narcissist the insult came after narcissist the diagnosis. it's not that diagnoses are being named "asshole disease", it's that people are using legitimate medical conditions to insult people. like the R word iirc
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narcissist the insult came after narcissist the diagnosis. it's not that diagnoses are being named "asshole disease", it's that people are using legitimate medical conditions to insult people. like the R word iirc

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Incredibly rude that I have to teach myself how to have positive feelings. Those neural pathways are extremely rough terrain, compared to the well-worn paths of negativity and self-loathing.
What do you mean I have to do a productive thing and coach myself on how to feel accomplished from it?
What do you mean I have to do a fun activity and forcefully allow myself to enjoy it?
What do you mean I have to do relaxing things and coax myself to actually relax?
What do you mean all this comes naturally to some people as simple cause and effect and I'm out here fighting tooth and nail to feel good???
and very, very often, self care is not plants and ice rollers and fluffy blankets of peace.
itâs standing over your kitchen sink and crying while doing the dishes because you just want to go back to bed but the dishes need done. and you donât know why youâre crying but you're trusting you need it. and you arenât listening to the music that pulls you into a spiral; youâre listening to some cheerful shit your friend sent you. itâs getting up and staring at your fridge and closing your eyes and then cooking yourself food even though you hate it and itâs miserable. because you know that youâd cook for your friend, and you are trying to befriend yourself. itâs dragging yourself into the shower because you know youâll feel better afterwards. itâs doing mundane tasks with patience, cursing under your breath, trying desperately to give yourself grace. grace is the beginning of care. care is the beginning of love.
we think itâs supposed to be peace and yet the most powerful self care moments are when we hate everything but especially ourselves. and life does not feel worth the loving. to look into that pain and yet choose to care for yourself in however many pieces you are â that is care. love. grace. trust. belief. it hurts because itâs love where there was no love before. it heals because it believes there will be love, one day, soon.
Is there a type of neurodivergent that's the exact opposite of "sometimes has trouble interpreting social cues and context" and instead is "can read the room too well, immediately detects micro-expressions and slight shifts in tone before anybody else does, and has a disingenuous bullshit detector dialed up to 3000 but when you express to others that 'nah this person can't be trusted they have a Bad Vibe please stop trusting them' nobody believes you" Because whatever it is I'm it
Psychosis memory #76: watching out of windows in the psych ward for days thinking everyone outside were hired actors keeping an eye on me.

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I don't know which autistic person needs to hear this, but...
Other autistic people who act childlike or have childlike interests are NOT the reason you get infantilized.
The rainbow-haired, plushie-hugging, stim-dancing autistic you saw on tiktok is NOT hurting you by existing.
Let your fellow autistic people be themselves in public.
And STOP blaming autistics who express themselves differently than you for society's ableism.
So many of us have trauma from therapists or parents policing our mannerisms and telling us our interests or clothing were "not age-appropriate". We are not âI repeat, NOTâ going to turn around and inflict that same ableism on each other.
donât bully me for how i spelled delicious
Interesting (and unsurprising, anecdotally) study about autism increasing predisposition for PTSD/increasing sensitivity to adverse events: https://neurosciencenews.com/asd-ptsd-neuroscience-26067/
(We haven't read the full academic paper yet, but the summary is neat). Seems potentially relevant to dissociative system stuff as well--like, we know that CPTSD can also be caused by "death by a thousand papercuts"-type trauma (where any individual incident "wasn't so bad" but cumulatively it builds up), but/and adding this on top of that suggests that the "threshold of adverse-ness" for events that could lead to posttraumatic reactions like PTSD and dissociative disorders could be quite a lot lower than generally thought, especially for (apparently, according to this study) autistic populations, which may (and this is speculation) also be true for related types of neurodivergence like ADHD and schizophrenia etc.
Also, as far as we're aware (feel free to correct us/chime in/etc), intentional and non-intentional endogenic plurality tends to be more likely to happen for folks who have higher-than-average predispositions for dissociation, even if they don't have a dissociative disorder, and it might be that this sensitivity to adverse events could lead to overall higher baseline dissociation in ways that "encourage" plurality to arise. Thoughts?
