#partial program

[mashupofmylife]

Weird place to hunt for info, but I'm looking for anything and everything!

Anyone on here who works in a PHP/ partial hospital program? How many individual patients do the therapists carry? How is the program structured? I'm trying to figure out how to get a reasonable census, structure the program, and not burn out my therapists and I'm hitting walls left and right. I want to know what works in other places!

[fiafiri]

it seems like i am incapable of making serious art for epic

[logicpng]

3fish.exe

[dawnsedits]

I'm really glad you're here, Tony.

Wouldn't miss it for the world.

[bluebeerg]

&btw , a happy 4/27 !! who missed this bug-eyed sequels bastard ? i did. oh how i miss u sequel content

an idea that's always fun - swapping narrators. to the american narrator, meeting stanley is almost like meeting a celebrity! that's Stanley .. of Stanley Parable. 2!

and, hm. well. i'm sure 527 is having . some sort of fun with the regular narrator, the rules follower he is ...

[razzafrazzle]

been feeling very nostalgic over my old gravity falls art so!! a lil redraw!! you can really tell about how my feelings toward bill have evolved over the years <3

[image description: a drawing of a gravity falls original character named hodge podge with a human design for bill cipher. hodge is fat, pale-skinned trans man with curly yellow and blue hair dressed in full blue and white jester attire, and bill is depicted as a thin, pale-skinned androgynous person with a yellow dress and an uncomfortably-wide smile. they have their arms around eachother and are smiling at eachother with barely-disguised malice. next to the drawing is the original version of it from 2015, where bill is a younger looking boy in a suit with messy hair, and hodge is a young girl with shaggy purple hair and a purple suit. end id]

[friendzoned61]

I love you Bing my beautiful ginger bitch

[white-hole-station]

[Headcanon]

The space program took a whole month off of development after Tektite's accident, so that Slate could have the time to perfect their leg. They'd already been working on articulated flaps for in-atmosphere steering for Feldspar's ship - conserves fuel to not use jets for that - and hey, an artificial ankle is just another type of flap to articulate, right?

Gossan wasn't so sure - especially with Slate's full-tilt approach to experimental engineering, at odds with Tektite's trepidation - but all of the founders agreed that the program could wait until their neighbour was back on their feet. And to Slate's credit, Gossan had never seen them show as much sheer methodical focus, before or since. This was somebody's limb here, after all: their ability to move of their own accord, their ability to get out and about in the community and do the things they love, their ability to still feel like their body is their own. Slate was hardly about to phone it in, or risk any wild experiments when it came to Tektite's comfort and requirements.

It took several iterations, and several difficult test walks around the town square gripping Slate's arm, but together the pair of them worked out a final model that's been serving Tektite well to this day.

(...Of course, the dedication and focus that so pleasantly surprised Gossan only made Slate's awkward avoidance of them after their own accident sting even more. Was it really that hard on their poor guilty conscience, to think about doing something similar for a friend, instead of darting their gaze away just short of Gossan's face?)

[howlsofbloodhounds]

wait, im kinda confused now, doesn't osdd also develop from a trauma in childhood? Or am i missing something??

OSDD is not just the “plural disorder.” OSDD-1, the ones with alters and systems, does form from childhood trauma. OSDD is diagnosed when someone shows signs of a dissociative disorder, but does not meet criteria for an already existing dissociative disorder.

The main dissociative disorders are Dissociative Identity Disorder (DID), Dissociative Amnesia, and Derealization Depersonalization Disorder (DPDR).

If one does not meet the criteria for those but shows signs of a dissociative disorder that significantly impacts their life and functioning, they can be diagnosed with OSDD; and usually the person will be given a reason as to why they were diagnosed with it, but not something else.

There’s technically 4 “types” of OSDD, but i remember that someone will not be diagnosed with “OSDD-1” or “OSDD-2.”

I feel it also important to mention that, according to the wiki, these are not actually types; they’re just examples of presentations that can be experienced or observed in those diagnosed with OSDD. There could be more and different examples of presentations possible with OSDD.

It is just all OSDD, and a reason will be specified. Taken directly from the wiki, “An example would be specifying "OSDD (dissociative trance)".”

Someone who shows signs of a dissociative disorder but doesn’t mean criteria for the ones above, and isn’t given a reason why, can be diagnosed with Unspecified Dissociative Disorder or UDD.

These guys can also potentially have alters and systems and the like, they just aren’t diagnosed with DID or OSDD either because of a lack of meeting criteria somehow, or more likely, because there’s a lack of sufficient time. Possibly other reasons as well.

Taken from the Wiki, these are the 4 descriptions of 4 example presentations that can be present in the “catch all” diagnosis of OSDD;

“Chronic and recurrent syndromes of mixed dissociative symptoms:

The DSM states, "This category includes identity disturbance associated 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".

