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Old 05-23-2020, 08:37 AM   #1
ColorlessGreenIdeas
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Default Diagnosing DID vs DDNOS

If one suspects DID or DDNOS how does one go about determining what to do next without a local professional to help?

When one looks at someone like Robert Oxnam, his DID completely hid well until in his 40s I believe.

For my part I suspect at least DDNOS, but after being forced to leave a specialist trauma therapist due to a boundary issue (in my view anyway) there's no one left to help with this kind of knowledge in the community that I have found yet.

Any ideas?

I wouldn't otherwise care, except in my analysis I am having a slow breakdown leading to frequent EP intrusions of excruciating inner pain, waking up in dead of night in agony, and fighting substance abuse as a poor and desperate remediation. So this state of affairs cannot persist.

I pretended to be a researcher to get the MID and took it myself, but I still am unsure of the results.

Any advice is more than welcome.
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Old 05-23-2020, 06:17 PM   #2
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Default Re: Diagnosing DID vs DDNOS

Quote:
Originally Posted by ColorlessGreenIdeas View Post
If one suspects DID or DDNOS how does one go about determining what to do next without a local professional to help?

When one looks at someone like Robert Oxnam, his DID completely hid well until in his 40s I believe.

For my part I suspect at least DDNOS, but after being forced to leave a specialist trauma therapist due to a boundary issue (in my view anyway) there's no one left to help with this kind of knowledge in the community that I have found yet.

Any ideas?

I wouldn't otherwise care, except in my analysis I am having a slow breakdown leading to frequent EP intrusions of excruciating inner pain, waking up in dead of night in agony, and fighting substance abuse as a poor and desperate remediation. So this state of affairs cannot persist.

I pretended to be a researcher to get the MID and took it myself, but I still am unsure of the results.

Any advice is more than welcome.
first thing you need to know is that if you look up in any actual diagnosis manuals used today by treatment providers you will see that there is no diagnosis.........label......called DDNOS.

what that means is anyone going to their treatment provider saying I have DDNOS they are going to question and most likely wonder why you are trying to diagnose your self with a mental disorder label that hasnt existed since 2013, and is now in 2020 called Other mental Disorder - No disorder, no condition.

in other words trying to diagnose your self with .........not........ having a mental disorder by saying you have mental disorder symptoms will get you looked at quite strangely and possibly not believed.

thats the difference and how to tell when one has a dissociative disorder vs when they dont have a dissociative disorder, when a person has a dissociative disorder all their symptoms/ problems add up to being a dissociative disorder vs when one has no disorder no condition all their problems / symptoms do .......not .........add up to having that disorder.

to understand this lets put it in something common...

how does a person know they have a cold or dont have a cold. if their doctor looks at them and their symptoms and problems and everything adds up to a cold they have a cold, if all their symptoms and problems dont add up to a cold they dont have a cold.

same thing with mental disorders. to find out if you have a mental disorder or do not have a mental disorder you contact a mental health treatment provider who gives you special tests then if all your problems add up to a dissociative disorder they will tell you which one, and if all your symptoms and problems do not add up to a dissociative disorder they will tell you that you have no disorder, no condition and mark your file as being no disorder no condition.

my suggestion call your doctors, tell them that you feel you may have either DID or Other mental disorder - no disorder no condition and they will tell you what you need to do to go through the actual diiagnosis for dissociative disorders.
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Old 05-23-2020, 10:38 PM   #3
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Default Re: Diagnosing DID vs DDNOS

Given that DID implies tertiary structural dissociation and DDNOS implies secondary structural dissociation then the terms are actually quite meaningful. (See van her Hart, Nijenhuis, & Steele)

Thanks for the reply, though. Much appreciated.