I was already talking with @indigochromatic about this in DMs but I did want to add a but of what I responded with on discord as food for thought since I think its a very plausible explanation as to how someone with very good parents and no memory of trauma and no potentially recoverable memories of trauma could still have trauma-sourced dissociation
"Oh yeah thats actually talked about in our trainings and stuff too. The thing with autism, even outside of ableism against ND individuals, is that sensory cues and the common language and social differences / issues - especially in early life - can directly result in things that are not even abusive to be experienced as trauma Cause if you have a need but you can't effectively communicate it in a way your parents can understand you are likely not going to get your need met or met properly even with the best parent trying their best And if you dont get your need met, that can and will likely result in that being felt as neglect because as a toddler and what not, you are TRYING to communicate but not having it received. And while from an adult lens we can rationalize and go "well my parents literally could not have reasonably known", as a toddler that is not what is something they are capable of understanding And add onto that this would occur during the infantile pruning area and it likely wont be explicitly remembered later in life So there wont likely be any direct memory to process or any direct "trauma" that could even be uncovered through trauma processing or lowering dissociative barriers So an autistic person could very realistically have chronic infantile neglect trauma and genuinely never be able to recall it or speak to it, and the parents wouldn't necessarily be anything close to horrible, but this person as they grow older - despite not having any form of traditional trauma or neglect and good parents would have still experienced chronic childhood trauma from a young age, all of which would STILL have affects on the long run developing brain but the explicit memories would be removed due to infantile synaptic pruning. Even with great parents this could still happen, and by the nature of how it occurs, the parents would likely deny the child having gone through any trauma as well without it being an intentional cover up or anything (as the nature of if it was or wasn't trauma is subjective to the child and how they experienced it at that point and if it was trauma, its covert trauma) Then adding onto that, there is also the sensory issues which DEFINITELY worsens it, but like, its something anyone who works with young autistic populations very much are aware of and have to pay attention to Plus note like infantile amnesia happens around 3-4 years of age but can continue even later into life iirc so a child could have three or four years of chronic neglect trauma from their formative years and, by the time they are 16, have no ability to recall it for non-dissociative reasons and have no signs that they experienced chronic trauma as an infant / toddler but still have the symptoms of C-PTSD and DID"
And if anyone thinks that someone having trauma in ages before the age of infantile synaptic pruning would make it so that the trauma wouldn't develop PTSD, C-PTSD, or DID - even if it ended completely there - I can genuinely find resources citing that it ABSOLUTELY fucks people over since I literally had a like 2.5 hour overview class on the appearance, neurobiology, and long term affects of PTSD in children 0-4 years of age. (The only reason I'm NOT posting that right now is cause Im lazy as shit)
Since I was reviewing anyways I went back to grab the resource section of the classes for those interested in resources and literature on early childhood / infant trauma
Since I'm actually looking closer at these papers I might actually go ahead and read some of the more interesting ones directly, highlighting ones that seem interesting cause I MIGHT actually read and chat about it on here cause I'm currently waiting for the unit I'm supposed to work on to open and technically dont "have to" do more studying or what not but I also feel weird getting paid to do nothing so... I might say "hey yeah I finished all the mandatory trainings plus like 15 hrs of optional ones I just started reading research papers haha" /hj
@indigochromatic @seasidewanderers
General Resources
ACE Study Questionnaire -http://www.ncjfcj.org/sites/default/files/Finding%20Your%20ACE%20Score.pdf(opens in a new tab)
