Dissociation and Dissociative Disorder Mnemonics (Memorable Psychiatry Lecture)
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- เผยแพร่เมื่อ 20 มิ.ย. 2022
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Dissociative disorders (including dissociative amnesia, depersonalization-derealization disorder, and dissociative identity disorder or DID) are among the most confusing and poorly understood conditions in all of psychiatry. Part of this has to do with the fact that many healthcare providers have a hard time describing what dissociation even is! In this video, we will dive into the phenomenon of dissociation and then explore the 3 disorders that feature dissociation as a key part of the pathology.
Learn more about dissociative disorders, including their DSM diagnostic criteria, epidemiology, prognosis, and treatment, in this high-yield mnemonics-filled lecture intended for all healthcare providers, including doctors, medical students, psychologists, nurses, nurse practitioners, physician assistants, social workers, and more!
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Beauty Flow Kevin MacLeod (incompetech.com)
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After watching this video I originally left a snarky comment about DID and then went out to walk the dog. Your thoughtful and compassionate words stayed with me and when I got back I deleted the original comment and now I think I'll just say thank you.
Thank you for not being mean on this subject
Lol
It’s really sad k that be mad. I am too.
@@Narusasu98i second this comment. Snarky comments are painful for me as a trauma survivor who struggled so much with shame and even being able to accept the trauma and having this disorder at all. Really used to believe there was no hope for my life and that I was worthless due to having this. The suicide rate in DID is extremely high and I’ve always struggled with that too. Thanks for not being insensitive. I appreciate it a lot.
The content creator perhaps didn’t make a distinction between DID and dissociation disorder which have different symptoms and characteristics, but do have some overlap
I was a Kid who disasosiated his whole childhood as a result of trauma. I wake up at 4am every day now to spend time with myself doing meditation, reading, writing and studying topics that catch my interest, kinda like psychology, to truly find my true self and i gotta say, its not like ive fixed myself but i have truly found the map. Good luck to anyone struggling with this.
This is the way.
Go slow; be kind to yourself.
Healing is realising you were never sick in the first place. You don't have to be fixed because you were never broken. You experienced things or sensations that were really painfull or uncomfortable.
I think an example of a normal person's comission errors might be something like "I thought I wrote that down" or "I seem to remember doing the laundry but I guess I didn't." As someone who experiences dissociation, my comission errors are much more glaring and vivid. For example, I once became aware, out of nowhere, that a memory of sleeping with a certain person. I hadn't been drinking around that time, so blackouts weren't an option, and I didn't have any evidence to suggest that I had done it (like, it's not like I had woken up naked next to them). I simply just...remembered it. And I really wasn't sure if it had happened or not. I wasn't sure how to find out. It seemed weird to ask, "by the way, did I sleep with you ever?" so I just decided to wait until the next time we hung out and see if the vibe had shifted from the platonic vibe we had before, and it hadn't, so I concluded that I never did. Another very vivid false memory I had surfaced one day as I was getting ready to go to my job at walmart, where I was working at the time. Halfway through getting ready, I remembered that I had gotten fired, specifically for climbing on the shelves (to stock the higher shelves that I couldn't reach) and smoking in non-smoking areas. Both sounded like things I would do, so I looked through my text messages, and I hadn't TOLD anyone I had gotten fired, and something felt suspicious about it, so I decided to go to work anyway, just to be safe. I figured if I had been fired, they would just tell me, "hey, you don't work here anymore." So I clocked in as usual, and it turns out that I hadn't been fired after all.
When you said "the only thing it can really compare to is being briefly lightheaded," I'm assuming you left out the other comparable thing due to youtube censorship. But for most "regular" folks out there, it basically feels like being incredibly stoned, but less fun. It's that feeling where everything looks sort of...different...but you can't put your finger on exactly what's different about it. You feel kinda fuzzy. I also think of how the kids on Charlie Brown only experience interactions with adults as "wah wah wah woh wah wah". Obviously it doesn't sound like gibberish, but I often feel like I hear the words someone is saying, but I can't make out a meaning of them. If you wanna experience something like that, I'd recommend looking up "what english sounds like to foreigners," and watching one of those videos where actors basically make english-sounding nonsense dialogue, where words are out of order or made up. Think dyslexia, but with your ears. It's like listening to alphabet soup.