Last edited by atisketatasket; 05-24-2020 at 09:54 AM.. Reason: guidelines
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Old 05-24-2020, 02:31 PM   #4
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Default Re: Diagnosing DID vs DDNOS

Quote:
Originally Posted by ColorlessGreenIdeas View Post
Given that DID implies tertiary structural dissociation and DDNOS implies secondary structural dissociation then the terms are actually quite meaningful. (See van her Hart, Nijenhuis, & Steele)

Thanks for the reply, though. Much appreciated.
Im sorry but I did not realize you wanted to talk about mental health theories like structural dissociation theory.

in your original post you asked....

"If one suspects DID or DDNOS how does one go about determining what to do next without a local professional to help?"

many people when they are self diagnosing and researching end up self diagnosing with non existent mental disorders because they are not aware that the mental disorder they are thinking they have no longer exists.

I dont advocate for self diagnosing but since you may not have access to a treatment provider right now due to covid 19 rules and such I thought you might want to know that around the world there is no longer any mental disorder called DDNOS.

in your research of self diagnosing self treating, you may continue to find that disorder name because they dont take into consideration that things have changed in 2013.

DDNOS name was no more in 2013.
DDNOS name was changed in 2018
the new official name for DDNOS now is Other Mental Disorder - no disorder no condition.

they are both the same thing - that a person has symptoms and problems but not a mental disorder.

if you think you have DDNOS then you are self diagnosing / self treating
yourself with having no disorder no conditions.

if you are self diagnosing self treating for DID then you think you do have a mental disorder.

as for the structural dissociation I personally do not discuss theories online simply because some locations deal with diagnostic critera/ disorder names and other locations deal in theories which can lead to debates and fights, which .....many website forums..... have in recent years made rules against fighting and debating online to deal with facts in terms of diagnostics, not treatment theories.

good luck to you and please consider contacting a treatment provider and getting officially diagnosed as soon as things start opening up in your area .
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Old 05-27-2020, 05:52 PM   #5
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Default Re: Diagnosing DID vs DDNOS

Good grief, what on earth are you talking about? DDNOS - which was dissociative disorder not otherwise specified - has absolutely NOT been classified as "no disorder, no condition". What kind of misleading hogwash and level of "alternative facts" is that?
ColorlessGreenIdeas, I hear you about the structural dissociation. It sounds like you need some solid trauma therapy. If local help is unavailable you may be able to find some trauma-informed professional to help you online.
I am sure you have already looked this up and found out for yourself, but the DDNOS label has now been broken down into a different label and subset of labelling known as OSDD - other specified dissociative disorder. Nobody suddenly said that all those people who were diagnosed with DDNOS were suddenly now reassigned as having no disorder at all. Sheesh!
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Old 05-27-2020, 09:21 PM   #6
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Default Re: Diagnosing DID vs DDNOS

Quote:
Originally Posted by ColorlessGreenIdeas View Post
Given that DID implies tertiary structural dissociation and DDNOS implies secondary structural dissociation then the terms are actually quite meaningful. (See van her Hart, Nijenhuis, & Steele)

Thanks for the reply, though. Much appreciated.
here are a couple links for you.

the first one explains DDNOS stands for Dissociative Disorders Not Otherwise Specified. and that it means people showing problems and symptoms of dissociation that do not fit an actual dissociative disorder.

Dissociative disorder not otherwise specified - Wikipedia

if you further research you will find that this removal of DDNOS from the DSM 5 was a very heated discussion and in the news back in 2013 when the DSM 5 first came out and people realized that DDNOS was removed from the dsm 5 for many reasons, one being it became a catch all for anyone that was showing dissociative symptoms but they did not fit any of the other dissociative disorders.

the the second link explains the supplemental updating to the DSM 5 that happened in 2018 where they added the same diagnostic criteria as DDNOS back in to the DSM5 with a different and more accurate name.

other mental disorder no disorder no condition

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

as you can see in the link what I stated is almost word for word what the supplemental updating states by the american psychiatric association....it states it is for when a person is showing symptoms and problems but those problems do not add up to being a disorder.

