• We are a multilingual website again. Read the notice about this.
  • Understand AI use at MyPTSD: all AI use is explained in our AI help page. AI use is by choice here. It exists if you want it, but does nothing unless you choose to use it.

C-ptsd Vs Ddnos Etc. ???s

Status
Not open for further replies.

7Cs

Gold Member
How is C Ptsd different from DDnos?

What are the differences?

How are emotional parts different from emotional flashbacks?

"Made" thoughts vs negative self talk or otherwise distorted thinking

"Made" actions vs emotional dysregulation causing behavioral issues

Emotions or thoughts blocked/ taken by "part" vs emotional numbing

Dissociative memory problems (not related to black outs) vs PTSD memory problems

Thanks for helping me figure all this out.

I'm planning to talk to T doc about this but I don't think she's very experienced with dissociative disorders so probably won't be able to answer these types of questions.
 
@7Cs - a clarification question: are you asking about the difference between cP...
Hi Joey,

Your right, DDNOS is no longer an actual dx... it was phased out in the new DSM. I believe it is OSDD now but I still use the old name. Kind of like mpd became did. :)

So I'm comparing complex ptsd (which is still more a theory and not an actual dx( to DDNOS/ OSDD.
There seems to be some overlap in symptomatology.

As far as I'm aware PTSD dissociative subtype is more for people with ptsd who also have depersonalization/ derealization rather than the fracturing found in ddnos and did. Correct me if I'm wrong. :)
 
@EveHarrington - OSDD is Other Specified Dissociative Disorder. The five types currently in the DSM 5 are
  • Dissociative Identity Disorder
  • Dissociative Amnesia/Fugure
  • Depresonalization/Derealization Disorder
  • Other Specified Dissociative Disorder
  • Unspecified Dissociative Disorder
(I'm writing all this out just so I can keep track of them in my head).

There seems to be some overlap in symptomatology.
I'm not sure there's much, to be honest. Are you thinking in diagnostic terms, specifically? Or more experience-based descriptions?

Edit to add: You might like this link - differences and similarities between CPTSD and DID
Scroll down to the section with the subheading Complex PTSD
 
Last edited:
@EveHarrington - OSDD is Other Specified Dissociative Disorder. The five types...
The link seems to support the idea of overlapping symptoms.

"many of Complex PTSD's symptoms and wider effects are listed in both the DSM-5's Additional Features Supporting Diagnosis and the Risk and Prognostic Factors sections for DID, and in the DID/DDNOS or Complex PTSD treatment guidelines. Dissociative Identity Disorder and Complex PTSD have many similarities, and certain symptoms or factors are common in both"

With this in mind, I'm still wondering about the symptoms "vs" symptoms in my original post.
Diagnostically and experience speaking...
 
There are various subtypes of OSDD and DDNOS - some that just aren't covered elsewhere and some that are essentially undiagnosed DID (which is where I think I'm at).

CPTSD is more about developmental trauma, if I understand correctly.

Lots of overlap, but it's also totally possible to have CPTSD and a dissociayive disorder. They aren't mutually exclusive.
 
How are emotional parts different from emotional flashbacks?
In any kind of flashback, a person is re-experiencing their trauma; it could be through any one of the senses, or more than one.
When you say 'emotional parts' - I'm not sure what you mean. Can you explain more?
 
I'm not quite sure what you mean by "emotional parts" except in the structural dissociation sense. SD is a way of understanding dissociative experiences (very cheap and short version!) in my understanding. I'm also not sure what you mean by "made" either?

Complex ptsd was developed as a way to explain why people who are exposed to chronic/long term trauma develop an additional set of symptoms to one-off events (eg car crash). This approach has evolved since cptsd was first coined in 1993.

As an example, chronic trauma, at whatever age (so not just csa, but also combat ptsd etc) tends to effect the way the victim sees the perpetrator as well as the victim's sense of their own identity. That tends not to happen with single-event trauma.

There's a whole cluster of symptoms like that, that seem to be caused by the different impact on the brain that chronic trauma has. The brain rewires itself to cope long term.

Dissociative stuff can be looked at seperately, and on top of, cptsd in this way. You tend to get dissociative features on top of your cptsd particularly if your trauma is during childhood, while the brain is still physically developing (although not exclusively so).

