New OSDD diagnosis

wow was I shocked yesterday. I received a new OSDD diagnosis. I have posted in another thread that I found a new "part" please keep in mind my locations and my treatment providers and my definition of part is that its normal to have parts, that a person does not have to have any disorders to have parts. another word for parts is "roles" like I became a mother when I gave birth to my children. when I am dealing with things about my children its said I am in Mothering mode, mothering role or in the part of me that is mothering part.

well ever since discovering this normal "part " of myself everyone in all my online forums I am in except this one has been telling me things like …

"hey your an alter again"
"that's and alter you have DID"

and other harmful statements, rather than accepting the fact that this is just a normal human being part of me. I like to help people. while at the Y my child slid off my lap and like mothers do I went into to the pool to "rescue" my daughter in normal everyone has parts work this is called being in rescuer mode, being in rescuer part of me. no big deal right. but everywhere I go on the internet people are trying to claim this is an alter in me.

how many times do you see on the internet things like this where people and internet is diagnosing something completely normal as being a disorder before your mind starts questioning and believing. it

for me about a week. I went to my therapist questioning and fearing that I was becoming DID again. even though I know logically that for me this is impossible. I was so worried and upset about this that my treatment provider said to me....

you know that in October some new disorders and categories were added to the DSM by way of Supplemental Updates?

I said of course...

She said I think maybe we should think about that maybe this situation fits...

other specified disorder ….no diagnosis or condition
1 you are extremely worried about becoming DID again when its impossible

2 you are worried that this normal part of you is an alter that comes with a mental disorder

3 you are not presenting as an alter with DID, right now you are fully aware with no dissociative symptoms happening as we talk about this part of you. you didnt lose mental consciousness when being this normal part of you when you slid into the pool to rescue your daughter. you have full memory of that traumatic event,

4 my (the therapist is talking) observations of this during therapy is that you are not presenting as you did when your alters were not integrated.

5 you are a person that is active in the internet forums, I have seen how on this and that site they have tried to convince you this is an alter.

for all those reasons I think this Other Specified Dissociative Disorder - no diagnosis, no condition fits this situation, what do you think.

I had to agree, because I have such a huge fear of DID I bought in to maybe just maybe I was having mental disorders that I either do not have or wont ever have again...

I am very glad that in October 2018 "no diagnosis, no condition" was added to every disorder category. it so very much answered what I was going through and now my therapist and I can work on the fact that this part of me is normal and not a part of any of my existing mental disorders.

what does this mean over all? getting a "no disorder, no condition" diagnosis just says my fears of becoming DID again is not found to be true as in I am not DID again. it lets treatment providers know that this is an area that I am having a problem with (having anxiety over having a specific mental disorder category)

its like someone who has been in a hurricane is extremely distressed that they may be in a hurricane again, or someone who knows someone with cancer will be extremely afraid that they have cancer. or someone who is extremely afraid they may have a specific mental disorder....

sometimes people are so afraid and upset that they may have a specific mental disorder that it causes problems for them. now (since October 2018) theres a way to diagnose this problem.

now because one of my OSDD diagnosis's is OSDD - no disorder, no condition. my treatment provider and any that I may have in the future, understands that sometimes I will be having fears and anxiety over whether or not my problems are DID or not.

Each time I go through this fear of being afraid my DID is coming back my treatment provider must address the problem, actually diagnose whether my problem is DID related or not, if what ever fears I bring to her turns out to be not a disorder or condition my files will say so.

how does this affect my other diagnosis's.... all this does is gives a way to diagnose when someone is …………….afraid / having anxiety …….. over having a mental disorder no matter what the category....

example I am not diagnosed with autism but if I was having extreme fear and anxiety over whether or not I was autistic my treatment provider would have to go through the process of finding out whether I had autism, and if it turned out I did not I would receive the diagnosis of Autism Spectrum Disorder - no disorder no condition on my files and be told I do not have autism.

Every disorder now includes the diagnosis of no disorder, no condition.

I am very happy that this problem is recognized and is now a diagnostic label. so many times since integration I have had great anxiety and fear over whether or not this or that was an alter that we may have missed, whether or not I would unintegrated, all those illogical fears because of my having a past diagnosis of DID. now my treatment provider can work on my anxiety and fear about this past disorder of mine.

I'm really surprised to read these posts and that you fear becoming DID again.In your integration thread you made it seem/sound almost preposterous to consider that un-integration could happen. I took comfort in what you said and it eased my own fears about it happening.