when you get a mental health treatment provider here in america you can further discuss this labeling and changes as they pertain to america. here on psych central we have many people from the UK, and other locations that may go by different standards and such then we do here in america. your treatment providers here in america can explain more in detail since your location is here in america.
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Old 05-29-2020, 03:46 AM   #7
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Default Re: Diagnosing DID vs DDNOS

Sorry OP, but it is very annoying when people insist that incorrect information is correct. To be absolutely clear if you tell a professional you suspect you have ANY dissociative disorder, no competent mental health professional is going to wonder why you are trying to diagnose yourself with 'no disorder, no condition'. But I think you are actually smart enough to know that for yourself.
If you go to page 24 of the link the previous poster provided it is clearly highlighted for you. It says "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 condition or disorder is present." DDNOS, which stands for Dissociative DISORDER, Not Otherwise Specified, has absolutely not turned into "no condition, no disorder". They are completely separate codes and are not at all related to each other. The OSDD diagnostic label and its subsets successfully cover situations where DDNOS used to be applied.

The Wikipedia link supplied clearly states "DDNOS is the most common dissociative disorder and is diagnosed in 40% of dissociative disorder cases " and "Dissociative disorder not otherwise specified (DDNOS) is a mental health diagnosis for pathological dissociation that matches the DSM-5 criteria for a dissociative disorder, but does not fit the full criteria for any of the specifically identified subtypes..." Which is precisely why it was scrapped and replaced with OSDD and all its subtypes, which then allowed those cases of disorder and pathological dissociation to be classified.
NOT labelled as "no condition, no disorder".

Last edited by Amyjay; 05-29-2020 at 06:45 AM..
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Old 05-31-2020, 02:26 PM   #8
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Default Re: Diagnosing DID vs DDNOS

Quote:
Originally Posted by Amyjay View Post
Good grief, what on earth are you talking about? DDNOS - which was dissociative disorder not otherwise specified - has absolutely NOT been classified as "no disorder, no condition". What kind of misleading hogwash and level of "alternative facts" is that?
ColorlessGreenIdeas, I hear you about the structural dissociation. It sounds like you need some solid trauma therapy. If local help is unavailable you may be able to find some trauma-informed professional to help you online.
I am sure you have already looked this up and found out for yourself, but the DDNOS label has now been broken down into a different label and subset of labelling known as OSDD - other specified dissociative disorder. Nobody suddenly said that all those people who were diagnosed with DDNOS were suddenly now reassigned as having no disorder at all. Sheesh!
Good post, I agree

Grrrrrrrr
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Old 05-31-2020, 02:27 PM   #9
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Default Re: Diagnosing DID vs DDNOS

Quote:
Originally Posted by Amyjay View Post
Sorry OP, but it is very annoying when people insist that incorrect information is correct. To be absolutely clear if you tell a professional you suspect you have ANY dissociative disorder, no competent mental health professional is going to wonder why you are trying to diagnose yourself with 'no disorder, no condition'. But I think you are actually smart enough to know that for yourself.
If you go to page 24 of the link the previous poster provided it is clearly highlighted for you. It says "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 condition or disorder is present." DDNOS, which stands for Dissociative DISORDER, Not Otherwise Specified, has absolutely not turned into "no condition, no disorder". They are completely separate codes and are not at all related to each other. The OSDD diagnostic label and its subsets successfully cover situations where DDNOS used to be applied.

The Wikipedia link supplied clearly states "DDNOS is the most common dissociative disorder and is diagnosed in 40% of dissociative disorder cases " and "Dissociative disorder not otherwise specified (DDNOS) is a mental health diagnosis for pathological dissociation that matches the DSM-5 criteria for a dissociative disorder, but does not fit the full criteria for any of the specifically identified subtypes..." Which is precisely why it was scrapped and replaced with OSDD and all its subtypes, which then allowed those cases of disorder and pathological dissociation to be classified.
NOT labelled as "no condition, no disorder".
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