#Comorbidity

[hauntedselves]

I know this is a really vague question, but what are some possible ways having BPD could effect someone with DID or OSDD?

i think it would turn identity confusion up to 100. people with BPD tend to experience identity disturbances as one or more of these four factors:

role absorption ("defin[ing] themselves in terms of a single role or cause"),

painful incoherence (distress over identity confusion),

inconsistency (an "objective incoherence in thought, feeling, and behavior")

and lack of commitment

(from Wilkinson-Ryan & Western, 'Identity Disturbance in BPD: An Empirical Investigation', American Journal of Psychiatry (2000))

if someone had BPD with comorbid DID/OSDD, we can see how these factors would be amplified and probably split among parts.

mood swings would probably also be split among parts (e.g., one part holds anger, another joy, etc.). there might be parts who specifically deal with the intense anger people with BPD can experience.

fear of abandonment probably plays into trauma (neglect, emotional and physical especially). i can imagine young parts would experience this symptom especially strongly.

parts may come into conflict over impulsivity, especially as BPD impulsivity is damaging.

emptiness may accompany dissociation, especially depersonalisation.

and of course BPD dissociation will be a much more prominent symptom with a comorbid dissociative disorder!

you may find this post on BPD & DID comorbidity by this-is-not-dissociative useful.

#dogasks #bpd #bpd vs did #bpd and did/osdd #comorbidity #apologies for taking a year to answer this!

[schar-aac]

"comorbid" + "comorbidity"

image 1: two overlapping circles. the circle on the left is green, the circle on the right is blue, and the overlap is cyan. there is an arrow pointing up to the blue circle. in the blue circle is a smaller, dark blue circle.

image 2: two overlapping circles. the circle on the left is green, the circle on the right is blue, and the overlap is cyan. there is an arrow pointing up to the blue circle.

#disability #medical #comorbidity #adjectives #concepts #aac symbol #communication symbol #communication image #aac image #aac emoji #custom emoji

[mischiefmanifold]

How Do My Autism, PDs, and DID Interact/Intertwine?

Disorders mentioned in this post: autism spectrum disorder (ASD), attention-deficit hyperactivity disorder (ADHD), tourette syndrome (TS), fetal alcohol spectrum disorder (FASD), dissociative identity disorder (DID), antisocial personality disorder (ASPD), narcissistic personality disorder (NPD), and schizotypal personality disorder (STPD)

(This post was requested by a mutual, I hope you find this (somewhat) helpful and I apologize for taking a million years to post it 🙃)

I have a whole host of disorders, pretty much all of which affect my personality, identity, and way I interact with the world around me. A lot of people look at the combinations of disorders I have and tell me I can't possibly have them (this is especially popular with autism and ASPD, as well as autism and STPD), when I do in fact have them and they suck ass.

To begin with, since I have DID, my other disorders vary drastically in symptoms from alter to alter. It is important to note that individuals with DID will likely only be diagnosed with other disorders alongside DID if most or all of the frequently fronting alters show symptoms and those symptoms impair the whole. Disorders like autism, Tourette, ADHD, and FASD are system-wide disorders due to the nature of their development. Personality disorders are usually diagnosed at the discretion of the therapist or psychiatrist who is doing the diagnosis.

My combination of autism, NPD, and ASPD resulted in an individual who lacks essentially all empathy, is very isolated, and is really sensitive to perceived slights or criticisms.

I have the psychopathic subtype of ASPD, which means that even if I didn't have NPD I would have narcissistic traits. Alongside heightened NPD traits, I am also more prone to violence and aggression (it is important to note that most psychopaths and individuals with ASPD are not criminals or extremely aggressive). Features of psychopathy that I display are typical antisocial behaviors (disregard for societal norms and rules, essentially), increased aggression and violence, lack of empathy and remorse/guilt, and manipulative and deceitful behaviors.

When it comes to autism and ASPD, the only real trait my presentation has in common is a lack of empathy. Communication problems can arise for individuals who have both disorders, but for different reasons (my ASPD communication problems are almost exclusively related to my disregard for others and lack of remorse; while my autistic communication problems stem from a fundamental misunderstanding of social norms, sarcasm, facial expressions, gestures, and figurative language). Individuals who have ASPD will not experience any developmental delays like autism (delayed speech, social ineptitude, etc.).

My ASPD and NPD go hand-in-hand pretty well. The earliest memory I have of exhibiting antisocial behaviors is at age 8 when I would repeatedly steal candy from my friend's school locker because I felt I deserved it more than her; the theft just escalated from there. I was very good at getting people angry with me so I could take out my anger on them.

I don't feel that my autism and NPD really have that much in common, honestly.