I honestly didn't think you ever worried about being DID again.What you said in your integration thread really made sense to me.Sorry you do worry about it.

ETA: just realized/remembered you do have OSDD.I don't so maybe that's the difference?

I don't usually worry and fear being DID again, that's why I was shocked.

it is impossible for me to have all the alters that are integrated to become unintegrated with me again. like explained in that other thread all the different elements that created Rainy and who and what she was would have to line up perfectly again. since I am not that under 5 year old child with the same brain pathways, and no coping tools and undergoing that exact trauma she will never become a dissociated alter again. she is forever integrated together with my conscious personality as one whole personality.

my fear and worry was not in that those integrated were becoming unintegrated again. it was the freakish possibility that after 10 plus years that my treatment providers and I may have missed a couple caused by so many people online telling me that this normal part of me was an alter.

it was the situation where how many times does someone walk up to you and say to you that you did something, you know you didn't but every time you turn around someone says you did. how many times does this have to happen before you start questioning yourself and your behaviors, and whether or not that's part of one of your past diagnosis's or a diagnosis at all.

everywhere I turned people online in my other forums that I visit, were telling me this normal part of myself was an alter. After so many times over the course of a week this happening I naturally started questioning myself and building up into worry and fear.

I don't usually worry about becoming DID again because I do know that for me its impossible for my alters t become unintegrated for all the reasons posted in the other thread.

this was just internet induced fear and worry and as a result my treatment provider diagnosed me with a new OSDD disorder label that was added to the DSM 5 in October.

That's the bad thing about online forums,people giving their own thoughts and opinions without really knowing for sure.

That's something I have noticed on other forums,specifically dissociative disorder ones,other members making nearly everything about alters.Any thoughts,moods,impulses,urges,whatever, other members try to convince them it's not normal and is an alter or part of DID or other dissociative disorders.

On some forums you can read where new members are questioning whether they have alters and within a very short time they're discussing their alters and systems.And then they proceed to convince others that they too have alters.

Pretty scary if you ask me

I did more checking on this new dissociative disorder diagnosis label called (disorder category ) - No Disorder, No condition...

from what I can find on google and other avenues (my treatment providers and others) apparently since NOS labeling was discontinued insurance and treatment providers have been having a problem with how to treat and bill those that were presenting with disorders but not meeting the stricter diagnostics put in place in 2013.

therefore a new diagnosis was added to the DSM 5 in October 2018....
Other Mental Disorders - No disorder, No condition.

It is for any mental disorder where....

someone is clinically distressed about having a mental disorder that they do not have, this distress is affecting their life in some way (ie social, occupational or other important areas.)

Someone is presenting with mental disorder symptoms that do not meet the full diagnostics criteria for any mental disorders.

Someone who is presenting with mental disorder symptoms due to a medical problem but do not meet the full diagnostics for a mental disorder caused by a medical condition.

in other words it is the new version of the NOS labeling of the past with a twist. …

A name that no one wants, ( in order to prevent people from wanting to have the NOS disorders of the past, )

since NOS disorders were discontinued 2013 a person who comes in presenting with these now no longer existing disorder labels or disorders for which they do not meet the diagnostic criteria for will be told they have no disorder, no condition and their insurance will be given the no disorder, no condition coding and their files will reflect that they do not have a disorder / do not have a condition.

please keep in mind that diagnostics, symptoms and problems you find online may not be what those disorders are when you researching. treatment providers get periodic updates (supplemental Updates) that frequently change these things. example what you see about Dissociative Disorders symptoms and problems online may not actually be what it is today, tomorrow, a month or year from now.

now that there is this new disorder label called no disorder, no condition many who rely on the internet may end up with this label if they go according to the internet and not know what the standards for today are....

I mean, with out any researching I did not expect to get this diagnosis simply because I was distressed over whether or not we missed integrating one of my alters due to internet responses to my normal part of self. I can only imagine someone like my sibling going all out and convinced 100% of something and then be given a no disorder no condition diagnosis.

people wanted NOS disorders back and it is, same diagnostic criteria, better worded, more clearly named and defined for what it was and is....

other mental disorders - no disorder, no condition. for those that do not meet the full diagnostics and do not have a mental disorder.

if you have a NOS disorder of any kind you may want to talk with your treatment providers so that they can rediagnose your problems as being a disorder so that you don't get labeled with no disorder, no condition diagnosis now that this label has been added to the DSM 5.