CDCâs Developmental Milestones - https://www.cdc.gov/ncbddd/actearly/milestones/index.html(opens in a new tab)
National Child Traumatic Stress Network - https://www.nctsn.org/(opens in a new tab)
Trauma Resources for Families - https://www.aap.org/en/patient-care/trauma-informed-care/resources-for-families/(opens in a new tab)
Zero to Three - https://www.zerotothree.org/(opens in a new tab)
Child Abuse and Mandatory Reporting Laws - Mandatory Reporting of Child Abuse and Neglect https://cwig-prod-prod-drupal-s3fs-us-east-1.s3.amazonaws.com/public/documents/manda.pdf?VersionId=Gm9t7CW5XdPolnEMHHR3wCnsw782WZQ1(opens in a new tab)
State Child Abuse Laws https://www.findlaw.com/state/family-laws/child-abuse.html(opens in a new tab)
References
American Psychological Association. (2023). What is child abuse and neglect? Understanding the warning signs and getting help. https://www.apa.org/topics/children/abuse-neglect-resources
Bartlett, J., & Steber, K. (2019). How to implement trauma-informed care to build resilience to childhood trauma. Child Trends. https://www.childtrends.org/publications/how-to-implement-trauma-informed-care-to-build-resilience-to-childhood-trauma#_ftn40
Barnett, E. R., & Hamblen, J. (2022). Trauma, PTSD, and attachment in infants and young children. U.S. Department of Veterans Affairs: National Center for PTSD. https://www.ptsd.va.gov/professional/treat/specific/attachment_child.asp
Campbell, K. A. (2022). The neurobiology of childhood trauma, from early physical pain onwards: As relevant as ever in todayâs fractured world. European Journal of Psychotraumatology, 13(2), 1â14. https://doi.org/10.1080/20008066.2022.2131969
Canale, C. A., Hayes, A. M., Yasinski, C., Grasso, D. J., Webb, C., & Deblinger, E. (2022). Caregiver behaviors and child distress in trauma narration and processing sessions of trauma-focused cognitive behavioral therapy (TF-CBT). Behavior therapy, 53(1), 64â79. https://doi.org/10.1016/j.beth.2021.06.001
Choi, K. R., Records, K., Low, L. K., Alhusen, J. L., Kenner, C., Bloch, J. R., Premji, S. S., Hannan, J., Anderson, C. M., Yeo, S., & Cynthia Logsdon, M. (2020). Promotion of maternal-infant mental health and trauma-informed care during the COVID-19 pandemic. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 49(5), 409â415. https://doi.org/10.1016/j.jogn.2020.07.004
Clark, C.A., Nadeem, E. Caregiver Factors in Childrenâs Trauma Treatment: A Review of the Literature. (2023). Child and Adolescent Social Work Journal, 40, 773â786. https://doi.org/10.1007/s10560-021-00812-6
Cole, P., Trexberg, K., & Schaffner, M. (2023). State of babies yearbook 2023. https://zerotothree.wpenginepowered.com/wp-content/uploads/2023/09/SOBY2023_Yearbook_Full_v4.pdf
Cruz, D., Lichten, M., Berg, K., & George, P. (2022). Developmental trauma: Conceptual framework, associated risks and comorbidities, and evaluation and treatment. Frontiers in Psychiatry, 13, 800687. https://doi.org/10.3389/fpsyt.2022.800687
Cudzik, M., Soroka, E., & Olajossy, M. (2019). Dissociative identity disorder as a wide range of defense mechanisms in children with a history of early childhood trauma. Current Problems of Psychiatry, 20(2), 117â129. https://doi.org/10.2478/cpp-2019-0006
Evans, K. E., Schmidt-Sane, M. M., Bender, A. E., Berg, K. A., & Holmes, M. R. (2022). Childrenâs exposure to intimate partner violence and acceptance or appraisals of IPV: A systematic review. Journal of Family Violence, 37(3), 1301â1319. https://doi.org/10.1007/s10896-021-00318-w
Fennig, M., & Denov, M. (2021). Interpreters working in mental health settings with refugees: An interdisciplinary scoping review. American Journal of Orthopsychiatry, 91(1), 50â65. https://doi.org/10.1037/ort0000518.supp (Supplemental)
Forkey, H., Szilagyi, M., Kelly, E. T., Duffee, J., The Council on Foster Care, Adoption, and Kinship Care, Council on Community Pediatrics, Council on Child Abuse and Neglect, & Committee on Psychosocial Aspects of Child and Family Health. (2021). Trauma-informed care. Pediatrics, 148(2), e2021052580. https://doi.org/10.1542/peds.2021-052580
Fredrickson, R. (2019). Trauma-informed care for infant and early childhood abuse. Journal of Aggression, Maltreatment & Trauma, 28(4), 389â406. https://doi.org/10.1080/10926771.2019.1601143
Healthcare Toolbox. (n.d.). Pediatric medical traumatic stress: What is culturally-sensitive trauma-informed pediatric care? Retrieved January 18, 2024, from https://www.healthcaretoolbox.org/cultural-considerations.