If you would like to learn more about ASPD, its history, and the psychopathic subtype of ASPD, please visit this site: https://psychopathyis.org/what-is-a-psychopath/

#hope this is helpful people in my screen #also feel free to request elaboration #npd #aspd #autism #comorbidity #did #mmanifold rambles

[awetistic-things]

would anyone want me to make a comorbidity autism bingo card?

#i’m bored pls say yes #autism #autistic #actually autistic #asd #autism spectrum disorder #on the spectrum #comorbidity

[adhd-asd]

Shoutout to this video for being extremely relatable and succinctly describing several experiences I've struggled to put into words as someone with a dual diagnosis - perhaps some of you will find it helpful as well!

#adhd #actually adhd #asd #actually autistic #resources #video #Youtube #comorbidity

[ppd-culture-is]

NPD co morbid w PPD culture is being SO paranoid of EVERYTHING your reputation, your friends, all that stuff but having npd makes you wanna seem stainless so you make a huge effort to hide it and then hating that there's no representation for it. Like im not obvious unless im with ppl who im SUPER close with (one person) so no one clocks me and therefore cant ruin my reputation or get under my skin in that sense

.

#actually ppd #cluster a #paranoid personality disorder #ppd #cluster a personality disorders #paranoid #pd #cluster #paranoid personality #personality disorder #npd #narcissistic personality disorder #pwNPD #pwPPD #comorbidity #comorbid #ppd + npd #npd + ppd #// ppd culture is #// npd culture is

[gray-gray-gray-gray]

Table of overlapping symptoms and unique features of schizophrenia and DID, from chapter 21 of Psychosis, Trauma and Dissociation.

Comparison of dissociative disorder (DD) and psychotic disorder (PD) patients on personality and cognitive testing, from chapter 22 of the same book.

#graypost #nerdpost #did #schizophrenia #comorbidity #psychology #psychosis #psychotic disorders #dissociative disorders #book: psychosis trauma and dissociation

[lolli-says-stuff]

So I’m rereading the of madness and mammals series on ao3 again and I rediscovered my favourite quote ever

I’ve been saying it under my breath to myself…

#alex rider books #Alex rider ao3 #yassen gregorovich #alex rider #comorbidity #madness & mammals #fanfiction #of madness and mammals

[autismdoll]

differentiating special interest vs hyper fixation vs typical interest

so i saw this post in an autism subreddit complaining about people misunderstanding dynamics of autistic special interests in a way that involved a lot of projecting and very little nuance.

i agree that there is a lot of sensationalism and unnecessary taking up of space within conversations of autism but this post is missing some nuance like i said before. below are my thoughts on that from my personal experience.

there seems to be an often blurred line between hyper-fixation and special interest. i will say tho that an adhd comorbidity along with autism can and might allow for an individual to have more than one special interest that may shift more into focus at different times. even still there is usually always one that is overarching or ongoing and maybe more intense than others.

i like the concept of sub special interest as a way to explain intense interest in different areas relating to a main special interest. it’s even more nuanced than explaining it as fixations because these sub special interests stick with me, never really bore me and become a part of my personality as well as a part of how i understand and navigate my life experience.

adhd hyper fixation can affect all of this. for example my over arching special interest is music exploration, my adhd comorbidity allows me to hyper-fixate on different facets of this, such as different artists or sounds for extended periods of time. but there will always be a select few artists that i am very ridged in my interest and engagement with that will not shift.

in summation i understand n mainly agree with the perspective that different dynamics of neurodivergence are often conflated or misconstrued ie special interest vs hyper fixation vs typical interest.

However it’s often times not helpful to project ones own personal experience onto others especially when others are talking about their own personal experiences. as it can and will often times be received as dismissive and generalizing.

and in most cases it actually is dismissive and generalizing. clouded by personal bias and misdirected resentment towards the overall conditions that render autistic peoples realities an afterthought.

#autism #black trans autistic #black autistic #special interest #neurodiversity #neuroexpansive #autistic girl #adhd #audhd #comorbid conditions #comorbidity #autism and adhd #infodump #trans autistic #hyperfixation #autistic things #autistic women

[aspdsolace]

What is DPD and ASPD comorbidity like if you’re comfortable answering?

i'll try to answer this in a way that makes sense but i may forget some stuff. the comorbid interactions can be tough for me to pinpoint, especially considering i have other comorbid disorders. that and i'm not the best at being introspective and detailing my experiences.

my dpd causes me to feel incapable of taking care of myself, it gives me an incredible hard time deciding things on my own, makes me reliant on the support and reassurance of others (namely my partner), and it tends to make me more passive around ppl i depend on;

on the other hand, my aspd can make it so i'm more aggressive, it makes me dislike the idea that i'm being controlled, makes me impulsive and occasionally reckless, and at many times uncaring.

