hello! i saw that you preferred bah blog questions on here so uh yeah. i was wondering how you make your faceclaims stay all in one row? when i try to insert three images it either does two in a row and then another or just doesn’t put any of them in the same row at all if that makes sense.
yes hi hi!!
it only works to do 3 in a row on the tumblr app ^^ youre able to drag the images and make them side by side.
I would also reccomend making sure the images are 1:1 so that theyre all even!
The goal here is to create an objective criteria for what is or isn't a headmate. This criteria can be useful for questioning systems, for plural media analysis, for studying plural groups that don't identify by the label, for differentiating between different types of entities within a system, and for tulpamancers wanting to better judge when a tulpa goes from a proto-headmate to a full headmate.
Nobody is forced to use these criteria if they don't think it fits for their system.
It's important to note that each feature here needs to be somewhat present, but these features don't need to be strong.
If you rated an entity on a scale of 0 to 10 on each of these and it gets all 1s, it's a headmate. Conversely, if it gets all 10s but has a single 0, it doesn't fit the criteria. Essentially, the degree that these qualities are present does not matter for determining if it's a headmate.
Autonomy
An entity is autonomous when it can think for itself and make its own decisions. An autonomous entity will not feel like you're controlling it. This entity thinks for itself and makes its own decisions, and feels emotions that seem real.
If an autonomous entity is sad, for example, you can't simply fix it by imagining it being happy again.
Autonomous entities may sometimes do things that surprise you or act in ways you can't predict.
If they're very strong willed, you may come to arguments with each other. But arguments aren't required to demonstrate autonomy and expecting arguments to prove an entity can think for itself can lead to toxic dynamics. Any level of autonomy is sufficient to fulfill this criteria.
Importance: Being able to imagine conversations with someone and to direct those conversations is a pretty common skill possessed by most singlets. Additionally, imaginary friends of children can come in different varieties. Some are autonomous, being able to control their own actions, while others are not, being fully controlled by the host child.
Perspective
A headmate must have its own perspective it can think from. This does not mean necessarily "seeing" in 1st person in the inner world or something of that nature, but pertains more to how it relates to others in the system.
A headmate with its own perspective can acknowledge itself as its own self in some form. It might say something to another member like "I think you should listen to me more often." Statements like this acknowledge itself as something separate from the other members.
While all that's necessary is to have that base level of perspective, for those who want to develop a headmate more, an advanced version of this that should be encouraged is introspection. This is a headmate thinking about themselves and their own nature, and can be fostered by asking them questions about themselves.
Importance: It's common for singlets to feel internal conflict and to think about this through an internal monologue. This might looks something like this: "I really want to take this cookie from the cookie jar. I'm trying to watch me weight. But I worked hard today so I deserve a treat."
When a singlet describes a sense of "part of me wants X but another part of me wants Y," this is the type of conflict they're generally referring to. The thing about these parts is that they often don't feel like separate people because they lack dissociation between them.
This criteria is to help distinguish between dissociative and non-dissociative parts.
Note: sometimes, even a denial can end up implying perspective. Even just saying, "I'm just part of you" carries an implication that there is an "I" and a "you."
Memory
Specifically, autobiographical memory of in-system experiences
A headmate should be able to recall past interactions that they've had. Recall of course does not need to be perfect. Even most singlets don't have perfect recall of their lives, and dissociative barriers can complicate matters. One of the core features of dissociative identity disorder is amnesia, after all.
The bare minimum is at least one memory of an event you experienced from a different day. Also, because amnesia can be episodic and be worse at times, this does not need to be constant. Having an episode where you can't remember anything about your past doesn't retroactively make you less of a headmate. (Although I suppose that if you are able to remember that you used to remember things, that itself is a memory about yourself. 🤷♀️)
I cannot reiterate enough that the memories can be very basic and do not need to be in vivid detail. They do not even need to be visual. As long as you have a sense of "I did this, I thought this before, I felt this way," or anything of that sort, it is enough of a memory to qualify.
Importance:
This is to help distinguish from temporary entities. In other posts, I have called these temporary headmates ephemerals. An ephemeral is an entity that exists for only a short time. It does not maintain memory or a consistent sense of self outside of memories assigned to it. For example, there is a popular practice writers may use where they will interview a character in their head. These characters may seem to have their own perspective and they may seem autonomous at the time. But they only exist briefly for the length of the interview. When the interview is over, the character is gone.
