— TraumaDissociation (@TraumaDID) September 23, 2014
Other Specified Dissociative Disorder (OSDD)
Psychological trauma is caused by environmental stressors which is signified by the knife piercing the heart. By Kameal Leon-Ish
Other Specified Dissociative Disorder is diagnosed when symptoms characteristic of a dissociative disorder predominate, but the symptoms do not fully meet the criteria for any other dissociative disorder. Symptoms must cause clinically significant distress and/or impaired functioning in at least one major area of life (e.g. social, occupational, etc.). The clinician needs to record a reason why the symptoms do not fully meet the criteria for another dissociative disorder, four presentations are described to aid diagnosis.:306-307
This was formally the DDNOS (dissociative disorder not otherwise specified) category, and many who had this diagnosis now have a diagnosis of dissociative identity disorder if they do experience time-loss (amnesia) and report this to their therapist. :158
As with all dissociative disorders, the condition must cause “clinically significant distress” and/or “impaired functioning in social, occupational, or other significant areas of life must predominate”. The clinician must record a reason for this giving diagnosis. :158
Example presentations include:Chronic and recurrent syndromes of mixed dissociative symptoms. This category includes identity disturbance association with less than marked discontinuities in sense of self and agency, or alterations of identity or episodes of possession in an individual who reports no dissociative amnesia.
Identity disturbance due to prolonged and intense coercive persuasion: Individuals who have been subjected to intense coercive persuasion may present with prolonged changes in, or conscious questions of their identity.
Acute dissociative reactions to stressful events, these can last between a few hours and a month and may include a variety of dissociative symptoms such as micro-amnesias and depersonalization.
Dissociative trance: characterized by an acute narrowing or complete loss of awareness of immediate surroundings that manifest as profound unresponsiveness or insensitivity to environmental stimuli. May may be accompanied by minor stereotyped behaviors of which the individual is unaware and/or that he or she cannot control, as well as transient paralysis or loss of consciousness. The dissociative trance is not a normal part of a broadly accepted collective cultural or religious practice.