yes I have seen that quite often a few dissociative forums out there, where they have turned into in my opinion pro disorder site where they reinforce and tell others to post as being their alters or get lost. they have an impossible amount of "alters" listed in their signatures. (bet they don't realize that there is an actual limit of how many alternate personalities a person with DID can have before a person is institutionalized until they are integrated. the brain has a limit to how a persons personality can be divided it, before its impossible to function coherently, physically and mentally, the amount is drastically different than what you see in these pro disorder sites.

on those other sites granted the admins and such cant be everywhere but after so many postings that remain, especially on sites where they do not delete any threads, everyone on those sites know the admins are not really doing their jobs and that BS postings wont get deleted so these pro disorder people know which sites they can get away with forcing others to post as alters instead of getting better.

Ive already sent the admins of those sites messages to let them know the dangers of what they are letting their members do to each other and where it could lead and also some state laws for various states that could affect their sites. I don't hold my breath for any major changes on those sites, so ….

I will be more careful about posting if at all, on those sites and more diligent on private messaging / emailing with those that are actually working toward healing /not dissociating, and actually over coming their problems, those that are on the same treatment plans and healing that I am on. get back to actually taking care of my problems rather than worrying endlessly on the same issue of whether or not this normal part of mine is an alter.

Interesting responses from the other sites where I disclosed what happened to me and that NOS labeling is back with a new name...

when I got online last night and this morning at each of the other forums the admins had messaged me back and people posted to my posts....

first the posts …….in general and para phrased so to ensure those members confidentiality...…..

most were upset that NOS was being called no disorder no condition. then they were diagnosed with a NOS their treatment providers didn't tell them that they were being diagnosed with not having a disorder. they were told "you have Disorder name NOS" things settled down after I told them to google their NOS disorder and they will see that nothing is changing, they have the symptoms and problems, just that they don't fit an actual diagnosis name. you may not have a disorder but you do have the problems and symptoms. and treatment for NOS was the same as treatment for the new name... work on the symptoms and problems.

nothing is changing... the only difference is the name NOS is now changed to Other Mental Disorder - No disorder, No condition.

many are choosing to remove the NOS from their profiles and signatures because now that they understand what NOS was and is, and that their treatment providers must immediately as of October 2018 change their NOS diagnosis's to the new name Other Mental Disorder - no disorder, no condition, most to many are opting for getting a retested so that their NOS disorders will be changed to an actual disorder name.

the messages to admins....

first of course they did their "apologies"

A couple sites said they are going to be more diligent on making sure their members understand coercing other members to conform to being an alter is wrong and in some states can be illegal and they want their members to understand that a person does not have to have DID or an alter to be a member of their sites.

most pointed out their disclaimers and placed blame me for buying in to what others told me time and time again that my normal part of self was an alter and to post as an alter.

then they said their job was not to impinge on others rights to free speech, if those people wanted to tell others they were alters, should post as alters or that others have a disorder that's their freedom of speech to do so.

then they said if I didn't want to conform to being an alter and posting as an alter I was free to leave their forums. which firms up my feelings that more and more forums out there are turning to disorder "want to be's" "role playing, pretending to be alters" and promoting their sites as "Pro Disorder sites"

I cant use actual other site names in my post due to this site doesn't promote other sites with the sole purpose of sending people to those sites.

what I can say is be careful out there...

tips that point to sites being pro disorder/ for fun and role playing, playing pretend to be a disorder sites...…

if anyone says to you....

you need to post as an alter,
you are an alter,
or other wise telling you what your own problems are called (otherwise known as making a diagnosis of your problems when they are not your own treatment providers,)

or that you need to list your alters in your signature and have so many listed.. (lets put it this way even Sybil which later was proven to be mostly a work of fiction wasn't functioning even close to normal with her televised 16 and most pro sites emulate popular movies for alters. there is an actual limit to how many ways and number of times a persons normal personality can be dissociated before they are unable to function coherently, physically and mentally let alone be able to post online, after a certain amount of dissociating a person can not function outside of a state mental hospital)

be very careful out there, its so easy to fall into this trap before you realize its happening, I never thought I would fall into this trap, and end up having this problem.

so whats the treatment for this used to be called NOS now called Other Mental Disorder - no disorder, no condition situation?

for me the first part of this is easy...……..figuring out how I ended up questioning and stressing out over whether or not this normal part of me was a left behind unintegrated alter,

now to work on what it actually is..... this situation is not a disorder, just symptoms and problems …

a normal part of me that tends to cause problems in my life lately through special therapies like CBT, parts work (otherwise called inner child work or IFS) to find out why I have this normal but problematic situation where I want to "rescue" people.

