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flabberjabber@lemmy.world 5 days agoAdding to this, I recently learned that ADHD rejection sensitive dysphoria is actually often some kind of dissociative disorder on the OSDD/PTSD/DID spectrum.
It makes a lot of sense the more you think about it.
ADHDers are by and large, especially if not caught early and given adequate support as children, so much more likely to end up with trauma. And, OSDD is one of the most common ways trauma is dealt with by the brain, along with PTSD, BPD and much less commonly, DID.
So if you’re reading this and have ADHD and RSD, you might want to consider finding a therapist who specialises in dissociation and trauma; with specific specialisms in OSDD, PTSD and/or DID. It could do you the world of good.
sem@piefed.blahaj.zone 5 days ago
What do the acronyms mean? Help fill them out:
flabberjabber@lemmy.world 5 days ago
Sure thing:
OSDD: Other Specified Dissociative Disorder DID: Dissociative Identity Disorder (once called Multiple Personality Disorder) RSD: Rejection Sensitive Dysphoria
From the way I understand it, dissociative disorders sit on a spectrum. Some people have an intact identity, but dissociation/derealisation as a coping mechanism. That would be one end of the spectrum.
OSDD sits somewhere in the middle and has a couple of subtypes.
DID is the other end of the spectrum and is quite rare. It usually involves very very severe trauma sustained over a long period at a very early age. This is where multiple different people live in the same mind and can take over and “front”.
Heres a lengthy further musing if you’re interested friend:
spoiler
I find it most useful to see OSDD as emotional fragmentation of identity as a reaction to severe trauma that manifests as multiple parts of yourself that most consider to be a normal internal experience. Often as separate internal monologues representing different aspects of yourself. It’s my observation many ADHDers, especially ones diagnosed later in adulthood, talk about the many monologues in their minds, the radio playing, the intrusive thoughts they can’t control etc. It’s such a common trope. Some element of healthy internal talk is expected, but when it is intrusive and it comes with decreased ability, or memory loss, or anxiety and other weird symptoms (too numerous to list here), that’s when a dissociative disorder should be investigated. Many of us ADHDers assume rationally that these symptoms are just a manifestation of executive dysfunction within ADHD. That logic makes sense on the face of it. But if that were the case, it occurred to me to ask the question why so often these worrying symptoms get worse and more extreme with age? After all, ADHD is a genetic expression and a fixed thing, it’s not something that should worsen with age drastically; only St pace with natural age related cognitive decline. So I dug into it from a trauma perspective, and ended up getting therapy and with my therapists help realised that for many including myself, ADHDers end up with a dissociative disorder. The disorder sits on top of the ADHD and at first is a coping mechanism that to some degree works to manage the extreme emotions from the trauma we keep experiencing that we can’t process properly. But as we age and gain more and more trauma, and the older trauma festers behind the repression, it ends up causing more and more cognitive decline, loss of capability sense of self, fragmentation, numbing of emotions and a heap of problem too numerous to name here. I think it’s possible RSD itself doesn’t actually exist. I thought I had it, but it was all along trauma sitting on top of the ADHD. This approach to therapy hasn’t fixed my ADHD but it is making living with it a hell of a lot easier.
sem@piefed.blahaj.zone 5 days ago
Thank you, I have a lot of questions to ponder now, starting with, “have I dissociated?”