Huang, C. X., Halfon, N., Sastry, N., Chung, P. J., & Schickedanz, A. (2023). Positive childhood experiences and adult health outcomes. Pediatrics, 152(1), e2022060951. https://doi.org/10.1542/peds.2022-060951
Hung K. L. (2020). Pediatric abusive head trauma. Biomedical Journal, 43(3), 240â250. https://doi.org/10.1016/j.bj.2020.03.008
Irfan, N., Nair, A., Bhaskaran, J., Akter, M., & Watts, T. (2022). Review of the current knowledge of reactive attachment disorder. Cureus, 14(11), e31318. https://doi.org/10.7759/cureus.31318
Lahousen, T., Unterrainer, H. F., & Kapfhammer, H. P. (2019). Psychobiology of attachment and trauma-some general remarks from a clinical perspective. Frontiers in Psychiatry, 10, 914. https://doi.org/10.3389/fpsyt.2019.00914
Lekas, H. M., Pahl, K., & Fuller Lewis, C. (2020). Rethinking cultural competence: Shifting to cultural humility. Health services insights, 13, 1178632920970580.
Loveday, S., Hall, T., Constable, L., Paton, K., Sanci, L., Goldfeld, S., & Hiscock, H. (2022). Screening for adverse childhood experiences in children: A systematic review. Pediatrics, 149(2), e2021051884. https://doi.org/10.1542/peds.2021-051884
McGuire, A., Steele, R. G., & Singh, M. N. (2021). Systematic review on the application of trauma-focused cognitive behavioral therapy (tf-cbt) for preschool-aged children. Clinical Child and Family Psychology Review, 24(1), 20â37. https://doi.org/10.1007/s10567-020-00334-0
Naeem, N., Zanca, R. M., Weinstein, S., Urquieta, A., Sosa, A., Yu, B., & Sullivan, R. M. (2022). The neurobiology of infant attachment-trauma and disruption of parent-infant interactions. Frontiers in Behavioral Neuroscience, 16, 882464. https://doi.org/10.3389/fnbeh.2022.882464
National Child Traumatic Stress Network. (n.d.a). Screening and Assessment: Screening and Assessment Within Multiple Systems. Retrieved January 8, 2024, from https://www.nctsn.org/what-is-child-trauma/trauma-types/early-childhood-trauma/screening-and-assessment
National Child Traumatic Stress Network. (n.d.b). Trauma-informed care. Retrieved January 8, 2024, from https://www.nctsn.org/trauma-informed-care
National Child Traumatic Stress Network. (n.d.c). Resilience and child traumatic stress. Retrieved January 16, 2024, from https://www.nctsn.org/sites/default/files/resources/resilience_and_child_traumatic_stress.pdf
Parker, M. M., Hergenrather, K., Smelser, Q., & Kelly, C. T. (2021). Exploring child-centered play therapy and trauma: A systematic review of literature. International Journal of Play Therapy, 30(1), 2-13. https://doi.org/10.1037/pla0000136
Ryan, K., Lane, S. J., & Powers, D. (2017). A multidisciplinary model for treating complex trauma in early childhood. International Journal of Play Therapy, 26(2), 111.
Sleed, M., Slade, A., & Fonagy, P. (2020). Reflective Functioning on the Parent Development Interview: Validity and reliability in relation to socio-demographic factors. Attachment & Human Development, 22(3), 310-331.
Zero to Three. (2023). Safe babies. https://www.zerotothree.org/our-work/safebabies
Vanderzee, K. L., Sigel, B. A., Pemberton, J. R., & John, S. G. (2019). Treatments for Early Childhood Trauma: Decision Considerations for Clinicians. Journal of Child & Adolescent Trauma, 12(4), 515â528. https://doi.org/10.1007/s40653-018-0244-6
Vess, S. F., & Campbell, J. M. (2022). Parentâchild interaction therapy (PCIT) with families of children with autism spectrum disorder. Autism & Developmental Language Impairments, 7. https://doi.org/10.1177/23969415221140707
Vizard, E., Gray, J., & Bentovim, A. (2022). The impact of child maltreatment on the mental and physical health of child victims: a review of the evidence. BJPsych Advances, 28(1), 60-70. https://doi.org/10.1192/bja.2021.10
Woolgar, F., Garfield, H., Dalgleish, T., & Meiser-Stedman, R. (2022). Systematic review and meta-analysis: Prevalence of posttraumatic stress disorder in trauma-exposed preschool-aged children. Journal of the American Academy of Child & Adolescent Psychiatry, 61(3), 366-377. https://doi.org/10.1016/j.jaac.2021.05.026
Zero to Three. (2016). Diagnostic classification of mental health and developmental disorders of infancy and early childhood: DC: 0-5. Zero to Three the National Center. https://www.zerotothree.org/our-work/learn-professional-development/dc0-5-manual-and-training/
not naming any names but like 80% of this website does not understand how ocd works and i feel like that's because a lot of you guys have yet to properly comprehend that thinking about something and liking or condoning that thing are not the same thing at all. in the slightest.

