Pride

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Imagine you’re playing a first person video game. You have the controller, you control your character. It’s a normal first person game. You are an alter, the character is the body. This is fronting.

Other people live with you. Sometimes, they come into the room and sit and watch while you play. They sometimes try to guide you, give you advice on what to do next. They don’t always agree, and they can argue with each other. Other times they scream at you that you’re doing everything wrong and you suck at this game. This is co-consciousness.

Imagine how distracting it would be for people around you to tell you what to do, or to scream at each other or at you, even if they have good intentions. It wouldn’t be easy to focus on your game, would it?

Then sometimes, something happens in the game that prompts you to hand off the controller to someone else so they can play and you get a break. This is (some types of) switching. This can be good.

Other times, someone rips the controller out of your hand or fights you for it. This is (other types of) switching. And sometimes, six other players hook up their controllers, but there’s only one character to play as. So all of you have your controllers, but you’re all trying to play the same character. This is cofronting.

Imagine how difficult that would be. Imagine how hard it would be to try and play a game while someone is trying to take the controller from you, or while six other people are trying to play too.

There are also times that nobody is playing, or you can’t decide who should play. What’s happening to the character in the game? What are they doing if no one is playing? This is dissociation. The character is doing nothing. They’re stuck.

[TEXT ID: endos and supports please DNI and block this blog, we dont want endo posts on our dash]

[IMG ID: a beige coloured rectangular box with a red outline and an icon of an X to the left, with the text 'endo and supporters please DNI and block this blog, we don't want endo posts on our dash' to the right.]

–

REQUESTED BY: @shattered-system

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Shoutout to the systems that love being a system. The ones that love their headmates. The ones that are grateful that their headmates formed. The ones that have a good headspace structure and communication. The systems that feel invalid for loving their system.

you are valid.

transfem? you are a system.

transmasc? you are a system.

verbal trauma? you are a system.

programmed system? you are a system.

slowly healing? your a system

cant remember trauma? you are still a system.

ENDOS DNI. THIS ISNT 4 YOU.

No. You wouldn't notice a person with DID switch unless you payed very close attention. DID is made to be covert, showing obvious and visible signs of switching can be dangerous for the system. Most alters/parts learn to mask and blend in to make it less obvious. Parts with very different personalities and mannerisms try their best to learn how act as the host for the systems safety.

And here’s are twos more :3

•A story

•Why you follow me

•A cute message

•One thing you want to tell me

so, what are CDDs? complex dissociative disorders are dissociative disorders that occur with the presence of "alternate self states" - alters. this includes DID, OSDD1, P-DID & some presentations of UDD. in this post, i will cover quick overviews regarding the key differences between these complex dissociative disorders.

DID - DISSOCIATIVE IDENTITY DISORDER

likely the most well-known complex dissociative disorder, DID is classified by:

the existence of two or more distinct identity states (as said before, i will be referring to these as "alters") accompanied by changes in behaviour, memory & thinking.

dissociative amnesia, which includes both partial & complete episodes of memory loss.

DPDR that affects daily life & functioning.

the symptoms must not be caused by substance use or another medical condition, & must not be part of normal cultural or religious practices.

this is a summary of the diagnostic criteria for DID¹, however there may be many other features present as well. common phenomena include: alters taking control of the patient's body in turns, the existence of an "internal world", as well as comorbid C-PTSD symptoms (flashbacks, hypervigilance, etc).

NOTE: DID with polyfragmentation (sometimes called complex DID) will be discussed in a later post.

OSDD1 - OTHERWISE SPECIFIED DISSOCIATIVE DISORDER (TYPE 1)

OSDD1 as a diagnosis - previously called DDNOS (dissociative disorder not otherwise specified) - is given to patients who nearly fit the diagnostic criteria for DID, however they lack one of the criteria needed to make a DID diagnosis.

OSDD1, therefore, is a spectrum of experiences².

in the online CDD community, you may hear talk of two OSDD1 subtypes: OSDD1-a & OSDD1-b. these are community terms that describe two of the most common OSDD1 presentations. take note, not all OSDD1 cases will fit neatly into either of these subtypes, but many still find these labels important when describing their experiences. here is a short overview:

OSDD1-a: the lacking criterion comes in where i mentioned "distinct identity states". in OSDD1-a patients, their alters are separated by the amnesia barriers present in DID, however the individual alters are often very similar in identity. these alters tend to seem more like "modes" of the same person, rather than distinct individuals. an example would be a patient named sarah, whose alters could perhaps be describes as "angry sarah", "childlike sarah" & "happy sarah".

OSDD1-b: the lacking criterion here is the presence of amnesia. those with OSDD1-b do not experience dissociative amnesia.

P-DID - PARTIAL DISSOCIATIVE IDENTITY DISORDER

P-DID is quite different compared to other complex dissociative disorders in terms of how it presents! the disorder is (typically) classified as such:

there are no episodes of amnesia.

one identity state exists as the "dominant" consciousness.

the dominant identity is intruded upon by 1 or more non-dominant self states, who do not recurrently take full control of the patient's consciousness & body (however episodes thereof may occur occasionally).

P-DID³ is under-researched compared to DID & even OSDD1.

UDD - UNSPECIFIED DISSOCIATIVE DISORDER

the diagnosis of UDD is given to those whose symptoms do not neatly fit into the criteria of another dissociative disorder⁴, including complex dissociative disorders.

as such, those with UDD may or may not note the presence of alters. it will all depend on the individual experience of patients with UDD.

this diagnosis may also be made in emergencies, or when a clinician is not able to gather enough information to diagnose a more specified CDD/DD.

these are all of the recognised types of complex dissociative disorders!

i hope i was able to set out this information in a manner that makes sense to those both within the online CDD community, & those new to it. thank you for taking this time to educate yourself on these dissociative disorders! if you have any questions, my askbox is open.

POST AUTHOR: finn🍄 (he/it) | dazey🐛 (they/she) SOURCES: 1 | 2 | 3 | 4 DISCLAIMER: this post - alongside any other posts from @the-habitat-sysblog - is not a substitute for professional medical help. the DID ALTER EXPLAINS series is written with reference to the medical research of others, CDD community input & the author's personal experience.