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Its easier for physical/mental health providers to blame the patient for faking than to accept that the system they are a part of is inherently flawed and that people are constantly falling through the cracks.
My dad says slurs to get a "rise" out of me. He said that if I provided that he did it to bother me that you all would see it as justified. Im losing my mind.
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I’d like to take this time to remind everyone that self diagnosis is valid. One because we are living in fucking fascism and many people either don’t have health insurance or if they do, can’t afford to go to the doctor. We spent over sixty fucking dollars on groceries just for ourselves, one body, the other week. That’s nearly double what we were paying two years ago. Demanding everyone go get a diagnosis is so fucking classist.
Two, we’re a prime fucking example that self diagnosis can be right. We suspected for years and got involved in the system community and faced tons of backlash and people being terrible, just to finally get insurance and seek medical help for it and be told by our mental health team that we have DID. We were right. We always had been. Our roadblock was just the fucked up system.
Mental health professionals are fucking human and can be fucking biased. As someone who works in mental health, everyone in this line of work is either fantastic or literally the spawn of Satan and there’s no in between. Some people get into it for a manipulative power kick. Some people genuinely don’t care about doing their job and don’t want to be scrutinized by colleagues and supervisors and don’t care what that means for you, being ignored and unhelped and very potentially misdiagnosed and improperly medicated, which can be dangerous and highly traumatic.
Are you going to foot the bill of people going to get help? Are you going to network for good therapists, psychiatrists, and psychologists? Are you going to comfort them after they have a bad session? Are you going to even hear them out?
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I follow this lady on instagram who rescues cats, and i have been thinking about this video for literal months. behold the transformation of this wretched little beast
Long post // Information brought up by commenters at the bottom
So ive said this before but neither the ICD-11 or the DSM-V-TR requires a presence of trauma. Can trauma cause dissociation? Yes! Is it the only cause? No!
Lets look at what it says.
Diagnostic Requirements
Essential Features:
. Disruption of identity characterized by the presence of two or more distinct personality states (dissociative identities), involving marked discontinuities in the sense of self and agency. Each personality state includes its own pattern of experiencing, perceiving, conceiving, and relating to self, the body, and the environment.
• At least two distinct personality states recurrently take executive control of the individual's consciousness and functioning in interacting with others or with the environment, such as in the performance of specific aspects of daily life (e.g,parenting, work), or in response to specific situations (e.g., those that are perceived as threatening).
• Changes in personality state are accompanied by related alterations in sensation, perception, affect, cognition, memory, motor control and behaviour. There are typically episodes of amnesia inconsistent with ordinary forgetting, which may be severe.
• The symptoms are notbetter accounted for by another mental disorder (e.g., Schizophrenia or Other Primary Psychotic Disorder).
• The symptoms are not due to the effects of a substance or medication on the central nervous system, including withdrawal effects (e.g., blackouts or chaotic behaviour during substance intoxication) and are not due to a Disease of the Nervous System (e.g,complex partial seizures) or to a Sleep-Wake disorder (e.g., symptoms occur during hypnagogic or hypnopompic states)
• The symptoms result in significant impairment inpersonal, family, social, educational, occupational or other important areas of functioning. lf functioning is maintained, it is only through significant additional effort.
Additional Clinical Features:
• Alternation between distinct personality states is not always associated with amnesia. That is, one personality state may have awareness and recollection of the activities of another personality state during a particular episode.
However, substantial episodes of amnesia are typically present at some point during the course of the disorder.
• In individuals with Dissociative Identity Disorder, it is common for one personality state to be 'intruded upon' by aspects of other non-dominant, alternate personality states without their taking executive control, as in Partial Dissociative Identity Disorder. These intrusions may involve a range of features, including cognitive (intruding thoughts), affective (intruding affects such as fear, anger, or shame), perceptual (e.g., intruding voices or fleeting visual perceptions), sensory (e.g., intruding sensations such as being touched, pain, or altered perceived size of the body or of part of the body), motor (e.g., involuntary movements of an arm and hand), and behavioural (e.g., an action that lacks a sense of agency or ownership).
The personality state that is intruded upon in this way commonly experiences the intrusions as aversive, and may or may not realize that the intrusions relate to features of other personality states.
• Dissociative Identity Disorder is commonly associated with serious or chronic traumatic life events, including physical, sexual, or emotional abuse.
As you can see, only the last additional criteria speaks about trauma and it states that its "commonly associated with trauma". It doesnt say that it causes it. Because we dont know what causes it.
But what does the DSM-V-TR say?
It mentions trauma but its saying that one symptom of amnesia is forgetting trauma. No where here does it state that trauma is part of the criteria. So you dont have to have trauma to have DID.
Its also stated the other kinds of disorders that would not qualify as DID including Possessive Trance disorder or Schizoaffective. This already in itself suggests plurality exists outside of DID and trauma. Plurality/Multiplicity is not synonymous with DID. Its an umbrella term that means the experience of being more than one. DID fits under that but isnt the same as it. DID is a disorder. This already suggests the existence of a non disordered forms of Dissociative Identity.
I hear a lot of antis say that its to include people who dont remember their trauma. So why would two different sources on it that doctors and psych reference not mention that trauma has to be present while having an associated disclaimer instead? Its a logic leap to get there and I dont really get why people are so insistent on excluding a group that has historically been left alone?
