If You Need Me I’ll Be Collecting Bruises

On days you feel exhausted but frustrated because you feel like you haven’t done anything to be this tired, think about these things:

How longe since you’ve had a good night’s sleep? No nightmares, no waking up multiple times, actually going to bed early, not having insomnia, actually waking up feeling rested and ready to face the day?

How long has it been since you ate a properly nutritious and wholesome meal?

How long since you’ve taken a break from work without thinking about all the work you will have to do later?

Are you currently fighting any illness? Remember your body takes energy to recover.

Are you really “doing nothing” if you are constantly overthinking the fact you feel unproductive, if you are constantly stressed with the things you do and don’t do?

Have you had bad/no social interaction lately?

Are you in any physical or mental pain?

Are you taking care of everyone but yourself?

Does trying to live during a pandemic and world crisis brings you worry and stress?

Are you feeling anguish over all the burdens you have to carry but don’t seem to be able to do everything you feel like you should be doing?

Are you constantly worried? Anxious?

It doesn’t feel like you have been doing nothing now, does it? It feels like you have a lot going on that you have to deal with daily, even when you don’t consciously notice it. There is a lot of stress inducing factors around you and struggling is okay.

It is not easy to be human sometimes, so please, don’t pressure yourself so much when you are already trying to cope. If it feels like everything is too heavy, please ask for help.

Please take care of yourself. 🌱

For DID awareness day, I want to bring awareness to the vast spectrum of DID and OSDD symptoms. I feel like the symptoms of these disorders are often misunderstood. Many people assume that DID and OSDD are such extreme rollercoaster disorders when that’s usually not the case for any mental disorder! I’ve also seen others who believe that DID/OSDD are just having alters and not liking them–which is also not an accurate portrayal!

The DSM’s criteria of alters, amnesia, and distress/impairment aren’t meant to be taken at the surface level. These are very simple descriptors for a spectrum of experiences that are the hallmarks of the disorders. Besides that, there are many, many more symptoms that are very common. No two people with DID or OSDD are going to be exactly the same; I think that goes for any mental disorder.

Below, I’ve written up a non-exhaustive list of common symptoms in DID/OSDD. It’s important to know that many of these symptoms can overlap with other mental disorders. DID/OSDD symptoms are always unrelated to other medical conditions or non-disordered experiences, such as substance use or epilepsy. Furthermore, these are common but not required; a person does not need to experience all of these things to have DID/OSDD.

(PLEASE don’t use this list to diagnose yourself. Seek a professional if you are questioning a mental disorder!)

Common symptoms of DID/OSDD:

C-PTSD symptoms

Since DID/OSDD are more complex forms of PTSD, you or other alters might experience the symptoms of complex PTSD. Check this PDF for the symptoms of C-PTSD.

Memory gaps

You might find that your memory is unreliable. You might lose a lot of details or misremember the important bits.

You might have difficulty piecing together a coherent timeline of your life. You might struggle to retell what your childhood or adolescence was like.

You might have moments where you’re unable to remember important life events, such as the day you got married.

You might find that sometimes you can’t remember important information about yourself or about those closest to you. This could include things such as your name or who your family members are.

You might find that you sometimes forget well-learned skills, such as driving or a favorite hobby.

You may find that sometimes you can’t even remember more recent things, such as what you did today or what the last conversation you had was about.

You might have moments where you discover evidence of your memory gaps, such as text messages you don’t remember sending or purchases you don’t remember deliberating.

There might have been times when you ended up in a different place but could not remember how you got there.

Someone might have told you that you did or said something that you don’t recall.

You might have moments where you don’t even remember the times you have forgotten things. Because of this, you may feel like you don’t truly know how much memory loss you actually experience.

Depersonalization & derealization

You might experience moments where you don’t feel in control of what you’re saying or doing.

You might feel like your body is unrecognizable, unreal, or doesn’t reflect who you are.

Familiar places, objects, and people might suddenly become unfamiliar or detached to you. Alters might feel things like “those are the host’s parents, not mine.”

You might have moments where you feel like you are in a dream or a fog. 

There might be times when watching your surroundings seems no realer than watching a movie.

You might have moments where you feel unreal. You might feel like you are invisible, two-dimensional, or a robot.

You might feel numbed to or detached from your body parts, thoughts, emotions, sense of agency, or even your entire self. 

You might sometimes experience heightened or muted visual/auditory distortions with no medical cause, such as blurry vision, muffled sounds, or tunnel vision.

