identity disorder.
ncbi.nlm.nih.gov/pmc/articles/PMC4959824/
Dorahy MJ, et al. (2009). Auditory hallucinations in dissociative identity disorder and schizophrenia with and without a childhood trauma history: Similarities and differences.
pubmed.ncbi.nlm.nih.gov/20010024/
Gillig PM. (2009). Dissociative identity disorder: A controversial diagnosis.
ncbi.nlm.nih.gov/pmc/articles/PMC2719457/Hany M, et al. (2020). Schizophrenia.
ncbi.nlm.nih.gov/books/NBK539864/Joseph SM, et al. (2020). Delusional disorder.
ncbi.nlm.nih.gov/books/NBK539855/Mitra P, et al. (2021). Dissociative identity disorder.
ncbi.nlm.nih.gov/books/NBK568768/Patel KR, et al. (2014). Schizophrenia: Overview and treatment options.
ncbi.nlm.nih.gov/pmc/articles/PMC4159061/
Renard SB, et al. (2016). Unique and overlapping symptoms in schizophrenia spectrum and dissociative disorders in relation to models of psychopathology: A systematic review.
Biskin RS, Paris J. Diagnosing borderline personality disorder. CMAJ: Canadian Medical Association Journal. 2012;184(16):1789-1794. doi: 10.1503/cmaj.090618
Oyserman, D. Elmore, K. Smith, G. Self, Self-Concept, and Identity. New York: The Guilford Press; 2012.
De Meulemeester C, Lowyck B, Vermote R, Verhaest Y, Luyten P. Mentalizing and interpersonal problems in borderline personality disorder: The mediating role of identity diffusion. Psychiatry Research. 2017;258:141-144. doi:10.1016/j.psychres.2017.09.061
Zandersen M, Parnas J. Identity disturbance, feelings of emptiness, and the boundaries of the schizophrenia spectrum. Schizophrenia Bulletin. 2018;45(1):106-113. doi:10.1093/schbul/sbx183
Gold N, Kyratsous M. Self and identity in borderline personality sisorder: Agency and mental time travel. Journal of Evaluation in Clinical Practice. 2017;23(5):1020-1028. doi:10.1111/jep.12769
Linehan MM. Cognitive-Behavioral Treatment of Borderline Personality Disorder. New York: Guilford Publications; 2018.
Kulacaoglu F, Kose S. Borderline personality disorder (BPD): In the midst of vulnerability, chaos, and awe. Brain Sciences. 2018;8(11):201. doi:10.3390/brainsci8110201
American Psychological Association. Mentalization. APA Dictionary of Psychology.
National Institute of Mental Health. Borderline personality disorder.
Choi-Kain LW, Finch EF, Masland SR, Jenkins JA, Unruh BT. What works in the treatment of borderline personality disorder. Current Behavioral Neuroscience Reports. 2017;4(1):21-30. doi:10.1007/s40473-017-0103-z
Matulewicz, C. (2018, August 30). Antipsychotic Medications and Dissociative Identity Disorder, HealthyPlace. Retrieved on 2022, May 23 from https://www.healthyplace.com/blogs/dissociativeliving/2018/8/antipsychotic-medications-and-dissociative-identity-disorder
ANYTHING ELSE?
As always, I'd like to thank my readers, especially those who reblog this. To singlets specifically, thank you for your support and openness to learning.
If anyone has a request for an educational post about dissociative disorders, especially OSDDID, my ask box is always open. Also, tips are enabled, so if you learned something new, consider tossing me a little cash.
I think it's less that new systems are formed everyday and more that systems are discovering they're a system due to it being more understood. Like Anthony Padilla's video, Moon Knight, etc. Just how things go.
You get used to doing things with someone else's conversation in the background, like a low level hum you can tune out (but never turn off); but often those conversations push to the forefront (until you can regain control) clouding everything else. I've made friends with the rewind button and we chat frequently.
Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
✓ Live Streaming✓ Interactive Chat✓ Private Shows✓ HD Quality
Anya is LIVE right now
FREE
Free to watch • No registration required • HD streaming
Even as I was strapped to a hospital bed and being asked if I experienced any trauma, I said no. I said no because I knew that others had it worse, that things were bad, real bad, but they could always be worse. I didn't accept that I had trauma and that kept me from getting help. Don't do this to yourself, stop comparing trauma and allow yourself to heal.