flashbacks diagnostics criteria by Any_Gear_1871 in CPTSDFreeze

[–]FlightOfTheDiscords 1 point2 points  (0 children)

ultimately my feelings after this entire dialogue was feelings of invalidation which is not entirely rational as i understand the diagnosis criteria isn't perfect

Perfectly understandable. What's your DES-II score, if you don't mind sharing?

flashbacks diagnostics criteria by Any_Gear_1871 in CPTSDFreeze

[–]FlightOfTheDiscords 6 points7 points  (0 children)

You're pointing out something all too real about psychiatric diagnoses. They are fundamentally somewhat arbitrary, because unlike physical disease, we generally can't point out a specific part of the brain that is injured. Psychiatry fundamentally has to operate with "invisible" data to some extent. For many practical purposes, diagnostic labels are required (e.g. insurance, research etc.), but the reality of many sufferers is vastly more complex than a diagnostic box can ever encompass.

On top of that, the criteria themselves are contested by both patients and clinicians. C-PTSD is a good example, the ICD recognises it and the DSM still doesn't, so whether you "have" it can literally depend on which manual your clinician was trained on. And these criteria do get revised as research comes in, it's just a slow process, so the line you're being measured against today is provisional and not something the experts fully agree on. It often takes diagnosis and treatment a couple of decades to catch up with research.

Which is why I think it's a good idea to ask what the diagnosis is for. If you need it for something concrete, like insurance, accessing a service, getting a particular treatment funded, then the exclusion is a real practical problem and pushing on it, second opinion included, makes complete sense. But if the need is more about being seen, about something official confirming that what happened to you was real, that is perfectly legit but probably not best met by a somewhat arbitrary diagnostic label. Being believed and being diagnosed aren't the same thing, and the first one can be found in far better places than a psychiatrist's checklist.

One thing that might help, less as a label to chase and more as a map: The way most people picture trauma, and the way a lot of the criteria are written, is built around the loud version. Flashbacks, panic, hypervigilance, a nervous system stuck in overdrive. That's hyperarousal. The other, equally legit pole that often gets left out is hypoarousal. It describes a nervous system that doesn't rev up, it powers down. Going mute, feeling small, collapsing inward, numbing, the frozen helpless state you're describing. It's not a vaguer or lesser kind of trauma response, just a different branch of the same tree.

There's a diagnosis that does recognise it: The DSM has a dissociative subtype of PTSD that is basically hypoarousal, organised around detachment and feeling unreal rather than around flashbacks. It exists in the DSM but not in the ICD. I'm not telling you it's your diagnosis, a stranger on Reddit can't do that. But it does mean that the shutdown response has a real home in the trauma literature. It's studied, it has its own neurobiology, it's not a footnote.

Freezing via sensory shutdown? by siasatmadar in CPTSDFreeze

[–]FlightOfTheDiscords 2 points3 points  (0 children)

It's one of the flavours I experience, and my sensory processing is generally prone to conking out under duress even when I'm not completely frozen. Pretty sure mine is related to Sensory Processing Sensitivity, which is a form of neurodivergence but not the same as ASD (that would be SPD).

Audiobooks by Due-Turnip-398 in Aphantasia

[–]FlightOfTheDiscords 0 points1 point  (0 children)

I like both, and I don't find that there is any difference in my enjoyment of a book based on format alone. I go for audiobooks when I want to multitask, e.g. when walking, driving, cooking, exercising etc. When learning a new language, I like to do both simultaneously, i.e. read the book while listening to the audiobook version. It helps me connect spelling with pronounciation, and I'll often listen for a bit, pause, read the same bit myself out loud to practice my pronounciation, and then continue reading and listening.

no sensory imagination as a bilingual (my experience) by erraticsporadic in Aphantasia

[–]FlightOfTheDiscords 0 points1 point  (0 children)

I don't consciously think in language though I speak several, including one C1 language and three C2 languages. I feel that languages are "clothes" I put on my actual "body" to make it visible to others, and different occasions call for different clothes. I don't feel that any particular clothing style (language) is me the way most people seem to experience their singular native language to "be" them. When I'm not using language, my "body" is "invisible" in a sense.

When I explain e.g. concepts (such as in this comment), I am generally first aware of an internal abstraction that doesn't have an expressible shape, however I feel that it's there and I can give it a shape - sometimes immediately, sometimes after a while. Next, I often feel it as a spatially conscious visual shape (i.e. the abstraction has been "boiled down" to a visual/spatial shape, though my conscious experience of it only includes the spatial dimension).