I have had some commission errors but I don't think I've got a dissociation disorder. I have a distinct memory of my mom finding old apples I had put under my bed because she kept packing them for lunches and I didn't like them. So I put them under my bed so I wouldn't get in trouble. But that memory can't be mine. I don't think my mom has ever packed me a lunch for school. I do remember me and my mom talking about it and she's saying I'm confused and I'd say I remember it. I'm 21 now this was when I was in elementary. Just thought it was cool learning about commission. Never heard that word and instantly thought of a few examples.
Im an individual with D.I.D, and this video is honestly very accurate and informative. DID or any other disorders similar to it can honestly- be really terrifying at times for both me and my alters. Im still a teenager, i have to go to school, i have 2 rabbits im fully responsible about, friends i have to hide my disorder from and a mentally abusive mother, it’s extremely difficult to live with this at my age. Theres too much misinformation about my disorder that makes others look at us like we’re freaks. Which news flash people! We aint. We’re just like anyone who is a singlet (singlet is a term for people who aren’t a system, meaning you dont have DID or OSDD-1a/1b) and we just want to heal and have a relatively normal life
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dont alters form until late 20s and early 30s??????
@@soso88884 alters usually form as early as 6 or 7, however most people do not notice until they’re in their mid 20s/late 30s
It’s entirely possible to be aware of your alters as a teenager/young adult though.
As someone with DID too, I absolutely agree!
@@soso88884nope, as early as ages 5-7
I've long described moments where I act in incoherence with my core beliefs and principles as "absences", moments where "I'm not there", where "I'm not aware of what I'm doing or that I'm constantly talking". It really hit me a couple of days ago and now I know that it's dissociation.
The best way I would describe it is kind of like in Severance. It's literally like that, my consciousness checks out in the elevator and only reconnects after the episode.
I would remember the general aspects (if I was talking, I'd remember the topic, but not the details of what I was saying). I also have no recollection of what happened right before the episode, how it started, etc.
I know general stress is a trigger. It also happens after being in freeze response.
Other than that, my social life is melting pot of rejection due to my misbehavior which I don't recollect in detail and I'm too afraid to ask because of the shame and guilt around those episodes that I can't control, which can generate stress and send me into another episode...
So instead of going into that spiral, I chose consciously to isolate myself for a while, because I can't bear the pain I'm causing to others as well as to me.
I've also taken some steps to get some help but it's the summer so everything is Slow and it'll take some time before it happens, so in the meantime, time off so that I don't do more damage...
Ps: I even get the eye twitch when I snap out of it
This is so incredible. This is the only video that accurately describes my symptoms. I worked it out for myself that I probably have DPDR. I was never diagnosed and didn’t mention it to any doctors. It has changed over the last 15 years and in the last 4-5 years, I experience alien blurry thoughts in my memory part of the brain. When these thoughts crop up, I’m concentrating so hard to recognise them, until I realise I actually don’t recognise them as my own. It’s very unpleasant but only last a few minutes. I suffered prolonged bullying in the workplace many years ago, which is when it started.
I remember in college I wrote a letter about how I felt like 4 different people. This video helped me make the connection that this was my DID.
I am diagnosed with dpdr but most likely have osdd-1b. (Cannot be classified as DID bc I do not have clear cases of blackouts) I was given anti seizure medication to help with my dissociation, which it actually does help a little, I think it ties pretty close to how similar dissociative episodes are to dissociative seizure. It's really interesting. But I am not going to lie, therapy did like 80% of the work. I do have to mention when I first started meds I was in time where I was under constant dissociative state. Where I wasn't mentally present majority of the time, graying out on a daily basis and amnisa in many parts of my past and it's been like this for majority of my life. Mayhaps that's why the meds worked lol. Thank you for this vid! Not alot of ppl talk about DID like that, since we love putting individuality towards alters and really seperate them apart from the host as their own person. And since it's so misinformed even in professional settings, my past therapist had dismissed my concern of my alters bc how they r triggered by emotions, she sees it as just "my way of regulating emotion by using 💫creativity💫" (mind you, im an adult already) or clinics who refused to take me when I raise concern about alters bc they think "DID is too severe to treat" (even though I don't even fit the criteria for it, they didn't care they just assume since I have alters it's automatically DID)
Thanks for your share. Much of your experiences are familiar. Interesting & great med has helped some. Take care. Best wishes.