If you imagine a scene with that character again, the character in the scene will not remember you. If you interview them again, it will be like the first time you've ever spoken. Ephemerals are not headmates. They are temporary and not built to last. And there is no moral obligation to continue interacting with them.
A very common example of an ephemeral is a dream character. Dream characters are contained within their dream and when the dream ends, will disappear. Being able to create these types of temporary simulations of people is an innate human ability and these sorts of temporary entities aren't really part of the system.
Gnosis
I have previously referred to this as meta-awareness. But I am using gnosis here because I'm sticking with the one word theme for these qualities. There isn't really a word that exists that completely describes this so I will be using my own definition.
Gnosis means knowledge. In gnosticism, this was a specific type of knowledge that would allow one to ascend to a higher level of existence.
So in relation to plurality, this is knowledge of the existence of the external reality beyond the inner world or the fiction that the character originates from. You do not need to identify as a headmate for this to be true. You don't even need to feel like a part of the system. But you need to have the KNOWLEDGE that the body exists in an external reality outside of the inner world.
Importance: this is to help differentiate hadmates from other types of daydream characters or writing characters. A normal daydream character only operates in the daydream. They should not be aware of a real world outside of that daydream. Likewise, a writing character has no knowledge of the writers or the external world, and only exists within its own narrative.
A writing character may appear to have their own perspective and be somewhat autonomous when imagining scenes with them. But if a writing character becomes a headmate, the character may start to talk to the writer about the book. They may complain about the way the writer is writing them within the fiction. This is a writing character that has undergone gnosis. They have ascended beyond their fiction and developed awareness of the external reality.
The checklist
Autonomy: Does the entity have some level of independence where you are not consciously controlling them?
Perspective: Does the entity possess its own perspective with some level of awareness of itself as being its own thing separate to some degree from other entities within the system?
Memory: is the entity the same being in different times and places? If you had a conversation with it one day, could you ask it again about that conversation another day and have it remember?
Gnosis: Does the entity possess knowledge of the external world, the body, and its life?
If the answer is yes to all these questions, then you have a headmate on your hands.
And just because something isn't currently a headmate, doesn't mean that the potential isn't there. In the next section I want to discuss some techniques to help a headmate develop these features.
Tulpa Tips
Having gotten the basics out of the way, let's discuss on how to build these traits. This is a brief guide for developing full headmates from entities that are only lacking in one of the above traits.
Autonomy: if there is a character that you have imagined a lot but it feels like you are controlling them and you want this character to become a full headmate, just try letting go of the reins. Ask the character questions, and wait for a response. Do not try to dictate the response, and when the response comes, accept it. If the response is weird, ask them for further elaboration. But don't try to correct it or rewind or otherwise control the proto-headmate. You want to train your brain to produce the headmate's thoughts without any conscious input from yourself. See: Overcoming Parrotnoia for advice on conquering the fear you may be unconsciously controlling your headmate.
After enough time training autonomy, you are likely to find that you can't control them even when actively trying. But do not test this while you are training autonomy. Do not try to control the headmate during this period because these tests can set back or interfere with your progress.
Perspective: if you have a non-headmate part that you want to become a headmate, try to identify features of that part and when it influences you. Reframe the part as its own entity in your head, ask it what it wants to be called so that you can give a name to it.
These sorts of parts, in theory, should already have autonomy and should be able to respond when questioned. You are not making something new, you are just helping something that is already there differentiate itself more from you.
While just treating it like its own separate person is enough to achieve the bare minimum, I would advise continuing to ask it introspective questions to encourage it to think of itself as its own person. Especially things that are unrelated to its original role, whatever that was. And try to expose it to new experiences where you can.
Memory: The key to memory is making sure that you are interacting with the same instance of the character every time. If this is something that you are struggling with, my advice would be to end every session that you interact with your proto-headmate by asking them what they want to do the next time you interact with them. This will signal to the brain that this isn't done yet and that it needs to "save" this particular instance of the entity rather than creating a new one the next time. Then when you interact with them again, try to start off by asking them questions about the previous times that you have interacted with them in order to ensure that the memories have stuck. (These types of questions also encourage introspection.)
Gnosis: Of all of these qualities, this one is actually the easiest to reliably induce. You can trigger a gnosis event simply by telling a character with the other qualities about the outside world. Ideally, you should try to show them mental images and memories as well. You can also try imposing them externally so that they can see the outside world for themselves and walk around the space the body occupies.