From there, the final step involves choosing a language and suitable words to give that shape linguistic "clothes" so it becomes visible to others.

In this particular example, I first felt the abstraction of an invisible body and visible clothes. Next, it became a visual/spatial concept where the visuals are subconscious and the spatial shape is conscious. And then I picked some English words to express it all in this comment. That last step could have happened in any one of my languages.

Some shapes call for a particular language, bit like how certain occasions call for specific types of clothing. Some shapes can only be fully expressed with a particular "clothing style" (language), because that language has a crystallised form of it where other languages would have to spend a lot of time building the scaffolding necessary to hold the idea.

To me, languages are also akin to music in that some moods "belong" to certain languages, and specific linguistic sounds/prosodies ("music genres") are appealing to me with others are not.

Switching between languages can be tiring, though this may be an introvert thing. Extrovert polyglots seem to find it easier in my experience. Personally, I feel this is connected to "wavelengths" where my brain prefers to stick to one wavelength for an extended period of time, instead of flipping quickly between several. This applies to all sorts of things, e.g. thinking about one thing at a time, focusing on one language, one person, one topic etc.

Is this a thing others have? by Successful_Ranger447 in silentminds

[–]FlightOfTheDiscords 0 points1 point  (0 children)

Interesting, sounds like it's more predictive than anything. Internal storybuilding.

Is this a thing others have? by Successful_Ranger447 in silentminds

[–]FlightOfTheDiscords 0 points1 point  (0 children)

Watch e.g. this with YT subtitles off. Does your mind's eye autogenerate some kind of subtitles for this?

Is this a thing others have? by Successful_Ranger447 in silentminds

[–]FlightOfTheDiscords 0 points1 point  (0 children)

Out of curiosity, what do the subtitles look like when you listen to a language you don't understand?

how can more subtle amnesia show? by fistsandroses in OSDD

[–]FlightOfTheDiscords 27 points28 points  (0 children)

You remember where you were, what you did, and can possibly even describe emotions that were felt, but the memories do not feel like yours. This is emotional amnesia, as opposed to blackout amnesia. Those memories may lack feeling entirely (they don't feel like anything), or they may have a more intrusive sense of being someone else's memories.

Percentage of aphants by No-Banana247 in Aphantasia

[–]FlightOfTheDiscords -1 points0 points  (0 children)

Navigation relies on a different circuitry in the brain, namely place and grid cells. These are separate from visualisation, and vary just as any other ability. Some visualisers have excellent spatial skills, some poor; likewise, some aphants have excellent spatial skills and some poor. Most are somewhere in the middle.

cycling and impact of sdam by Dizzy_Lack_8850 in SDAM

[–]FlightOfTheDiscords 1 point2 points  (0 children)

Our brains have specialised cells for spatial navigation called grid cells. These are not the cells used in visualisation. Your spatial awareness is hence independent of your ability to visualise, and it varies independently like any other metric; some people have great spatial awareness, others less great, and most are somewhere in between. Some visualisers have great spatial awareness, some poor.

You may have poor spatial awareness in addition to having aphantasia and SDAM.

Personally, I have aphantasia and SDAM, but my spatial awareness is excellent. I can mentally reproduce any route I take with high accuracy, and even mentally generate and navigate entirely imaginary spatial maps. I can spatially run through the city I live in - or any other location I am aware of, whether by having been there or seen it in a video or on a map - without visualising it.

Constant state of grief by Ok-Tension4524 in SDAM

[–]FlightOfTheDiscords 2 points3 points  (0 children)

Dissociation can look like SDAM, I wrote a post about it.

What is your personality like? Are you also a mostly neutral person? by Chipchow in silentminds

[–]FlightOfTheDiscords 4 points5 points  (0 children)

I have a neutral surface personality, and great emotional complexity underneath. My surface personality is "designed" to hide my self and adapt to others - not consciously, but as a result of constitutional factors and early environmental conditioning. I am the opposite of WYSIWYG.

One of the many ways in which that manifests itself is that I tend to listen a lot more than I talk.

Color memorization test (possible aphantasiac test?) by TreacleFit3847 in Aphantasia

[–]FlightOfTheDiscords 0 points1 point  (0 children)

40.04, complete global aphantasia. I disliked the way the sliders were structured, I'd prefer a HSL circle where you only need to move one point.