So people with cptsd may (or may not) have dissociative features on top of their cptsd (or as part of the whole big mess). That's where you start to look at the person's dissociative features, and place them somewhere on the spectrum from depersonalisation and derealisation right through to did.

At least, that's a summary of the way I understand it. Does that make sense of it at all? You have ptsd as your base, cptsd is you have the additional symptoms linked with chronic trauma. So you'd look at that symptom list and see what fits.

If you also experience dissociative features as well as those symtoms, you do a new and seperate assessment of those features, but they're on top of the cptsd. They're kind of like adding an extra serve of chilli sauce to your standard burger...kind of?!
 
I think "made" usually refers to thoughts, emotions or actions that don't seem to originate from you. So, if I don't mean to say something (but hear myself saying it with no idea or control of where it came from) that is a "made" action.

To me, these made thoughts, etc seem to point towards the more intense fragmentation of a dissociative disorder, not just CPTSD.
 
What an interesting question. I think some of the pairs you identify are, in practice, the same thing, but to me some are clearly different.

I'm in the UK, so I'm going to start with what will soon be our definitions, from ICD 11
Complex PTSD is defined as PTSD plus "1) severe and pervasive problems in affect regulation; 2) persistent beliefs about oneself as diminished, defeated or worthless, accompanied by deep and pervasive feelings of shame, guilt or failure related to the traumatic event; and 3) persistent difficulties in sustaining relationships and in feeling close to others" and
Complex Dissociative Intrusion Disorder is "two or more distinct, nonintegrated or incompletely integrated dissociative identities, each of which exhibits a distinct pattern of experiencing, interpreting, and relating to itself, others, and the world. One identity is dominant, but is persistently and recurrently intruded on by components (i.e., dissociative intrusions) of one or more other dissociative identities, although these do not take full control over the person’s consciousness and behaviour. These dissociative intrusions typically involve a combination of cognitive, affective, perceptual, sensory, motor, or behavioral features"

How are emotional parts different from emotional flashbacks? "Made" thoughts vs negative self talk or otherwise distorted thinking "Made" actions vs emotional dysregulation causing behavioural issues

To me an Emotional Part is the aspect of myself that holds the memories of the past,and is kept as much as possible at bay by the Apparently Normal Part, which is afraid of the things the EP holds, to the extent of being phobic of it, As @Ragdoll Circus says, that much is part of the theory of Structural Dissociation. It seems that when triggered the out of date experience of that EP pops through, in what ICD calls a dissociative intrusion. For me that can be an urgent desire to step in front of a van, a crippling conviction that I am worthless or equally can be the inability to see my current surroundings clearly or at all. I might just be aware of the loss of 3D vision, or I might see the wall or curtains of the past experience of the EP. I think all of these things are intrusions, or what can be defined as made thoughts or actions.

To me, there seems also to be a more constant negativity of thought and feeling, that is with me almost all the time, and that I think is what you are calling negative self talk and disregulation. Those seem to be part of the persistent beliefs, feelings and difficulties identified by ICD as part of complex PTSD. For me, it is easier to see how to tackle those persistent problems, because they are susceptible to logic, sustained care and restructuring of my mind. The intrusive bits are beyond me at the moment, but I hope I'll find a way through them too.

I do like a good definition, but pinning it down has only two uses - helping me understand more and fear less what is going on in my mind, and working out the way to deal with it all.
 
I think "made" usually refers to thoughts, emotions or actions that don't seem to originat...

Yes, This is what I mean by "made thoughts and actions".

How would this differ from impulsive actions? Or reactions to emotional dysregulation?
Would "made actions" be the kind that seem come out of nowhere (or with intense emotion) and are uncontrolled that are things you would never do. The kind that leave you immediately shocked about what just happened or what you just said?

I'm trying to sort this out as it pertains to me so I appreciate your feedback and thoughts on the matter!
 
Status
Not open for further replies.

Donation drives

2026 Donation Goal

Goal
$1,800.00
Earned
$910.00
This donation drive ends in
0 hours, 0 minutes, 0 seconds
  50.6%

Trending content

Featured content

Back
Top Bottom