The ICD-11 describes this presentation as "Partial dissociative identity disorder".

(This is the one commonly referred to as OSDD-1/OSDD1, and OSDD-1A and OSDD-1B. Systems and alters, like DID, but not DID because they fail to meet a specific criteria to be diagnosed with DID. OSDD-1A and OSDD-1B are also community terms im sure, someone will not be diagnosed with these letters or terms or numbers.)

Identity disturbance due to prolonged and intense coercive persuasion:

The DSM gives the examples of "brainwashing, thought reform, programming, indoctrination while captive, torture, long-term political imprisonment, recruitment by sects/cults or by terror organizations." People with this presentation, as a result, may experience distressing changes to and/or questioning of their identity.

(This one is commonly called OSDD-2. A very well known but fictional example of this is the Winter Soldier/Bucky Barnes from the MCU and Peeta Mellark from the Hunger Games series, although neither are officially or canonically diagnosed.)

Acute dissociative reactions to stressful events:

This category is used for acute dissociative episodes which may last anywhere from a few hours to weeks, but typically less than a month. The dissociative conditions are characterised by "constriction of consciousness", including "depersonalization; derealization; perceptual disturbances (e.g., time slowing, macropsia); micro-amnesias; transient stupor; and/or alterations in sensory-motor functioning (e.g., analgesia, paralysis)."

(OSDD-3.)

Dissociative Trance:

This category represents a dissociative trance; "an acute narrowing or complete loss of awareness of immediate surroundings that manifests as profound unresponsiveness or insensitivity to environmental stimuli." The DSM specifies that "The dissociative trance is not a normal part of a broadly accepted collective cultural or religious practice".

In the ICD-11, this condition warrants a separate diagnosis of Trance disorder.”

(OSDD-4.)

So all in all, OSDD is simply a “catch all” diagnosis. Those diagnosed with it can have prolonged, childhood trauma—and those diagnosed with the first example presentation of OSDD typically and often do—but experiencing prolonged, childhood trauma is not a requirement or required thing to be diagnosed with OSDD.

“OSDD-2” is often even something that’s diagnosed due to extensive trauma, abuse, and manipulation experienced later in life as teenagers, young adults, adults, or even elderly.

One can experience this type of abuse as a child as well of course, but it’s not childhood specific.

Those who undergo the same type of abuse and trauma that those with “OSDD-2” (aka OSDD (Identity disturbance due to prolonged and intense coercive persuasion)) do, can instead be diagnosed with DID or “OSDD-1” (aka OSDD (Chronic and recurrent syndromes of mixed dissociative symptoms)) if they’re a system (because im pretty sure someone will not be diagnosed with two dissociative disorders, even if their experiences and symptoms match up or overlap with two), and not everyone who undergoes the abuse and trauma that those with OSDD-2 do will be diagnosed with OSDD-2 or any type of dissociative disorder.

For example, not every survivor of human trafficking or other forms of organized abuse develops a dissociative disorder or is diagnosed with OSDD-2, even if they experience some dissociative symptoms (likely as coping mechanisms, as opposed to the coercive and external, induced nature of dissociation in OSDD-2) and likely have PTSD/C-PTSD symptoms. Just the same as not every cult survivor is diagnosed with OSDD-2.

[finnyinspace]

3D modeling hard..........

[alwaysbewoke]

[radio-4-is-static]

BOW AND ARROW | Kenshi Yonezu

未来を掴んで 期待値を超えて 額に吹き刺す風 今に見なよ きっと君の眩しさに 誰もが気づくだろう 相応しい声で 視線追い越して 虚空を超えて行け 見違えていく君の指から今 手を放す

///

Grasp the future, exceed expectations, Let the wind pierce your face Just wait, one day they’ll realize how dazzling you are Overtake everyone’s gaze and leap across that empty sky With a cry that speaks your truth Recognizing your remarkable growth, I now release my hand from your fingertips

[boycritter]

anyways i have probably been accepted into one of the schools i applied to? which is pretty neat

[insert-apt-title-here]

I got a fidget

[roystory4]

i feel like i can only make tongue in cheek married jokes in webh for so long. like on one hand the world blew up two hundred years ago and they dont really need to define their relationship. on the other hand i think it would be hugely meaningful to nick to be able to say that he’s married. he’s just kind of old-fashioned like that. like i think tua doesnt gaf and just kind of assumed they WERE functionally married, and doesnt mind if its ever clarified aloud, but for nick’s part the first time he hears tua refer to him as their husband he is so deliriously happy he just goes quiet for a long time. hes just like that. much to consider

[alexandraundone]

psychotherapy on Christmas Eve

psychotherapy on Christmas Eve

psychotherapy on Christmas Eve

psychotherapy on Christmas Eve

there’s a droning in the stairwell

there’s a droning in the stairwell

there’s a droning in the