Sometimes might you feel like you are watching yourself, as if you are having an out of body experience.

Being an alter & having alters

You might feel confused or distressed because you do not identify with the things that people associate your whole identity with such as name, personality, opinions, or preferences.

You might feel confused or distressed because you do not identify with the same age, gender, or species as your body.

You might feel confused or distressed that your physical body does not reflect how you feel you should look.

There might be other alters who feel the same way above but differently from you, and this may also confuse and distress you.

You might not be able to access same skills, knowledge, or talents that other alters have.

Others might tell you that you sometimes act very differently, almost like different people.

You might hear voices, such as voices arguing or commenting on your actions.

There might be times when you experience intrusive thoughts, visual images, feelings, or urges that don’t actually belong to you but to another alter.

There might be times where your body seems to be moving and speaking on its own because another alter is controlling it.

You might have moments where you involuntarily switch to a vulnerable alter. Sometimes this may result in an unsafe or distressing situation.

There might be alters who are be unaware of other alters’ existence or refuse to believe so.

There might be alters who struggle to communicate with other alters or refuse to do so.

There might be alters who have suicidal thoughts, physically harm the body, or engage in risky behavior.

There might be alters who dislike or lash out at other alters within the system.

There might be alters who still carry onto memories, thoughts, feelings, or behaviors related to past trauma.

The alters within the system may have contradicting thoughts, preferences, and opinions.

You might sometimes have difficulty making cooperative decisions with your system because of conflicting desires, needs, and perceptions.

You might have episodes where you feel like you don’t know who you are, like you’re a combination of alters, or that you’re just not like yourself.

Somatoform dissociation

You might sometimes experience pain or sensations that don’t have a medical cause, such as “switching headaches.”

You might sometimes go catatonic or become paralyzed without a medical cause.

You might sometimes experience the loss of a physical function without a medical cause, such as your sight, hearing, speech, or feelings of hunger.

Sometimes, it might feel like you are numbing out pain or sensations.

You might experience other conditions without any medical cause, such as pseudoseizures.

Other symptoms

You might experience hallucinations or delusions, usually related to past trauma.

You might feel afraid or shamed of the possibility of others finding out your thoughts.

When someone asks you to describe who you are as a person, you might feel at a loss for what to say.

You might experience mood fluctuations or like your moods sometimes come out of the blue.

You might have difficulty being aware of your own symptoms or describing the severity of them. This might be because you have had them for so long that you are used to navigating life with these symptoms.

Disorders that are commonly comorbid with DID/OSDD:

Borderline personality disorder

Depression

Anxiety disorders

Substance abuse disorders

Eating disorders

Sleep disorders

Keep reading

You can't pick and choose which mental illnesses you support.

Yes, keep supporting people with autism and ADHD.

Keep supporting people with Depression and Anxiety.

But also support people with Schizophrenia and Dissociative Identity Disorder.

Also support people with ASPD and NPD.

Also support people with OCD and BPD.

There are so many more, and you should support these people with them.

They are struggling with these.

They did not choose to have these.

Unless you’re uncomfortable with them having number names continue let them using their number name. It’s not disrespectful and they’re not exclusive. It’s not like a close practice. How many singlets do you know with the name zero, I know, at least three. Unlike close practises number names are just something that happens. There’s lots of reasons for them to exist, yes RAMCOA is one but there is many more. Our Ramcoa support group had talked about this and basically everybody there and a lot of other people I’ve talk to have a greed that it’s not exclusive, so unless you’re uncomfortable continue using them. If people are giving you shit about this redirect them to like people like me or switch case. 

i have a bit of a question regarding using number names as a non-RAMCOA survivor.

we have alters and many fragments who have numbers for/instead of names. we’ve been questioning being RAMCOA survivors for a while, but ultimately decided to simply drop it as it was damaging us and our mental health more than anything, and it really isn’t something we should’ve been looking into at all in the first place without the help of a therapist. i personally (jay) don’t believe we’re a RAMCOA survivor, but many others in the system genuinely do and it’s not exactly a debate we can settle easily.

my question is, what do we do about these alters and fragments? we don’t actually know whether we’re a survivor or not. do we just not let them front, or force them to pick names (something we have tried, but made them extremely upset/uncomfortable because according to them they had names, which were their numbers)? none of them front very often anyways, but right now anytime any of them have fronted they’ve essentially just been told they can’t talk anywhere publicly. we’re really stuck on what to do. we know it’s disrespectful, but we also don’t have any idea for sure if we can use them or not, and like i said we’ve completely dropped trying to figure it out because of how both damaging and potentially dangerous it was. what do we do?