I think the description of what it feels like to have DID was off; the video made it focus on emotional states more than anything but I experience it more with variety of thoughts desires and opinions as well as emotions and it literally feels like being a different person. However I like that you point out comorbidities being likely to cause the such dysfunction. I was a homeless addict and I attribute that more to depression/anxiety/trauma than to dissociation, and when I got sober and God gave me peace, I became able to function and contribute to society. If the other mood disorders were still affecting me and my parts the way it did before I could not function as highly as I do now. Glory to God for that.
Also treatment through therapy that focuses on communication between parts is very relevant and helpful since I have both parts with borderline tendencies and some hypersexual and some suicidal parfs and parts that are strictly Christian and believe those parts are rather sinful. Coming to an understanding that it was “not me” has resolved the anxiety about my behavior for the time being, while also motivating me to get these parts of myself the help they need . Instead of self-blame and shame , I can be proactive about recovery and work out whatever issues cause those parts to act out.
i had a relationship with a person who probably had dissociative identity condition, and never told me about it. during the first months od the relationship she was the most adorable person ever. then, i dont know why, she started changing. sometimes treating me like a stranger, avoiding me, humiliating me, blaming me for everything, talking to me with a different voice (kind of a robotic voice), different body language, like a different person. and she had to leave me for some weeks, saying things like "you control me, i need to take a break from you" etc etc
then came back and the whole process was repeated. so i started blaming myself, it was some kind of gaslighting, i was thinking: what a disgusting person i am, if this girl tells me she loves me for 2 weeks and then she starts hating me so much, she needs to leave for a while? am i so disgusting, a person can't handle being with me for more than 2 weeks at a time?
the whole relationship destroyed me psychologically, destroyed my self esteem and when she suddenly and cruelly ended the relationship and excluded me from her life forever, i experienced some sort of dissociative sympthoms too: like if i was nothing. i perceived myself as dark space in the endless dark space of the universe. it lasted for a while and it was devastating for my mental health.
now 2 months are gone and i feel a little better, i'm researching and learning as much as i can to understand what happened, and the most important thing: why she never told me about her condition, but she told me every kind of lie to hide it.
i hope my experience can be useful to see how it is to be "on the other side", and if someone else is experiencing or experienced the same situation, remember: it's not your fault. if you're doing nothing wrong to others, it's not your fault, even if they blame you. that's the most important thing to understand.
It's possible that your ex-girlfriend was unaware that she had DID and was acting out her trauma, which to her seemed normal. I have DID and after much work on myself can look back and see how my behavior to others was abusive. These were people who cared about me and probably just wanted a normal relationship with me. I hope you find some healing and your ex-girlfriend can face and heal from the original trauma that caused her DID. My brother and sister have never been able to face our family trauma so not everybody can face that core pain. Best wishes.
@@marcietownsend3635 she maybe didnt know exactly about DID, but she knew she had a disorder, she was having psychotherapy.
everything was hidden from me with lies, excuses, gaslighting etc
i guess she was taking medicines in the first months of the relationship, then she stopped taking them, chenged therapy and she became another person (still sometimes having her ups and downs, with weeks when she was again adorable and said she loved me, fueling my delusion that sooner or later everything would have been ok and amazing as it was in the first months)
Extreme behavior changes like that can be pretty prevalent in manic episodes, including speech pattern and accent. Just wanted to point that out, because it sounds cyclical from your description of your experience.
It would be good news for her, because there’s more evidence-based treatment for bipolar disorder (still really hard to treat though)
Sorry you went through that. I relate somewhat, and I know it’s hard to come back from.
@@ShakingSeventeen thanks for your answer, it makes perfect sense. i remember that the shift between personalities was very fast, matter of seconds after she was triggered. with a bipolar person i would expect this change to be more gradual... maybe it was the side effect of a severe Borderline disorder?
