I have Other Specified Dissociative Disorder (OSDD) and the only difference in my case and DID is that I have not had dissociative amnesia. Basically, that means having no memory of a situation. I consider my disorder a gift because it protected my fragile child’s mind from the damaging effects of severe childhood sexual abuse. I chose to use DIssociative Identity Disorder (DID) because it is the most well-known of the dissociative disorders.
Because of the shifts in personality states, Dissociative Identity Disorder (DID) is sometimes confused with bipolar disorder. Personality states(alters) where one alter is depressed and one is in a good mood can sometimes confuse people. Especially,if they frequently alternate between the two. Remember that people with DID can also have a mood disorder like Bipolar I Disorder. I am using the DSM 5 but have altered the language to make it easier to read.
DID is characterized by the presence of two or more distinct personality states or an experience of possession and recurrent episodes of amnesia. Individuals with dissociative identity disorder
experience with repeat voices,dissociated actions and speech, and/or intrusive thoughts/emotions/impulses. Stress often causes a temporary worsening of dissociative symptoms that makes them more obvious. DID is associated with overwhelming experiences, traumatic events, and/or abuse occurring in childhood. The full disorder may first manifest at almost any age (from earliest childhood to late life).
Three terms used frequently with DID are depersonalization, derealization, and dissociative amnesia. Depersonalization is characterized by experiences of unreality or detachment from your mind, self, or body. Derealization includes experiences of unreality or detachment from your surroundings. Dissociative amnesia is the inability to recall autobiographical information such as name and birth date. This amnesia may be a specific event or a generalized period of time.
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|Dissociative Identity Disorder||Bipolar I Disorder|
Genetic and physiological:
|DSM 5 Criteria
|A. Disruption of identity characterized by two or more distinct personality states, which may be described in some cultures as an experience of possession. The disruption in
identity involves marked discontinuity in sense of self and sense of control, along with changes in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning. These signs and symptoms may be observed by others or reported by the individual.
B. Recurrent gaps in the recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting.
C. The symptoms cause clinically significant distress or difficulty functioning in social, occupational, or other important areas.
D. The disturbance is not a normal part of a broadly accepted cultural/religious practice.
In children, the symptoms are not better explained by imaginary playmates or other fantasy play.
E. The symptoms are not attributable to the physiological effects of a substance (e.g.blackouts or chaotic behavior during alcohol
intoxication) or another medical condition (e.g., complex partial seizures).
|For a diagnosis of bipolar I disorder, it is necessary to meet the following criteria A-D for a manic episode. At least one lifetime manic episode is required for the diagnosis of bipolar I disorder. No other mood episode is required for diagnosis.
Note: A full manic episode that emerges during antidepressant treatment but persists beyond the effect of that treatment is sufficient evidence for a manic episode
Major Depressive Episode:
A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous
functioning; at least one of this symptoms is either (1) depressed mood or (2) loss of interest or pleasure.
Note: Do not include symptoms that are clearly attributable to another medical condition.
1. Depressed mood most of the day, nearly every day
Note:In children and adolescents, can be irritable mood.
2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day.
3. Significant 5 % unintended weight loss/weight gain or change in appetite nearly every
Note:In children, consider failure to make expected weight gain.
4. Insomnia/ hypersomnia nearly every day.
5. Psychomotor agitation/ retardation nearly every day
6. Fatigue or loss of energy nearly every day.
7. Feelings of worthlessness or excessive or inappropriate guilt nearly every day
8. Diminished ability to think or concentrate, or indecisiveness, nearly every day
9. Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
B. The symptoms cause clinically significant distress or impairment
C. The episode is not caused by effects of a substance or another medical condition.
(Differences in Diagnosing Each Disorder)
People with DID are often misdiagnosed wtih Bipolar II disorder because of the shifts in personality states (alters). For instance, if an alter that is in a great mood is out for several days and then the person shifts to an alter with a depressed mood for several days can look like Bipolar Disorder. However, remember people with DID can also have Bipolar Disorder. It’s just more difficult to diagnose.
I am diagnosed with OSDD and Bipolar Disorder. I have two alters that were the same age, 9 years old. One is generally in a depressed mood and one is in a good mood. This definitely complicated diagnosis of Bipolar Disorder.
Thank you for reading my blog. Check out Borderline Personality Disorder versus Bipolar Disorder for more great reading. Leave comments, questions, and prayer requests below.