As a warning, be aware that a well-developed entity discovering that the world that it knew was created from someone's head can sometimes trigger an existential crisis. While this is the easiest quality to attain, it also carries a risk if it's not attained before the other qualities. On the other hand, some headmates may enjoy the revelation and the new option that give them. Especially since they can now theoretically shape the inner world to their desires. Just be ready to catch them in case they fall when revealing this.
Conclusion
Thank you so much for reading! 😁
If you enjoyed this post and my categorizations, you may also enjoy my posts on headmate Foundations and Manifestations, and the Dimensions of Fronting.
Idk if theres an actual term for this but this exists now! Mainly self indulgent
Unstable Love Disorder is when someone loves someone to an unstable amount. Often leading to feeling dependent on them. Needing constant reassurance, neglecting basic needs, isolating themselves, and often leading to more self harming habits due to their love
There is no right or wrong way to use this, it's for everyone!
Being anti-endo baffles me actually. Wdym it’s unrealistic for the human brain to create more beings per body just cause it wasn’t caused by trauma. The human brain is so complicated I think the most unrealistic thing is expecting it to follow your rules actually.
Tumblr Post of our Endogenic and Non-traumagenic Plurality Research
THIS POST IS OUDATED. PLEASE READ THE UPDATED VERSION HERE
💬 0 🔁 1 ❤️ 2 · Endogenic Plurality Research & Information 2.0 - by a Traumagenic System · This is a new post for our updated document! We
Endogenic & Non-Traumagenic Plurality
By Guardians System, a diagnosed traumagenic DID system with PTSD and CPTSD
For use by everyone, to be read by EVERYONE
Brought to you by sysmeds who say “I’m not reading all that” (/j)
Feel free to DM on Twitter at GuardiansSystemOpen for anonymous questions on Tellonym also under GuardiansSystemOtherwise, just comment! :)
Lists of Links
Put together by community members! (Not thoroughly checked)
Plurality/Multiplicity + Syscourse Resources and Findings
Pastebin by ButterflyBlood - contains info from the DSM-3 to the DSM-V, medical info, community info, Tulpa info, syscourse info, and a video
Cambrian's Thread of Experts
Thread by the Cambrian Crew - contains info from Dr Eric Yarbrough (Distinguished Fellow of the American Psychiatric Association), info from Dr Nijenhuis and Van Der Hart (two of the writers of the Theory of Structural Dissociation), info from the ICD-11 and DSM-V-TR, and an interview by Dr Richard Loewenstein (lead editor of the DSM-V’s section on DIssociative Disorders)
Studies into non-disordered and/or endogenic plurality
Pastebin by Oliviaset - contains multiple science/government links and a video
Collected Plurality Info - 8 pages of resources - Fractal System
Document by The Fractal System - contains explanations on multiple types of plurality and references links to each, contains community info, history info, academic info, and more
Scientific Papers on Endogenic Plurality - r/Plural
Post and comments by numerous systems/supporters - contains a massive amount of uncategorised links to all types of information on non-traumagenic plurality
Multiplicity Links - SARAH K REECE
Site by Sarah K Reece - a previously diagnosed traumagenic DID system that no longer fits the criteria but is still a system, links focus mainly on general helpful system information
Scientific Articles on Nondisordered Systems
Document by Tabellenblatt1 (?) - contains info specific to non-disordered plurality, including the interview by Dr Richard Loewenstein
Ex Uno Plures - Articles
Community site by Plures House - contains explanations on plurality, info on living plural, info on personal experiences, medical info, philosophical info, social info, and syscourse info
An Endogenic Proof Masterlist - Plural Anomaly
Document by Plural Anomaly - contains community info, academic info, and criticisms on the Theory of Structural Dissociation
Plurality Studies - Multiplicity and Plurality Wiki
Wiki made by numerous community members - contains uncategorised abstracts from medical info and info on Tulpas
Non-Traumagenic & Endogenic System Information
General medical/clinical studies and research
It's just a body: A community-based participatory exploration of the experiences and health care needs for transgender plural people