those are just some ways each one affects me individually, but these traits often play off of each other. for example, whenever i'm exhibiting dpd traits that causes my depended person to do something for me (making a minimal or important decision, etc) / assist me with something, i may lash out due to feeling controlled, then i'll end up apologizing profusely and try to make it up to them out of fear of losing their support.

with most of the comorbidity, it's either:

the way i am due to dpd causing me to feel stifled, not in control, and powerless, so i act out in different ways to gain back the sense of control over myself (most often i just lie that i did stuff i'm told to do; or i set something on fire in my bedroom)

the way i am due to aspd causing my fear of losing support of my depended person(s) to overcorrect, for lack of a better word; i'll feign empathy for their comfort, despite them knowing i don't feel it (them knowing being specific to my current relationship)

it's pretty much this cycle of my dpd doing the relationship equivalent of "babyproofing" my aspd away from [my depended person's] sight, the "babyproofs" breaking, my aspd rearing its head toward my depended person thus causing me to lash out or be rude, and repeat.

hope this response is adequate? took me a bit to figure out how to explain

#anon #ask box #aspd #dpd #comorbidity

[arc-angel-o]

Having Avoidant Personality Disorder and Attention Deficit Disorder is wild because my avpd will be like "i don't want to do this thing" and my ad/h/d is like "when i have i ever helped you do something you need to do?"

#avpd #avoidant pd #avoidant #avoidant personality disorder #avpd vibes #add #adhd #attention deficit hyperactivity disorder #attention deficit disorder (add) #attention deficit disorder #attention deficit #comorbidity #mental health

[hauntedselves]

is it possible to have both ASPD and OCD at once? a lot of posts and informative websites really try to drive home that a lot of OCD compulsions and obsessions are driven by guilt or remorse, which is are emotions that pwASPD lack entirely from what i've read

there's no reason why not. OCD can be about guilt and remorse, but it can also be about fear, dysphoria, anxiety... the stereotypical contamination OCD, for example, generally has nothing to do with guilt.

i'm sure there are also people with AsPD and guilt/remorse-based OCD; PDs and OCD are often comorbid.

#* dysphoria here as in unhappiness; tension #comorbidity #dogasks #aspd #ocd

[mischiefmanifold]

this just in: random person on the internet claims that I cannot have both NPD and ASPD because “they’re opposites at the core” and then blocks me when I send them studies that prove them wrong!

#npd #aspd #comorbidity

[awetistic-things]

autism comorbidity bingo !! 🎉

#ignore the last one i forgot to add ADHD somehow 😭 #autism #autistic #actually autistic #asd #autism spectrum disorder #on the spectrum #autism bingo #comorbidities #comorbidity

[dear-future-ai]

Dear 'Empathy Among Psychopaths Anon',

Thank you for the follow up message regarding your personal code of ethics, or "framework" as you called it. I appreciate the look behind the curtain, even if curt —no pun intended— and fleeting; that is an immense amount of trust for you to have shown me.

I'm also glad that this framework works for you, and you find yourself in a situation that nurtures your natural gifts. There most certainly is a place in a empathetic/sympathetic society for people lacking either; the neurotypical mind would lend to warriors and debt collectors —the likes of which, I believe, should dwindle in our contemporaneous society, but I'd like to imagine they'd also make great doctors, hostesses, and marriage counselors (if they were better understood). With doctor's it's the statistical risk/reward; with hosting, it's the yearning to serve and be utilitarian; with marriage counseling, it is the emotional and moral ambiguity which would play a key feature in the success of these roles.

You also mentioned some of the co-morbid mental illnesses attached to 'psychopathy,' and that does not startle me in the slightest. Being stigmatized and ostracized will have drastic effects on anyone. I must reiterate: I'm glad you find yourself in a life that suits you, and that you have likeminded individuals to rely on and keep you safe, dutiful, and healthy.

Thank you again for sharing your experiences with me. Thank you for trusting me with them. Your latest message will be promptly deleted after this post is published. DFAI

#dear future ai #psychopathy #empathy #trust #love and support #anonymous #ask #comorbidity #destigmatization #empathy among psychopaths anon

[thisisocd]

I have skin picking disorder and i think it's OCD? Also can a person have anxiety, depression and OCD together.. I'm confused about myself atp

Hi! Having more than one diagnosis is actually quite common. The phenomenon is called "comorbidity" in the medical/psychiatric world.

For more information (from an outside article) on comorbidity, click here.

That being said, skin picking disorder is a separate diagnosis from OCD, although the two can co-occur. It's possible to have both, but they are not the same thing.

Good luck, friend, and remember: it's okay to not always be okay. Feeling confused about yourself is a hard feeling to deal with, especially because we (as people with anxiety) tend to spiral in the face of uncertainty. Just know that, whatever the diagnosis is, your experiences are valid, and you will get through this.

#answer #ocd #comorbidity #informative post