Istg this weird white western gentrified version of medicine is so fucking harmful to the people with disabilities and other minorities. Medicine barely includes women in studies. Why would you think that what is most recently written in the book is the one and only truth? Before America was "discovered" it still existed. Before penguins were seen and labeled, they still existed. Before we knew fossils existed, FOSSILS STILL EXISTED! Now we are treated like zoo animals by professionals. The information they gather is from an alienating position and you can tell most of psychology is used to disassociate from the disabled population. Genuinely how long has it been since we were put it torture facilities that experimented on us like rats?
So why would you ever assume that the opinions of a bunch of white able-bodied/able-minded people has more merit than someone experiencing it?
Newly discussed information (Updated 5/16 6:58 CDT // GMT -5)
Structural dissociation ≠ dissociation
Structural dissociation isnt required to be valid as someone plural.
Trauma is an extremely specific term in the medical sphere and insurance would use that to their advantage if it was part of the criteria.
Fuck insurance companies all my homies hate insurance companies
Is narcissistic abuse is a valid term? (OPEN DISCUSSION)
I encourage disagreement so I can learn. Id like to know your opinions.
Theres levels of things. Someone can be a narcissist or self important and its not on a disordered level. Some are disordered and lets say that has 3 levels: mild, moderate, and severe. I think to be abusive you have to first be disordered. And i dont just mean this for narcissism. Any disordered behavioural pattern could be taken to a level of abusive like depression, anxiety, ocd, anything. I would say it overlaps with disordered but isnt a representation of disordered people.
Narcissistic is an adjective. Narcissistic abuse would be abuse that is influenced by the Narcissistic behaviour patterns. It doesnt make all Narcissists evil or abusive at their core. Abuse is a behaviour all on its own. To be a Narcissistic abuser, you have to be abusive.
I agree with the destigmatising of NPD and BPD due to them being connected to serial killers in past years. I dont think NPD or any PD causes a disregard for human life, safety, and sanity. Even when you lack empathy, you are still aware of the effects of your actions.
I dont think the issue is the people who have been abused using terms to help them describe what happened but rather a lack of education and normalisation of disabilities and disorders despite them being extremely common. I mean it really wasnt that long ago that people like you and me were put in disappointment rooms or sold or stuffed into lunatic asylums to rot. Narcissist was a term long before the diagnosis existed and has steadily stayed a term used over time. Honestly I think the disorders should just be renamed. I dont think
Again i want to hear opinions! I am not someone with NPD but i am someone abused by someone who had narcissistic tendencies and his abuse was centered around him not taking criticism and him criticising everyone else. He cant admit fault. Thay kind of junk. So please give imput! I want to be proven wrong. Please just try and keep it civil and remember that NPD doesnt make you an evil or abusive person. It doesnt even make the chance of being abusive higher. It doesnt you any less than someone without it.
The problem is that there are already sufficient words for abuse, like psychological, emotional, sexual, religious, organized, and physical, that do NOT conflate a heavily stigmatized disorder with the abuse.
We also think you misunderstand how PDs work and how pwPDs' worldviews and behavior may be as a result. Many pwPD(s) (including us!) do hold a disregard which is directly tied to the PD(s), and it does no good to ignore that. Regardless, once again, PDs are heavily stigmatized and used to justify abuse of pwPDs and people perceived to/told they have PDs by their abuser. More abusers qualify for no PDs than pwPDs also fall under abuser.
I have a BPD diagnosis. Disregard in the way im using it would mean an intentional decision to ignore. If you have issues and a disconnect with it, I feel like thats different than straight up ignoring it.
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Is narcissistic abuse is a valid term? (OPEN DISCUSSION)
Edit: I've come to the conclusion that while I understand a need for its use in a psychiatric or therapytic setting, its colloquial use is harmful. Even if im not using it collocquially, other people less educated may feel encouraged to use it. Limiting use would help reduce colloquial use therefore that is what i will do and what I suggest to others.
I encourage disagreement so I can learn. Id like to know your opinions.
Theres levels of things. Someone can be a narcissist or self important and its not on a disordered level. Some are disordered and lets say that has 3 levels: mild, moderate, and severe. I think to be abusive you have to first be disordered. And i dont just mean this for narcissism. Any disordered behavioural pattern could be taken to a level of abusive like depression, anxiety, ocd, anything. I would say it overlaps with disordered but isnt a representation of disordered people.
Narcissistic is an adjective. Narcissistic abuse would be abuse that is influenced by the Narcissistic behaviour patterns. It doesnt make all Narcissists evil or abusive at their core. Abuse is a behaviour all on its own. To be a Narcissistic abuser, you have to be abusive.
I agree with the destigmatising of NPD and BPD due to them being connected to serial killers in past years. I dont think NPD or any PD causes a disregard for human life, safety, and sanity. Even when you lack empathy, you are still aware of the effects of your actions.
I dont think the issue is the people who have been abused using terms to help them describe what happened but rather a lack of education and normalisation of disabilities and disorders despite them being extremely common. I mean it really wasnt that long ago that people like you and me were put in disappointment rooms or sold or stuffed into lunatic asylums to rot. Narcissist was a term long before the diagnosis existed and has steadily stayed a term used over time. Honestly I think the disorders should just be renamed. I dont think
Again i want to hear opinions! I am not someone with NPD but i am someone abused by someone who had narcissistic tendencies and his abuse was centered around him not taking criticism and him criticising everyone else. He cant admit fault. Thay kind of junk. So please give imput! I want to be proven wrong. Please just try and keep it civil and remember that NPD doesnt make you an evil or abusive person. It doesnt even make the chance of being abusive higher. It doesnt you any less than someone without it.
Why do doctors act like lie detectors and not doctors?
Im sorry, but why are we constantly looking for fakers upon first meeting instead of taking everyone seriously? What happened fo innocent until PROVEN guilty?