Study by numerous people including a system - repeatedly references and explains multiple types of plurality, both traumagenic and non-traumagenic
Multiplicity: An Explorative Interview Study on Personal Experiences of People with Multiple Selves
Study by numerous people - uses some outdated language, however, explores how systems exist both with and without Dissociative Identity Disorder
Conceptualising multiplicity spectrum experiences: a systematic review and thematic synthesis
Study by numerous people - explores how multiplicity exists outside of Dissociative Identity Disorder in a medical context in order to recommend appropriate health services
Critiquing the Requirement of Oneness over Multiplicity: An Examination of Dissociative Identity (Disorder) in Five Clinical Texts (Alternative Link)
Study by Kymbra Clayton - explains how multiple selves can be healthy without the need for singularity
NORMAL DIMENSIONS OF MULTIPLE PERSONALITY WITHOUT AMNESIA
Study by multiple people - uses slightly outdated language, describes how multiplicity can be considered natural without the dissociative disorders, and how the dissociative disorders could simply be expanding upon multiplicity
Cognitive processes in dissociation: An analysis of core theoretical assumptions
Study by numerous people - discusses potentially healthy dissociation and the existence of dissociation without trauma
MODES OF EXISTENCE: TOWARDS A PHENOMENOLOGICAL POLYPSYCHISM
Study by Mick Cooper - discusses alternative ways for multiple selves to exist
A plurality of selves? An illustration of polypsychism in a recovered addict
Study by Peter T.F. Raggatt - discusses the normality of non-traumagenic multiplicity and different ways for natural plurality to exist
A Jungian Perspective on the Dissociability of the Self
Study by Brian R. Skea - includes multiple mentions of Freud, extremely explicit and triggering language, and repeated use of outdated terms, however helps to provide an understanding of much older views on non-traumagenic dissociation and plurality
TRANSGENDER Mental Health - chapter 11
Book by Dr. Eric Yarbrough of the American Psychiatric Association - states repeatedly throughout the chapter that plurality is only a part of dissociative identity disorder and exists without the disorder, as well as trauma only being reported in some cases of plurality and that trauma is not the only cause for plurality, and states that plurality itself is only a collection of alters
"I've Learned to Treat my Characters like People": Varieties of Agency and Interaction of Writers' Experiences of their Characters' Voices
Study by multiple people - describes authors’ common experience of accidental multiplicity caused by their characters gaining autonomy
Dissociation in Trauma: A New Definition and Comparison with Previous Formulations
Article by Ellert R S Nijenhuis and Onno van der Hart (two of the writers of the Theory of Structural Dissociation) - page 27, at the end of the article, they recognise mediumship and similar practices as a “division of personality,” which is what they refer to the dissociative disorders as
Exploring the Experiences of Young People with Multiplicity
Research by Zarah Eve and Sarah Perry - begins with multiplicity only sometimes being applicable for a DID/OSDD diagnosis, and continues that multiplicity itself and the dissociative disorders are not the same, as well as some respondents not associating their multiplicity with trauma alongside the dissociative disorders not applying to some of the respondents, and having a section for some multiplicity not being based in trauma
Comparison of Brazilian spiritist mediumship and dissociative identity disorder
Study by multiple people - in comparing Dissociative Identity Disorder with Brazilian Spiritist Mediumship, it was found the two shared very similar results, only that the Mediumship results appeared slightly healthier than DID
Tulpamancy
Studies and research specifically on Tulpas, though can apply to other plurality
Tibetan Buddhist with a Tulpa - Opinion on Plurality
Post by Dharma Yokeyodasampa - a Tibetan Buddhist with a more traditional Tulpa asking community members for questions, discussions include what they think about plurality, western Tulpamancy, how their Tulpa feels, and the difference between western Tulpamancy and the Tibetan practice. (This is a post compiling and explaining most of it, with a response from Dharma.)