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While âtalking about itâ can be helpful to some, itâs not up to anyone else to decide that someone needs to. Forcing survivors to talk about their trauma before theyâre ready can be traumatizing. Itâs not up to anyone but that survivor when they talk about their trauma and also which parts they talk about.
Bpd culture is just wanting them. Only them. Wanting them so bad that it hurts you to your core that they don't want you the same way. Always offering to go out with them, to do things together, but they never offer the same to you. It's buying them gifts without them even asking or mentioning because you see something that you know they would like and you want to buy it for them. But never getting that in return. Honestly, the funny thing about BPD is that I don't ever do nice things with the intention of getting them back, I only do it because I love them so so much. But the fact that they never think to do the same for me, must be because they don't love me as much.. right? Either way, it's torture, it's absolute hell :)
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Alexithymia sucks. This chart helps!
How are you feeling? You donât know? Me neither! So I look at this chart several times a day (got reminders set on my phone) to check in on how Iâm feeling throughout the day. Iâve been doing it for a few months, and itâs actually getting a lot easier to identify how Iâm feeling.
Pro tip: some people have to rely more on how their body feels to tell them what theyâre feeling emotionally. Work on trying to identify how certain emotions feel in your body. Work in broad strokes at first, before working on identifying more specific emotions. For example, try to notice how sad, happy, angry, and afraid feel. Where in your body do you feel them? What physical sensations go along with the emotions? Itâs different for everyone!
The more often you practice, the better youâll get at it. This is all straight from my therapist and itâs how Iâm finally feeling my feelings after years of dissociation.
ăâ˘ăSweetheart NPD / NPD sweetheartăđ
One who has NPD, & is (or presents as) very nice / kind! This may be for social points, supply, or any other reasons! This may have ties into cute things (lolita fashion, pink, sugary foods, etc)
ăâ For @coinfight 2024. Revenge on @rwuffles! Not a gender, 9 total points.
See, I would go outside and socialize more but apparently itâs strange and not socially acceptable to talk to âyourselfâ so-

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Homicidal Ideation
homicidal ideation is the term for having active thoughts about murdering others. these thoughts can be intrusive, however they can also often be voluntary.
misconceptions:
âpeople who have these thoughts either have killed someone or will kill someone in the futureâ - this is false. most people who have these thoughts usually have disordered behaviours (most commonly as a result of personality disorders) and struggle to find healthy ways to cope with their emotions, therefore provocation and stress can easily cause thoughts of inflicting harm onto others. this doesnât inherently mean these people are dangerous, nor does it mean that theyâre going to act upon these thoughts. most people who experience homicidal ideation never act on it and use it more as a way to process their distress/frustration internally.
âhaving these thoughts about people in your life means you canât possibly care for themâ - also false. caring for someone doesnât make them an exception to mental illness and it doesnât stop your mental illnesses from existing. to think that someoneâs love for you is only valid as long as theyâre not displaying traits of mental illness is unfair and is hugely misinformed. to love and be loved by someone who is mentally ill is to accept that they will display symptoms of their mental illness. you are not the exception and they do not love you any less by showing traits of being unwell.
âso you endorse murderâ - no. thatâs not at all what this means and if you seriously think this then your grasp of severe mental health issues is too limited to be commenting on such topics.
âyouâre evilâ - for being unwell? donât be a cunt. if you seriously think that having a disordered manner of processing emotions internally makes someone âevilâ then that sounds more like an issue with you being too sensitive and having a lack of understanding, not an issue with the mentally ill person experiencing these thoughts. donât make your inability to understand mental illness into someone elseâs problem.
as someone who does experience homicidal ideation, itâs also important to not make the mistake of assuming everyone who is mentally ill experiences these thoughts either. i had an anonymous ask earlier today that directly associated the fact iâm mentally unwell with murder and homicidal thoughts, to immediately make this assumption just because someone is mentally ill is disgusting.
No disorder is inherently evil.
No disorder is inherently abusive.
No disorder is inherently scary.
Stop generalizing folks with stigmatized disorders.