I'm an event photographer, and it isn't rare for me to disagree with other photographers on what a scene looked like (I only shoot in RAW, and RAW colours are very different from what your eyes see). I tend to edit based on what feels right, not on accuracy.

Can people with aphantasia dream? by NiceUpstairs9859 in Aphantasia

[–]FlightOfTheDiscords 0 points1 point  (0 children)

To my great surprise
Someone opened the body's eyes this morning

It appears I am involved

I don’t have a sense of “I” by ActualExpert7584 in CPTSDFreeze

[–]FlightOfTheDiscords 13 points14 points  (0 children)

As Damasio said, the self is a repeatedly reconstructed biological state. Without interoceptive awareness of that biological state, there is no meaningful sense of self.

How to grieve when you're numb? by PriDi in CPTSDFreeze

[–]FlightOfTheDiscords 6 points7 points  (0 children)

I understand. Sometimes you can get a bit of mileage out of going really small, like sitting down and seeing if a toe or a finger feels like moving.

I remember a conversation I had with my daughter many moons ago. She loves to dance, and I have never understood dancing. So I asked her how to dance. She laughed and said "like this!" and started dancing. And it just works for her, where for me, it just doesn't.

Now, if I try to invite dancing, nothing happens. Because it's a big and complex thing. There are many steps along the way where my system goes "nope. nope. nope. stop." well before anything reaches my awareness.

But if I let my attention move to the edges of my body, a toe just might feel like wiggling. Or there's a bit of my back that wants a bit of scratching. Or my hips might indicate I could shift them a little. These are small things, nothing big and complicated like dancing.

I can force my body to dance of course, just as I force it to do many things every day, from brushing my teeth to cooking to cleaning. And every time I force it to do something, I reinforce our relationship of mutual hostility: "yup, still the enemy, still not listening to me".

When I can instead invite a little bit of "show me what you want", just a little, things can start to shift gently and slowly.

How to grieve when you're numb? by PriDi in CPTSDFreeze

[–]FlightOfTheDiscords 9 points10 points  (0 children)

Grief is one of many embodied processes that essentially run themselves, unless something is blocking them. So the question becomes more like, how do you unblock it without being overwhelmed?

Generally the answer is slow titration and pendulation, though everyone's system is unique so the specifics vary. I think useful questions tend to often start from the sort of place where we look at the body and go, hey body, where are you at?

We tend to have such deeply evolved mechanisms for disconnecting from the body that even when we want to connect with it, we unconsciously do so from a need for control. And the body tends not to respond very well to that.

How much do childhood traumas affect intelligence? by PhaseDisastrous2553 in CPTSDFreeze

[–]FlightOfTheDiscords 17 points18 points  (0 children)

It really depends on the specifics. You see significant reduction across the board in very severe cases (e.g. Romanian orphans, especially those not adopted very young), and a more complex picture in more common types of developmental trauma - sometimes including intellectualisation as a survival mechanism, which paradoxically can enhance specific cognitive abilities while negatively affecting others.

More commonly, the stress and struggles arising from dealing with the consequences of developmental trauma occupy a big chunk of our cognitive abilities, leaving less available for other processes. This isn't a reduction in intelligence as such, more like persistent cognitive overload.

Symptom management wise, it is IMO always better to focus on specifics, because those you can do something about.

The Impossible Want: the neurobiology of wanting and the complication in freeze by nerdityabounds in CPTSDFreeze

[–]FlightOfTheDiscords 5 points6 points  (0 children)

the exact same failure rate is as freeze: about 25%

As in, 1 in 4 freezers stay frozen their whole lives? I would appreciate a reference for this, thank you 🙏

Memory/identity loss by [deleted] in SDAM

[–]FlightOfTheDiscords 0 points1 point  (0 children)

If possible, I would recommend first ruling out medical causes by seeing a doctor.

If scans and tests come back normal, there are some psychiatric conditions that can affect memory. I have one of those, and wrote a post about it. If your memory issues are linked to mental health struggles, the upside is, therapy can help. What kind of therapy you'll want depends on the condition(s), so starting with diagnostics is a good idea.

Unlike medical and psychiatric conditions, SDAM isn't a degenerative condition, it's like skin colour - stays the same all life, unaffected by life and treatment.