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amandalouise
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Default Jun 15, 2022 at 12:24 PM
  #1
This post may seem very long to some. I have purposely left spaces so that it's easier to understand. which gives the post the appearance of being very long when its actually half the size you see.

OSDD I have it what is it? I am hearing this alot over many websites. some are confused as they are on the new diagnosis labeling and others are still on the old diagnosis labeling system. good news. the confusion will end. there is always a 2 year grace period where treatment providers have to begin using the new standards, by the end of two years everyone will be on the same page with the DSM 5 TR ways.

More good news - understanding this disorder has just become more detailed but yet simplified for those with this problem.

Simplified, for people no longer have to hunt the internet to understand their disorder and find conflicting information.

The world is now on or moving into the DSM 5 TR, not the DSM 5. Some are starting this process by using the DSM 5 in conjunction with the DSM 5 TR as they get used to the new ways and new labeling system.

What's the difference? The TR. TR stands for "text Revised" the ..whole...DSM 5 has been updated, changed. Just about every diagnosis in the book has received some sort of change, be it wording, definitions, additions you name it. lots of changes.

lets use my present diagnosis for an example.

Most people on the internet would say to me "oh so you have OSDD1a or OSDD1b or whatever list of letters, number and a letter right". and I always say to them ....

no, I am not some prison inmate with a bunch of letters and numbers and letters. I am a human being who just happens to have OSDD- Macropsia. and people ask me what's that, never heard of that. then I end up having to explain and people think I'm strange because I actually understand what my problems are called in actual diagnostic terms unlike their view of the disorder. I have a great treatment team that doesnt throw letters and numbers and letter at me, they fully explain to me my diagnostic labels and what they mean.

Good news - Things around the world just got easier for many. I am no longer in the rare bunch of people who have treatment providers who actually take the time to talk about what their disorders are.

Like many do, when I got my DSM 5 TR book from the American Psychiatric Association the first thing I did was look up my disorders.

I have been officially diagnosed with through my psychiatrist and therapist with diagnostic testing. I was not questioning my disorder just acquainting myself with the fact that there is a new diagnostic manual out which means wording and labeling changes.

I was very impressed. The very first thing I saw when skimming the criteria box was -
...........

The Other Specified Dissociative Disorder category is used in situations in which the clinician chooses to communicate the specific reason that the presentation does not meet the criteria for any specific dissociative disorder, this is done by recording "Other Dissociative Disorder" followed by specific reason (e.g., "Dissociative Trance) quoted from DSM 5 TR page 347
........

Wow no more numbers and letters. there is no more diagnosis called OSDD1a, or OSDD1B or OSDD2 and so on and so forth. Wow is this going to rock the world.

Treatment providers ......Must ...... write and explain in actual ..........Words..... the diagnosis in a very clear and specific to their patients/ clients way.

no more misunderstandings or being treated like some prison inmate with letters, numbers and a letter labeling them.

I predict that many diagnosed with this disorder like I have been, are going to feel better about their self and having this disorder.

This is not the only change that happened to Other Specified Dissociative Disorder category. there are so many different ways a person can have Other Specified Dissociative Disorders now.

let me give you an example of what my diagnosis now looks like in the new way treatment providers are doing things since March 2022....

Other Specified Dissociative Disorder — Acute dissociative reactions to stressful events / Macropsia.

now isnt that something? It says so much more than what people on the internet used to call OSDD with a number and letter after the number.

the new diagnostic labeling tells me not only do I have Other Specified Dissociative Disorder, my diagnosis label also tells me the exact reason why I have this disorder — because I have reactions to stressful events. it also tells me, my specific other dissociative disorder name for my problem, that matches my dissociative symptoms. Macropsia which means when I have my dissociative symptoms I tend to feel smaller, and objects around me feel bigger.

I love it, its so clear and specific to what is happening to me when I have my dissociative symptoms.

Macropsia is just one of many dissociative disorders in the Other Specified Dissociative Disorder -Acute Dissociative reactions to stressful events section.

Here are some more you may soon hear about as word gets around that the DSM 5 ways are out and the DSM 5 TR diagnosis labeling is in.

Other Specified Dissociative Disorder — Acute dissociative reactions to stressful events / time slowing

Other Specified Dissociative Disorder — Acute dissociative reactions to stressful events / Micro amnesias

Other Specified Dissociative Disorder — Acute dissociative reactions to stressful events / Transient Stupor

Other Specified Dissociative Disorder — Acute Dissociative reactions to stressful events / Analgesia

Other Specified Dissociative Disorder — Acute Dissociative reactions to stressful events / paralysis

(they are all the same dissociative disorder category. all the same section in the dissociative disorder category then an individual problem label that defines the disorder they have.)

wait theres more Other Specified Dissociative Disorders too....