Personality Characteristics of Tulpamancers and Their Tulpas
Study by multiple people - examines and explores what Tulpas are, what they do, their role, Tulpa experiences, some history, and more
Sentient companions predicted and modeled into existence: explaining the Tulpa phenomenon
Study by Kaj Sotala - describes a theory on how Tulpas may be psychologically caused via “feedback loops” (can also be applied to various other types of plurality, such as multiplicity caused by authors/artists and caused by other disorders)
A Time for Tulpas
Thesis by Nick Stager - discusses what a Tulpa is, experiences with Tulpas, the development of Tulpas, how other practices may be similar, how an author can accidentally create Tulpas, and more
Tracking the Tulpa - Exploring the "Tibetan" Origins of a Contemporary Paranormal Idea
Book by Natasha L. Mikles and Joseph P. Laycock - explains what Tulpas are, how Tulpas are created both intentionally and unintentionally, some of the history behind Tulpa, and Tulpas based on theosophy instead of the Tibetan practice
Tulpas and Mental Health: A Study of Non-Traumagenic Plural Experiences
Study by Jacob J. Isler - explains what Tulpamancy is and how it can differ from Dissociative Identity Disorder but still be plural
Paranormalizing the Popular through the Tibetan Tulpa: Or what the next Dalai Lama, the X Files and Affect Theory (might) have in common
Article by Ben Joffe - explains what Tulpas are, how Tulpas develop, Tulpa experiences in the outside world, the difference between Tulpamancy and the Tibetan practice, some of the history behind Tulpas, Theosophy-related Tulpas, and Tibetan Sprulpa experiences
Making Friends - Transcript of a Podcast on Tulpas
(Slightly incorrect: more info here) Discussion by multiple people - explains multiple personal experiences with a Tulpa, actions of a Tulpa, accidental creation of Tulpas through writing, Tulpas taking over the physical body, Tulpas having a different identity, purposeful creation of Tulpas, discussions with professionals (Richard J. Loewenstein,) the difference between Tulpas and psychosis, the similarity between Tulpas and Dissociative Identity Disorder, how without distress then it can’t be disordered, and more
Daring to Hear Voices
Dalai Lama - Buddhist practices are open to those who need them
Clinical Information
Helpful medical information not specifically related to non-traumagenic systems
DID Brain Pattern Study Doesn't Measure Up - December 2018
Critique by Spot&Cerberus - discusses the multiple flaws with the MRI scan on DID patients
Moral Status and the Treatment of DID Study by Timothy J. Bane - discusses the current known treatments for DID in the context of integration being commonly used, how it may be unethical and unhealthy to force integration, and that a multiple can healthily exist
DID, OSDD, and UDD Diagnostic Guide (NZ)
Diagnostic guide by ACC (Accident Compensation Corporation) - the New Zealand guide to diagnosing patients with DID, OSDD, and UDD, includes history of the diagnosis, problems with the diagnosis, alternative diagnoses, requirements for a diagnosis, what to avoid in a diagnosis, what to look for in a diagnosis, and similar
The Theory of Structural Dissociation
Theory by multiple people - the most commonly used theory to explain dissociation, often specifically related to dissociative disorders
Problems with the Theory of Structural Dissociation
Research by multiple people - discusses multiple problems with the Theory of Structural Dissociation, including it being a theory, the discarding of derealisation, depersonalisation, dissociative fugue, dissociative amnesia, the lack of association with trauma and PTSD in the DSM-V, and proposes some different ideas
ICD-11 for Mortality and Morbidity Statistics
Book by the World Health Ogranisation - Dissociative disorders on 6B64
DSM DID ALTERATIONS
DSM-V-TR
DSM-V (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition)
Book by the American Psychiatric Association - Dissociative Disorders on page 336
DSM-IV-TR
DSM-IV
DSM-III-R
DSM-III
DSM-II-SPECIAL
DSM-II
DSM-I-SPECIAL
DSM-I
Plural History
Explanations and references to different parts of plural history
Plural History - 1811
Collection by Lb Lee - contains multiple parts of history in which systems of all types have existed (there are 4 different chapters)
A Partial History of Plural Self-Advocacy
Collection by Alt H - describes times in history starting from 1987 when non-traumagenic plural advocacy was recorded
It's Not Just a Tumblr Thing - Kerry Dawkins
Article by Ex Uno Plures - contains references in history to plurality outside of and before Tumblr
A Brief History of the Use of "System" in a Non-DID Space
Collection by Lb Lee - describes the history of the word “system” being used to describe those with multiple selves, and how it isn’t a disorder-specific term
A Quick'N'Dirty History of "System" as Plural Slang
Collection by Lb Lee - explains the history of the word “system” and the different uses
"Endogenic" was not coined by Freud
Collection by Sophie in Wonderland - a discussion on the anti-endos claim that “endogenic” was coined by Freud
Origin of the term Endogenic
Explanation by the Lunastus Collective - details how the term “endogenic” came to be created, what led up to it, and what happened after
I saw a post saying we should just believe RAMCOA surivors... okay... so how about this one?
Explanation by Sophie in Wonderland - describes how and why anti-endos think “system hopping” was stolen by endogenic systems from RAMCOA systems, including an explanation from the RAMCOA system that anti-endos reference
Community Explanations
Explanations on endogenic plurality by community members (sources are used)
Debunking the Anti-Endo Carrd - Guardians System
To be updated
What do Sysmeds say That is Transphobic/TERF Rhetoric?
