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Agree. There's nothing unusual about having a fear of rape after being sexually abused. Her claiming that this somehow represents blocked memories (without any indication from you that you're even concerned about this) is extremely irresponsible. This is how patients wind up with false memories.

Just be aware that desvenlafaxine has activity on CPY2D6, which can result in your serum levels of DXM being much greater than the dose that you actually take. This can increase the possibility of serotonin syndrome (which SNRIs including this one, can cause), so just be aware that given your...

You say you were diagnosed, but yet are requesting a formal diagnosis. So you haven't been diagnosed, some quack agreed with you after you kept pushing them on it. That isn't a diagnosis and it's why no VA will ever offer you benefits for this. Losing your job is not a criterion A event, period...

There is absolutely zero purpose to seeing this person again. They gaslit you over a ridiculous detail and kept pushing you despite a clear and completely unassailable request to stop. That's beyond a bad therapist. This behavior is clearly deliberate (there is no way it was a misunderstanding...

I do not. Auvelity is a combination of DXM and buproprion - which inhibits conversion to DXO (some of the DXM you ingest normally gets converted into DXO, which is what most benefits me. Thus I elect not to use buproprion concurrently), but potentiates DXM. So at least one antidepressant is...

Refer back to my original answers - they're the same. You're just asking the same question again: "but what if it is DID [since it's theoretically possible in this other hypothetical scenario I'm thinking about]?" 1) if it is, it's not going to change anything about your actual lived...

Yes, that's because engaging in compulsions alleviates the anxiety created from obsessions. It's the whole loop of OCD.

Then you don't have DID. Yes, it is. There is a normal spectrum of identity confusion and dissociation both - all humans have this to some degree, which isn't pathological. And then there are pathological versions which are pervasive and fixed - disorders like BPD, or SZPD, for example. This...

At the end of the day, whether you have a pathological dissociation of identity that meets the criteria for DID or not, your experiences are still going to be your experiences. I was diagnosed with DDNOS and for years believed that I had a sub-clinical presentation of DID, but I have also known...

Extremely skeptical, even DBS in patients where it is proven effective (like Parkinson's) carries pretty severe risks and an incidence of ~8%, which is not insignificant. PTSD has much better treatment alternatives with a much lower risk profile, like psilocybin therapy, that I would prefer the...

I was the golden child in our family dynamics. My mom was the scapegoat, my grandma has NPD diagnosed after she was so abusive to hospital staff where she was staying. This dynamic ended when she blamed me for putting her in hospital instead of moving in with her to care for her. I'm physically...

Well, where else would it be? I thought I had DDNOS for a long time and was misdiagnosed with it for years. I have dealt with structural internal systems since I was 4, due to prolonged solitary confinement in infancy/early childhood. Your experiences exist, regardless of the diagnosis. BPD and...

I used to be misdiagnosed as DDNOS, because of the whole structural thing I have. I decided to comment since you are talking more broadly and not about a specific diagnosis, but feel free to ignore if this isn't useful. These are symptoms, rather than diagnostic-by-symptom (having internal...

And I'm similar. The longer you go being mentally ill and having the same set of symptoms, the less concerned with diagnosis you eventually become. I still think it's stupid for him to refuse to diagnose his patient for an absurd reason, and I would argue that most of us who eventually move away...

I'm definitely not a fan of this. I would be wary of encouraging people to use this terminology as there is no clinical or scientific evidence to support its existence separate from Adjustment Disorder - which is the diagnosable disorder for events like this that cause disproportionate...

Honestly, @Friday's response about sums it up, for me. "I don't believe in diagnosis" is half-assed, especially if your patient is seeking diagnosis and treatment. Labels might be limiting, but they also rule out physical problems, make way for paperwork for disability applications, and qualify...

Ask him why he is working as a clinical psychologist if he "doesn't believe in diagnosis." How does he do insurance paperwork? You have to write something. You can't just "not believe in" a huge portion of your actual, literal job. Does he just write down "idk, pt is sad"? How can he not believe...

Disclosing you are disabled and requesting accommodation like this is a double-edged sword, unfortunately. Some places are like yup, we got it and will immediately sort out a rational plan to assist you. (Some may just do it for you without even the necessity for documented disability, even!)...

The simplest answer is that being groomed and abused at a young age (or even as an adult depending on the circumstances) changes your brain in ways we often cannot anticipate. Our brains can transform data like that into something tolerable via normalization. The more you experience abuse the...

Consent is somewhat irrelevant, as abuse can occur in both consensual and non-consensual relationships. But that's the point: something being casual is not inherently abusive unless abuse occurs. Casual sex isn't abusive on its own.

I'm speaking to you, not the OP, because you were the one making sweeping generalizations and putting casual sex on the same level as abuse or rape. Your personal opinions about it aren't relevant - you're free to prefer meaningful relationships, as is your right. The OP is speaking about his...

AM only - even low levels of DXM will make it difficult for you to sleep if you take it before bed. You should aim to take your last dose, if you break it up into 2 as done with Auvelity, at least 6 hours before going to sleep. I take 120mg once per day in the morning, and I weigh ~110-115 lbs...

I would caution you against this degree of distortion, since it is a result of your trauma and does not reflect reality for every person. Who defines "broken"? Why is consensual casual sex being put in the same category as abuse?

Generally, personality disorders are only diagnosed in adulthood as well. The only personality disorder that requires symptoms before the age of 15 is ASPD, actually. We actually have another diagnosis that occurs when one's identity and worldview vastly changes as a result of coercive control...

Yes, personality disorders aren't caused by PTSD. They're caused by genetic and environmental factors (just like PTSD is). They're often comorbid with PTSD because the factors that can cause them both often overlap, but you do not need a criterion A trauma as defined by PTSD, to develop a...