Other Specified Dissociative Disorder- Chronic and recurrent syndromes of mixed dissociative symptoms/ that which is not DID, depersonalization derealization disorder or dissociative amnesia due to ______

The DSM 5 TR uses the term "less than marked discontinuities" this is just a fancy way of saying someone is presenting with very few and very mild symptoms that may occasionally, not often affect how they think about their self and their identity and how much control they have aka their sense of self and agency or how they feel different aka alterations of their identity or episodes of possessions and no reported amnesia. but in diagnosis labeling the treatment provider must fully using words what the diagnosis is not use vague numbers and letters.

my therapist uses the example of a person who may in a weeks time may have a day where they had an episode where they feel like they may be different in any number of different ways in how they think about their self, how much control they have that day over their self and their life, whether they ......feel.... but know in reality they are not another person or possessed in some way and remember that day well anyway. they dont lose any memory while they are ......feeling .....different about their self in some way.

my point the new way of no numbers and using clear and specific to the individual diagnosis labeling Says so much more than the outdated and no longer used in the USA and other countries of OSDD1a or OSDD1b and so on.

Yes, there is more to this Other specified Dissociative Disorders category....

Other Specified Dissociative Disorder — Identity disturbance due to prolonged and intense coercive persuasion / brainwashing

Other Specified Dissociative Disorder — Identity disturbance due to prolonged and intensive coercive persuasion / thought reform

Other Specified Dissociative Disorder — Identity disturbance due to prolonged intensive coercive persuasion / indoctrination while being held captive

Other Specified Dissociative Disorder — Identity disturbance due to prolonged and intensive coercive persuasion / Torture

Other Specified Dissociative Disorder — Identity disturbance due to prolonged and intensive coercive persuasion / long term political imprisonment

Other Specified Dissociative Disorder — Identity disturbance due to prolonged and intensive coercive persuasion / recruitment by sects, cults or terror organizations.

much more clear. and specific to the client then just calling them OSDD 2 with a letter right. its amazing what getting rid of the old labeling system and in with the new has done for people with mental disorders.

are we at the end of the Other Specified Dissociative Disorders yet. no, not yet...

Other Specified Dissociative Disorder — Dissociative Trance / insensitivity to environmental stimuli that which is not a normal part of a broadly accepted collective cultural or religious practice

Other Specified Dissociative Disorder — Dissociative Trance / uncontrollable movements for which while unresponsive have no conscious awareness or control of, that which is not a normal part of a broadly accepted collective cultural or religious practice.

Other Specified Dissociative Disorder — Dissociative Trance / paralysis that which is not a normal part of a broadly accepted collective cultural or religious practice.

much more clear and specific to the client/ patient then throwing the letters OSDD - 4a and OSD 4b huh.

seems like a lot I know. treatment providers now being required to NOT use letters and numbers and a letter, but instead actually use the new clear worded and specific to the person individualized diagnosis labeling actually helps so much in understanding what mental disorders a person has. it treats them as a human being not some mass batch of carbon copies of each other.

No, I do not have OSDD3a, b or what ever.

I have ....

Other Specified Dissociative Disorder — Acute dissociative reactions to stressful events / Macropsia.

My friend does not have OSDD-1a or OSDD -1b

My friend has Other Specified Dissociative Disorder- Chronic and recurrent syndromes of mixed dissociative symptoms/ that which is not DID, depersonalization derealization disorder nor dissociative amnesia / which presents itself in less than marked discontinuity in self and agency.

With this new diagnostic labeling system, there are many different ways a person can have Other Specified Dissociative Disorders,

no one is a carbon copy of another person so their diagnosis now reflects the individuality of their diagnosis in a clear and easy to under stand way, fully explained by their treatment providers.

DID, Depersonalization Disorder and Dissociative Amnesia have also had some major changes done to them. just for DID theres the diagnostic criteria and 6 pages of information that details what exactly the disorder is and isnt. right down to a list of things that now rule out dissociative disorders. theres also a differential diagnosis setion of disorders that sometimes can appear to be DID, lots of new information in the DSM 5 Tr that I have only begun to take time skimming over. my first focus point was the Other Specified Dissociative Disorder section as that one of my ......present..... mental health challenges.

I am very happy with the DSM 5 TR way. I have always been proactive in that treatment providers should fully inform their clients and now in the new way they must do so with this disorder. better days are here for many.

I hope this has helped in easing the transition for some that may be going through the changes in diagnosis labeling during this next 2 years, and for all in understanding how so many people can have the same mental disorder and still be different in how this disorder presents itself. and maybe even feel better about having mental disorder labels.
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Default Jun 19, 2022 at 05:30 AM
  #2
Thank you for this excellent and exciting information! The specifics are long overdue, but...all things come to those who wait.

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Default Jun 19, 2022 at 06:27 AM
  #3
Thanks so much.
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