Something buried years ago lies burning still beneath the snow.

there's something in the woods

Things that don’t make you a bad person:

Displaying “scary” symptoms of mental illness

Being diagnosed with multiple disorders

Having one or various personality disorders

Being diagnosed with NPD, BPD, or ASPD

Having very low empathy, or no empathy

Having symptoms that cause anger, emptiness, or paranoia

Having triggers or “strange” personal boundaries

Needing extra help or accommodations

Having intrusive thoughts about upsetting or scary topics

hi! do u know anything about the term “childhood torture” vs general childhood abuse manipulation and gaslighting… and mind control vs manipulation and gaslighting? some people also say though who go through childhood torture are also automatic ramcoa victims but I’m unsure abt that? if it’s done by a family and not an organization would it still be ramcoa? or what exactly is sadistic or severe abuse vs regular abuse.. bc I see a lot of people specifying ramcoa as the most severe abuse or talking about “severe abuse/trauma” vs regular abuse ..

To be honest I do not think RA/OA is the "most severe abuse" nor do I think it is particularly conducive to rank abuse on that kind of scale. Yes some stuff is objectively pretty bad but I think framing RAMCOA as "the most severe" is the exact reason that so many people are suspecting they have RA or polyfragmentation: because they think that it would HAVE to be really bad if they are experiencing the things they are, when in reality whatever it is they experienced was clearly already really bad. (And since we're on this topic, being triggered by RAMCOA or other forms of extreme abuse does not mean you are a survivor. Even nonsurvivors get triggered by this)

Also again RAMCOA is not all equivalent. A trafficking survivor will not have the same experiences as a child soldier nor are their experiences now somehow equivalent. If we insist on using a scale like this then I would say if you are alive you have not experienced the worst thing, because most "worst things" to experience will kill you.

"Childhood torture" is not really a specific term, it is just a type of experience, similar to 'sexual abuse' or 'physical abuse'. It is torture you experienced in childhood, with no other requirements.

Torture can sometimes be conducted by a single individual, though it is difficult and will not be effective for any sort of psychological control. Torture conducted this way is not for any end goal but for the perpetrator's emotional release. So not every torture survivor is a RAMCOA survivor. Most of the time, torture does have an organized abuse component, for various reasons but the most glaring one being the amount of resources required to torture a person without anyone else finding out, which is why many torture survivors are RAMCOA survivors. Torture typically has both a physical and psychological component. Gaslighting is not torture. Manipulation is not torture. Gaslighting and manipulation can be a part of torture but there is kind of a big difference between something like waterboarding versus gaslighting. Legally, torture is very loosely defined but this is more due to the wide variety of methods people come up with in torture that courts want to be able to define as torture, not that torture is itself vague or difficult to differentiate. For example, forcing people to drink until they get water poisoning and slowly die is a documented form of torture. Which is a really weird thing to do and probably not something a court could come up with listing if they wanted to do a list of actions that qualify as torture. An example of psychological torture would be being forced to watch or participate in someone you love being tortured or killed.

The term severe sadistic abuse is really hard because it IS vague but there is not really a good way to term it without getting into details that can be triggering. Severe sadistic abuse in academic writings includes torture and terrorism survivors, and frequently cites the Holocaust as an example. If that gives you a good baseline idea of what the line is. I think when discussing academic terms it is important to remember that terms are created because they serve a function. If severe sadistic abuse was equivalent to gaslighting, manipulation, they would not have created the term because both emotional and psychological abuse already exist as terms. For example, gaslighting is only a term because it is not just lying but an explicit and intentional attempt to manipulate someone's perception of themselves and their reality and make them reliant on an abuser to tell what is true or not. If "lying" or "manipulation" fit then there would be no need for the term.

does RAMCOA always involve sexual abuse by default? We relate to some experiences of RAMCOA survivors but we don't feel sexual abuse was exactly the main focus of the abuse, in fact the sexual abuse we experienced was actually completely unrelated as far as we're away. feel free not to answer if you're not comfortable, we just can't seem to find a clear answer to this question anywhere.

100% No. CSA and SA are often a part of RAMCOA- a lot of people do experience it if they experience RAMCOA- however not a single one of the 3 types of abuse that it covers requires CSA/SA. We had this confusion ourselves for a while at first because we had no memory of CSA whatsoever- sadly we learned we were wrong on that front but even before we had learned we still were a RAMCOA survivor even without it. Hope this helps.