@@theMRflok My spouse was rapid cycling after taking antidepressants and would proclaim undying love for me, and also tell me I’d been gaslighting and abusing him throughout our whole life together in the same breath, and if I tried to get a word in at all, he’d become irate, and act in ways I’d never seen, even after 10 years. He was also in a state of psychosis though.
I remember thinking he must have borderline while we were still in the dark about his diagnosis, so maybe there’s a lot of overlap? I hope she gets the help she needs regardless, and that you live a happy, fulfilling life.
You're really great. These points are right on and helped me see more. keep going Wish I could support you more
I disassociated my entire childhood and I’m having the hardest time trying to reconcile everything. I always felt weird. Every so often I would stare at my hands because I felt like I was out of place. Even now sometimes I have to do a lot of grounding to bring myself back because I want to stay in my disassociation
I truly appreicate your videos they are a true savior fr, would you consider making videos on etiological theories of each disorder?
Thanks for a solid video with compassion and intelligence. Effective and researched treatment guidelines are available from ISSTD and Blue Knot organizations and deserve a mention.
Thank you for your very instructive videos. I've had some short episodes of depersonalization/derealization and it was terrifying.
The DID bit is WRONG! There are different alters that patients will experience as separate individuals not moods. They don't FEEL different because the patient is completely severed from the experiences of another alter in most cases. Alters often have different interests, their own name, tastes or abilities - these things are cut off from other alters. This seems to have been confused with BPD. Patients will describe different characters in their mind and lived experience. Please go and find a correct explanation, getting it wrong will hurt sufferers and leave many undiagnosed. He completely missednout OSDD, these patients are similar to DID but their existance means that these two disorders mean they are, combined, as common roughly as bipolar disorder. I have OSDD so I know this. These alters are often internal only, too, to are not shown though behaviour, such as alters chatting amongst themselves or talking to another alter who is fronting. Sometimes they don't talk they just share thoughts or feelings across the barrier and lots of other things. We are not separated moods! They reflect moods at times and respond to triggers but are not just someone having g extreme moods. And they aren't usually one mo etc to the next, they can be long switches or lo g periods I. The front. Oh there's so much and this video is damaging.
Makes me wonder if PTSD is part of this disorder. Like people who have it probably disassociate to protect themselves. I was in a narcissistic relationship and my memory was terrible. I also had issues retaining new information. Now I’m a year and 6 months out and my memory is getting better, but when I have episodes of triggers, I won’t remember much of what happens during this time. Maybe this sounds dumb, but I wonder if that’s why antidepressants don’t work for me.
It actually is classified in that category in DSM V. Which makes sense
CPTSD (complex ptsd) and dissociation nearly same or w/lots of overlap.
It goes hand in hand with CPTSD, which is caused by chronic childhood abuse. DID does not and cannot occur in a vacuum.
Trauma and dissociation overlap quite a bit although aren't one in the same, with stuff like derealization being able to happen outside of trauma while DID has no currently documented cases without also having trauma or PTSD symptoms. So it depends but in extreme cases yes PTSD is usually a component
When I would try to explain it to people they act like they don't know what I'm talking about. Things don't look real and distorted it's really frightening. When my husband beat me up. I went numb and pretty much blocked it out. I lost five years of memory at my job.
It's like only strangers online understand what we are going through and understand how we feel
Treatment should be helping people see how their symptoms are beneficial. Personally, I have a very in depth way of deconstructing perceptions in my mind and I DEFINITELY see disasociation as a solid cope. As a highly sensitive type it's important to protect my energy, stay guarded, tune out the world around me. I refer to myself as a professional overthinker cuz I get lost in my mind reframing experiences to learn many things about life. Autopilot. I can be totally engaged in the world around me and yet still maintain my essential level of detachment and the stamina this allows me to tap into is great. Even suggestibility can be a good thing. Be full of anxiety and look at a happy baby. Sooo I'm a huge proponent for cbt
Great now I have terminology for what I experience on a regular basis
well done! well said! hope this reaches and helps alot of people with DID
Nice one helped a lot
This video was somewhat superficial. You missed the most common type of memory problems, that is also classified as dissociative amnesia and is prevalent in chronic complex dissociative disorders (DID, DDNOS). Significant memory gaps for positive and neutral everyday events (not just traumatic ones), where information, usually of autobiographic/episodic nature suddenly becomes unavailable, especially under stress.