You must be a member of some sites I have never been to.I haven't seen any where they push someone to post as an alter.Or to name their alters in their signature.

Your posts are a learning lesson for those that read them. Mainly to be careful what you read,who you believe and trust your own judgment along with treatment providers.

I wouldn't be surprised if you were on some of the same sites that I am on and others that I am not on. such is the way of internet forum life. lol

like I said I cant use actual names of other sites on the boards but this problem is actually very common on internet forums. the difference is some sites like here the mods and admins are really good at making sure people follow the guidelines for posting and removing posts the likes of what I am talking about. and other sites don't, those that have rules / guidelines they also have a rule / guideline saying nothing on the site gets deleted except in very rare circumstances.

the main purpose of this thread was to explain what happened to me in case its happening to others and to inform everyone of the new NOS name so that anyone using NOS in their posts and profile and signatures will know what's going on when their treatment providers change their past "DDNOS" diagnosis's to ….. Other Mental Disorder - No Disorder, No Condition. it doesn't mean you don't have problems just means the problems are not a disorder or condition. they are problems and symptoms to work on. its quite a breath taker moment when your treatment providers say to you, this isn't a disorder just problems and symptoms that we need to work on, especially if you have been led to believe for many years DDNOS was a disorder like many on psych central have been led to believe and now its going to be called no disorder no condition labeling. same NOS diagnostic criteria just different name.

Its come to my attention on my other forums that I may have upset a few people with this bombshell that there is a new OSDD disorder or that OSDD diagnostics have changed..... posts are appearing on other forums that I am a member of pointing people to this thread of mine so I thought I would make sure people had an actual link to the new updates for the DSM 5 that are now in the public viewing area of the APA's website.

OSDD diagnostics have ………….Not...……………..changed, when diagnosed with OSDD you will still get diagnosed with OSDD- another mental disorder name that is on the treatment providers listing...………......if ……………...you still fit the full diagnostics for those Other Specified Dissociative Disorders like tachypsychia, macropsia, dissociative stupor, Microamnesia and others (theres lots of them)

for the disorder labeling which is different than having OSDD ………...Every...……….. mental disorder in the DSM 5 now has a new label …………..Added to it.

example you know how NOS was for every disorder in the book...………….bipolar NOS PTSD NOS, Dissociative Dsirders NOS....

well now ……………..EVery ......…….mental category in the book now has a diagnostic Label called

Other Mental Disorder - no disorder, no condition.. This label is not changing any mental disorder diagnostics. its a label all its own, by its self. it does not change anything other than gives people who do not fit a mental disorder diagnosis a name of their own. that's all it is. a new diagnosis label being added to the DSM 5.

you can not find this new "label" by doing a google search, You Can not find this new label in the DSM 5 located in your library.

the updates are called "Supplemental Updates October 2018" that is what you must search google for in order to find the new diagnostic label. Supplemental Updates are from the American Psychiatric Association. they have a treatment providers area where treatment providers are told updates, and when to put them in use and comment on them. then after a certain amount of time usually months to a year later the "Supplemental Updates go public.

if you want to read other supplemental updates just go to the American psychiatric associations website, and click on supplemental updates. there is a whole list of them archived there that are public viewing. the page is updated as the supplemental updates move from being treatment providers only board to the public viewing.

here is the link to the now public Supplemental Updates October 2018. the diagnostic label ……..…...Other Mental Disorder - no disorder no condition is on page 24.

https://psychiatryonline.org/pb-asse...ctober2018.pdf

for those using the ICD 10 and 11 this new diagnostic label is not new, the UK and other places the ICD have been using "no disorder no condition" labeling for over 10 years.

for those that cant click into the link this is what it says.....

Other Mental Disorders Addition of No Diagnosis or Condition [October 2018] (DSM-5: p. 707; Desk Reference: p. 341) As updated For related coding updates, see “October 1, 2018 ICD-10-CM Coding Updates in Detail,” under “Other Mental Disorders.” Reason for update The lack of the “no diagnosis” code in DSM-5 has created issues in healthcare systems where providers are obligated to bill using DSM-5 codes, and APA frequently receives inquiries about its omission. With the added code, providers will be able to indicate when they've conducted an evaluation and have identified that a patient’s clinical presentation does not meet criteria for a mental health diagnosis.