Post by multiple people - a discussion on the comparison of sysmeds and transmeds, and how their arguments and the language they use is the same
Why Not Just Use Thoughtform?
Collection by Sophie in Wonderland and Olivia Set - describes why some parogenic systems prefer using Tulpa over Thoughtform
Debunking Sysmeds - Claims and Rebuttals
Carrd by Ozymandias& - lists claims that anti-endos make against endogenic systems, and critiques the claims alongside referencing studies
I would define a plural system as having multiple, compartmentalised, self-conscious agents - SophieInWonderland
Collection by Sophie in Wonderland - an explanation of the validity of endogenic and non-traumagenic systems complete with referenced research and studies
Studies and Research into Endogenic and Non-Disordered Plurality
Masterpost - Academia on Endogenic and non-traumagenic plurality
Post by Inclusive Syscourse - contains an explanation on the validity of endogenic and non-traumagenic plurality complete with referenced research
Claims There is No Research On Endogenics
Post by Unknown - a list of research on endogenic and non-traumagenic plurality alongside explanations and descriptions
Origins of Plurality and Levels of Dissociation
Study by The Phoenixes - uses the DES to gain insight into plurality not caused by trauma
The Tulpa Carrd - explain the nature and origins of Tulpamancy and what surrounds it
Carrd by Unknown - lists an explanation and some history of Tulpamancy alongside references to research
Likely Origins of "Tulpamancy is Cultural Appropriation"
Post by the Dragonheart System - critiques a Carrd claiming that Tulpamancy is cultural appropriation, referencing research and studies
Resources
General helpful resources for all systems
Multiplicity Wiki - A wiki by plurals and multiples, for plurals and multiples
Wiki by multiple people - contains terms, definitions, and general information on all types of plurality and multiplicity
Layman's Guide to Multiplicity
Guide by Unknown - contains terms, definitions, information, explanations, and experiences on multiple types of plurality
The Plural Association - For Dissociative Identity Disorder & all other forms of Multiplicity under the Plural umbrella
Organisation by the Stronghold System (?) - contains help sites for all types of struggling systems, alongside helpful information and articles on multiple areas
Pluralpedia - the collaborative plurality dictionary
Dictionary by multiple people - contains a massive amount of information on the majority of plural terms and history
Endogenic Hub - a site dedicated to endogenic plurality
Hub by the Hordes System - contains information and experiences on multiple types of non-traumagenic plurality, alongside explanations of what plurality is
More Than One - Plurality (or multiplicity) is the existence of multiple self-aware entities inside one physical brain
Site by Unknown - contains information on terms, different system origins, denounces myths about plurality, and different plural experiences
The Dissociative Initiative - For, by, and about people with multiplicity, dissociation, and amnesia
Run by Sarah K Reece - a support group for systems that contains different information and resources on plurality
Tulpa Info - "For Science"
Guide by Unknown - multiple different languages, explains what a Tulpa is, why they can exist, and where to begin when making a Tulpa
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Feel free to share this post and/or the document with anybody. We're open to (genuine) criticism about our links or socument if something's wrong. You're also welcome to tag us in anything or DM us, with questions or to talk about our links or to respond to somebody. We are a pro-endo, diagnosed traumagenic DID system, with PTSD and CPTSD. We collectively use phe/phex/phins, and go by Guardians.
Please always rely on the document over this post, it's much more up to date.
2 or more of the following symptoms are present for the majority of days, in total lasting at least 3 months, 1st one being necessary:
Involuntary or semi-voluntary confinement due to quarantine restrictions.
Blurred day-night boundaries, loss of daily routine, difficulty tracking time or obligations.
Blurred day-night boundaries, loss of daily routine, difficulty tracking time or obligations.
Reliance on digital everything, including entertainment, communication, education, work.
Patterns of self-neglect in matters of daily health, hygiene, nutrition, sleep regulation, or household maintenance.
Worsening of other conditions or new ones being added.
Avoidance or fear of reentering public spaces, even after restrictions have lessened, accompanied by distress or overstimulation when outside the home.
Emotional or cognitive strain, such as irritability, mood instability, restlessness, or difficulty concentrating may appear because of PKD. May interact with preexisting vulnerabilities (e.g., social anxiety, chronic illness, introversion, bullying).