by SystemFlo » Fri Oct 11, 2019 8:51 pm
Andi (is it OK to call you just Andi?), how does the "real deal" differ from this version? Are you sure it was the same test? There are different tests, and there's also different versions of this test, like discussed above. I was dx'd with different test that covered different type of dissociation disorders, if I remember it correctly, but DES is used as a dx tool too. Professionals do the diagnosing, no one has said it wouldn't be so. If you have no clue what's going on with you, you're not gonna find it out by doing all tests there are, especially if you have DID. Your T is certainly right.
People with DID can score higher with positive symptoms of schizophrenia than people who are actually schizophrenic (lower in negative ones). Most or at least many people with DID have positive result having borderline personality. People with unorganized attachment style (common in people with DID) can score positive on both, avoidant and dependent personality disorder, although it's impossible to have both, because that means your behavior changes a lot in that area where it should be very permanent. Personality disorders are long term behavior patterns, so you can not have two opposite ones. It just means the test was wrong one for you, but online test can not tell you that. People with DID also score high many times if tested for bipolar. There are plenty of examples why you can't really diagnose yourself like that, and no one has claimed you could. Because of the same reasons, there are so many typical misdiagnoses before DID-dx, done by professionals too. You score high, because symptoms can match. It can take a lot of time before someone is able to see the big picture, the reason behind all the symptoms you can dx being something else too, many different disorders.
The test for DID can also fail badly. You view on your symptoms can change dramatically. Feelings when you are sure you made a mistake with having any problems and are actually healthy, are normal in DID, if you test yourself then, you may not recognize your symptoms. You may not know them, if you have present day amnesia, and especially so if you have amnesia of amnesia.
You also have to understand depression, anxiety, addictions, eating disorders, PTSD, body image problems etc can be symptoms inside DID. They may not be totally independent disorders you have with DID, but can also be part of DID.
Professional who sees you many times in diagnosing process can see a lot you are not aware of. So you're right. And of course if you give different answers when tested, you're gonna score differently. There would not be point in test that gives you the same result regardless of your answers. Same thing can happen with the professional tho, you can talk about things many different ways and give very different impression about what's going on with you. If you think you are bipolar, you talk about mood swings. You may also hear voices inside, but don't tell it because you know they are not real. To me it was a process to understand what all in me is symptoms, and I could communicate about what I have only after that. I didn't know something I thought was normal was something to tell.
Tests still aren't useless, that's why professionals use them too. They're just one tool, professional has reason to think patient has certain disorder, so they test them for that. If the test also gives positive result, they're gonna dx that. But it's based on their view, and like many of us know, DDs aren't well known at all, and that's why misdiagnoses are so common. Doctor in hospital wanted to label me as borderline patient, and she did, although needed to agree it can be misdiagnose because symptoms can also be DD, but she refused to test that.
I "diagnosed" myself before professionals and talked systematically about me having DD. It took years, but I was tested in the end, after misdiagnoses they admitted were probably misdiagnoses, like the hospital doctor and another one in a public mental health clinic where I had therapy for 3,5 years and after that few short periods. When I started in there, doctor said it sounds like it could be DID, but that it's so uncommon (not true) she won't diagnose that and dx'd personality disorder not specified instead. Test result for DD said OSDD, now I'm in proper therapy and also dx'd with DID. I would not be, if there wouldn't have been forum for people with trauma where I learned about structural dissociation and realized that it explains everything.
Your view of your symptoms has to be very vague, if it changes several times in an hour or so.
I don't like the test because it's so vague tho. I think there should be clear explanations what "all the time" or "sometimes" means. No one can have symptom of finding themselves in place they don't know how they get into and why all the time. It would mean every time you blink your eyes you're in a new place you don't know why and where you are in. I score pretty low (compared to many others in here), because I take the questions and answers literally. But it's not just that, it's also because parts in our system don't behave like that, they don't try to build their own outside life, and go outside the house as themselves, but rather hide themselves and when they've fronted, which is why it's rare I find any inconsistencies to realize I have missed time. I got to know they do come out without me being co-conscious about a year ago or after that.
There are still good questions, things to observe about yourself to understand how you're doing overall, and many people find it helpful to do the test every now and then. It can not be proofed score doesn't change because they feel they're having more symptoms, although don't, but answer differently because of feeling like that tho, but that's how it is to have DID, you can not be sure about things. The amount of symptoms does vary, so it can be true as well. I don't think it does any harm to do the test, as long as you understand it does not give you diagnose, or proof you don't have DID.
Diagnosing is hard, I don't envy the ones who do that for living. It would be great if there'd be a cheap brain scan method to see what you have or something similar. That's what vets at my work hope too sometimes, to have a machine you can put the patient in, and it prints out the diagnose.