Chapter title page, title, p. 707 (Desk Reference, p. 341)

Other Mental Disorders and Additional Codes

Chapter title page, text, p. 707 (not applicable to Desk Reference)
Four disorders are included in this chapter: other specified mental disorder due to another medical condition; unspecified mental disorder due to another medical condition; other specified mental disorder; and unspecified mental disorder. Theseis residual categoriesy applyies to presentations in which symptoms characteristic of a mental disorder that cause clinically significant distress or impairment in social, occupational, or other important areas of functioning predominate but do not meet the full criteria for any other mental disorder in DSM-5. For other specified and unspecified mental disorders due to another medical condition, it must be established that the disturbance is caused by the physiological effects of another medical condition. If other specified and unspecified mental disorders are due to another medical condition, it is necessary to code and list the medical condition first (e.g., 042 [B20] HIV disease), followed by the other specified or unspecified mental disorder (use appropriate code). This chapter also includes an additional code, no diagnosis or condition, for situations in which the individual has been evaluated and it is determined that no mental disorder or condition is present.

if you read the text carefully you will see the diagnostic criteria for getting this new label is like I previously posted...…

it is for people who are showing symptoms and problems associated with mental disorders but do not meet the full diagnostics for a mental disorder

it is also for people who do not have any mental disorders at all.

example I used and why I was given this new diagnostic label was my non DID part...

I was worried about having a mental disorder that I no longer have due to my normal part of self called rescuer. (this fit in with this new diagnostic label for the second diagnostic... I do not at this time have DID, I have a past diagnosis of DID but not now since all my alters are integrated and have been for many years) this fear and anxiety over having a possible left over alter which turns out to be no disorder no condition.

to find out if you fit the new diagnostic label called Other Mental Disorder- no disorder, no condition you will need to contact your treatment providers to see if

A you are having symptoms and problems that do not fit the full diagnostics of a mental disorder

or B you do not have any mental disorder at all.

Again this does ………...Not...……...change anything about OSDD disorders.

like I keep saying it just gives your treatment providers a way to diagnose and label when you do not meet the full diagnostic criteria or when you don't have any mental disorder.

for those with NOS disorders if you look up the past diagnostics for NOS disorders you will see that NOS disorders and this new diagnostic label are one and the same, just with a new name.

example when DDNOS was ….one...… of my dissociative disorders this was the diagnostic description of it.....

Dissociative Disorder Not Otherwise Specified (NOS) is diagnosed when a person has certain symptoms of a dissociative disorder, but does not necessarily match the criteria completely for any one disorder. Dissociative Disorder NOS includes the loss of control over mental processes, awareness, memory, identity, personality, perception, physical connection to reality, et cetera.

Same thing as Other Mental Disorder - no disorder, no condition.

when they got rid of the diagnostic name of DDNOS all my DDNOS problems transferred over to being many different OSDD disorder names.

and now my treatment provider is going through my "symptoms and problems" and assessing where they fit if my symptoms and problems fit the full diagnostics for a mental disorder I will mental disorder labels and if we cone across a problem. symptom that does not fit the full diagnostics.. just like my normal part of self called rescuer, these normal problems and normal symptoms will be labeled Other Mental Disorder - No disorder, no condition.

My point is everyone is getting in an uproar over the simple fact that NOS diagnostics are back with a new name and because of the new name they are thinking their treatment providers are saying they don't have the problems and symptoms that they do, quite the opposite, this new label says a person ……….is...………...having problems and symptoms, the problems and symptoms just don't fit the full diagnostic criteria for a mental disorder.

@Betty_Banana - I remember earlier on in my treatment over a decade ago, I was bombarded with all of the different types of alters, as opposed to me being authentic me with parts and dissociative episodes (lost time). I didn't want to be influenced, but at the time I was, to be honest. I even was one of the ones who probably joined in and said a bunch of things you had mentioned. I can be guilty of that, even though I don't know anything other than my own experiences.

I agree with you. It's really important to speak with a therapist about these things - and a really good trained one at that.

It's hard to not share our thoughts on what someone else might be going through with their different parts or systems, or with their symptoms that are similar to DID, so I suppose that comes with the territory of being online and having similar symptoms.

It's scary to read a bunch of peer-reviewed articles as well, not just what information is provided in support groups. DID, its treatments, and its various diagnoses offered over the years are enough to bring about more confusion, fear, and stigma.