DDNOSDissociative Disorder Not Otherwise Specified
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When individuals are confronted with problematic clinical presentations similar to DID, but experience symptoms that do not quite meet the full criteria for a diagnosis of DID (such as dissociation without two or more distinct personality states, or without amnesia for important personal information), then their difficulties may meet the criteria for a diagnosis of DDNOS (APA, 2000, p.
The five DSM-IV-TR dissociative disorders are psychogenic amnesia, psychogenic fugue, depersonalization disorder, DID, and DDNOS (APA, 2000).
On the SCID-D-R, she did endorse significant symptoms of amnesia, depersonalization, derealization, identity confusion, and identity alteration, which are consistent with the diagnosis of DDNOS. That is, there was enough chronic and severe amnesia, depersonalization, derealization, and identity confusion to warrant a dissociative diagnosis, but her identity alteration was not well enough formed to warrant a full diagnosis of DID.
Often, DDNOS has been applied to a patient with DID when the clinician was unable to see switching.
A definition like this should also help reduce the use of the DDNOS diagnosis, Dr.
More usable definitions of DID, DDNOS, and other dissociative disorders in DSM should help better distinguish dissociative disorders from other psychiatric disorders such as depression, anxiety, stress, and schizophrenia, Dr.