E.g if you work at a hospital and have ONE patient the previous day, and the next day (or even the same!) cannot remember if it was someone with lung cancer or a heart condition when you have to tell others about it. These are pathological dissociative memory problems. Then suddenly you remember everything and then forget again. Also, situations when you can't remember what you did a few minutes ago and start to do the same thing again, and people need to remind you. And people with real dissociative disorders need to write everything down, just everyday things that people seem to remember. This is very common for people with dissociative disorders and is also classified as dissociative amnesia. It's not only when you forget major things like where you were born etc.
Thanks for that comment!
Exceptional 🙏🏻
I’ve had dissociation for three years now day and night not ending and I’m so scared that I’ll never feel love for anyone. Meds have worked a little to make me forget it but not much. Mental health education is not very good in our country so it’s very difficult to find something that will actually help..
I have been hospitalized several times because of recurrent bouts of global retrograde amnesia. When my current memory returns (usually a day or so) i'm discharged. I really had no sense of who I was or memory details until I was in my 40s. It's like living in a constant fog, waiting for it to lift.
i really appreciate your videos!
Im in dissociation.thing is i never cared about reality in the sense that i have my own understanding of life somewhat defying logic or rational,but my problem is that i WAS connected to myself,somehow find meaning in all that was happening to me and transform it but now i am not connected to myself and somehow invested in the outside world.
Thank you very much! This Video describes my life perfectly fine
Erstmal abonniert 👌
i have diagnosed ADHD and autism and i experience comission and omission and light-headedness but i do not dissociate without inducing (looking at the centrain small object/direction with empty mind until white flashes were showing up and stopped which is a sign of dissociating started), i am inducing it because of me worrying of being bullied in school
Great video!
Is There is a temperature coefficient related to dissociation , especially derealisation and absorption, it happens more often when it is cold?
Is time perception altered as well?
Do people get extrasensory perceptions out of dissociation?
Can some people be enhanced or gain superhuman perceptions , as a side effect to dissociation? Like precognition, claircognisation, remote viewing, or mind reach.
Can a person with severe dissociation have memories that do not belong to him? Like remembering a place he had never been to, or having a proficient skill without knowing how he acquired that skill, or reading a book knowing he had already read this book?
Can such a person find himself lost, a 100 miles away, in a strange place, without knowing how he got there, in the course of 1 hour past the memory gap?
As someone who has dissociative disorder, I can answer these questions to the best of my knowledge.
1. There can be, especially severe temp change, since it puts your body and mind under stress. Just like how you feel like you can't think straight cause it too hot or too cold.
2. Time perception is def altered during a dissociative episode, time may feel longer or shorter than it actually is. It's actually a pretty common symptoms of dissociation.
3. I'm not too sure what you mean by this. But there can be outside distortion like how things appear to be further for closer, more blurry, or unrecognizable during dissociative episodes.
4. No, I don't believe you can or have I found clear evidences of cases where ppl gain super human power bc of dissociation. It is a disorder, not a superpower.
5. False memories happen, even with ppl who dont have dissociative disorder. So yes. For example, de ja vu. And with proficient skills, it can happen in ppl with severe dissociative disorder like DID where they have amnisa of ever learning such skills. Memory problems are a pretty big and common symptoms of dissociation/dissociative disorder.
6. There's a thing called dissociative fugue. Basically a person may wonder around and have no memory of how they got there, nor do they remember who they r during the episode, similar to blackouts. So yes, it's very possible someone can have dissociative fugue episode and came back an hour later not knowing where they r, it's not very common even with ppl who have DID to my knowledge. It happened to me only once under a very stressful time, good thing I didn't wonder far and don't think it was as long as like an hour(not sure how long though)
Hope this helps!
@@hhh-0000 thank you for your reply. My comment do not refer to me, rather it is my friend who suffers from a special condition. Your comment is very helpful. It is a relief to know that your friend is not the only one. I care for you, i wish life treat you kind. Take care.
@@yoramalon5273 I have DID and was programmed in a cult. For me, the body temperature change is a sign of the body going into shock from trauma - usually cold. In remembering alternate personalities, I went into past lives and those experiences enlarged my sense of self as a type of coping mechanism. Going onto the soul level makes one lifetime more manageable. I was also studying Yoga fulltime and the object of Yoga is to stop the conditioned mind. We detach from whatever we think is real and examine ourselves. In other words, i used a controlled form of dissociation to heal the dissociation caused by trauma. I used to go to a twelve-step group for Ritual Abuse and we used to joke that we should start a 1-900 line for psychic readings since we were all gifted in some spiritual way. Was it becaue we were abused or did the psychic gifts allow us to go into recovery since you need a spiritual base of some kind to face extreme abuse? I don't know but not everybody recovers. There are gifts in healing from this type of abuse.
So is dissociating the same as having a Dissociative seizure? Is DPDR a PNES
They are not exactly the same. PNES is considered to be a form of conversion disorder (also known as functional neurologic disorder) which is distinct from depersonalization-derealization disorder. However they both likely involve similar mechanisms in the brain, so they are related even if we classify them as different things!
Thanks❤️
Can CPTSD along side other disabilities such as OCD and ADD contribute to a person to be unfaithful and cheat in a dissociative episode?
Small comment Dr jekyl and Mr hyde wasn't meant to describe DID. In it Dr Jekyl doesnt just "disapear" he is still conscient and chooses to do horrendous things because he has a body to hide (pun intended) him from punishment.
I have DID and the video it's accurate af
i dissociate a lot and have absence seizures. i had to learn the difference to really manage both things well.
learning how to support myself through dissociation and then teaching others how to help me and help themselves was a huge breakthrough.
therapy started the process with tools for grounding myself through it but i didn’t really experience relief until i took ownership over that part of me as a protective mechanism and appreciated it for that.
i haven’t been diagnosed with DID, but it seems really familiar to my experience.
Do you have any tips for distinguishing between the two? Did you keep a journal? What is most distinct about each that someone should focus on when journaling experiences/symptoms?
@@chooseaname1423 i would say it’s two part: information gathering and expression for integration. expression could be written journaling, but i preferred to record voice notes on my phone. i think journaling or expression can be kinda circular though so i was always learning about things like reflective questioning of myself and learning about how other people describe their experiences of seizures and dissociation.
i think both are so unique to us individually that i probably wouldn’t have known i had seizures if i didn’t go and seek out resources and peer support on that. my mom has them but she has more convulsions and outward symptoms while mine are not so outwardly expressed.
i hope that helps! 💜
oh and for me, the most distinct difference is that i can slowly but surely pull myself out of dissociation while seizures i experience much more like a roller coaster i can’t stop lol. so i just like to test out my dissociation coping skills and i try not to panic when they aren’t effective. i also eat/smoke a lot of weed to manage my seizures.
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Goodness there was quite a bit of false Information 🤔... ecspacially the did part was not only false but laking. Please consider redoing this after more akkurat research🙏🏽
In a nutshell, there is more money to be made by the medical industry in treating a condition than in solving the problem outright.
Is thrre actually real evidence for this?
I feel the explanations given here are ambiguous. I don't know if they're metaphorical or literal it's a murky explanation.
Should include highway hypnosis as an example.
We all have a time where we remember getting in the car, then being at the destination with no recollection of driving therr
I have dissociation it sucks :D
Can I enter the contest #amfromEthiopia (Africa)
I was 16 when I married an abusive drug addict. Ever since then I feel like maybe I died and my soul is just still holding on. I feel like I’m not here.
I have experience when i was young i stare at words and letters so hard they turned into alien letters that i dont recognize.. once i also here whispers when i was so stressed while making a commission
Damn
Pretty dreary prognosis for 1% of us
Are you looking into a crystal ball or something. how did you know I was going to be dealing with people with this today.
Really, really good! The alters actually being memory lapses that feel so separated for the people that they actually feel like different identities makes so much sense.