DISSOCIATIVE IDENTITY DISORED (DID) CASE # 2. 18F

 Date Tested: 04/23/2026

depressed singaporean father kills his two children with autism

 The dad who killed his twin sons: Investigating the crime that shook Singapore - CNA (channelnewsasia.com)

some panic attack symptoms in medical terms

TACHYCARDIA = fast heartbeat

DYSPNEA = shortness of breath

ANGINA = chest pain

NAUSEA = urge to vomit

PRESYNCOPE = lightheadedness, fainting feeling

DEREALIZATION = feeling disconnected to body & thoughts

pseudohallucination

"A pseudohallucination is an involuntary sensory experience that is vivid enough to be regarded as a hallucination, but which is recognized by the person experiencing it as being subjective and unreal. By contrast, a “true” hallucination is perceived as entirely real by the person experiencing it " (Pseudohallucination - Wikipedia)

"The term is not widely used in the psychiatric and medical fields, as it is considered ambiguous;^[5] the term nonpsychotic hallucination is preferred.^[6] Pseudohallucinations are more likely to happen with a hallucinogenic drug. But "the current understanding of pseudohallucinations is mostly based on the work of Karl Jaspers".^[7]

"A further distinction is made between pseudohallucinations and parahallucinations, the latter being a result of damage to the peripheral nervous system.^[8]

"They are considered a possible symptom of conversion disorder in DSM-IV (2000).^[9] In DSM-5 (2013), this definition has been removed.^[2] Also, pseudohallucinations can occur in people with visual/hearing loss, referred to as Charles Bonnet syndrome.^{[citation needed][10]}

(same source)

meconium aspiration syndrome & ASD = 7x/normal

 from ms bing chat 2023 nov 30

psychopath vs sociopath

 (20+) Dark psychology and manipulation. | Facebook

Psychopaths and sociopaths are both characterized by a lack of empathy and conscience, but there are some key differences between the two. Psychopaths are typically born with their condition, while sociopaths are believed to be more influenced by their environment. Psychopaths are also more likely to be manipulative and deceitful, while sociopaths may be more impulsive and aggressive.

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Fr: Barb Chiqovani

The main differences I’d say are:

1. Sociopaths are more influenced by their emotions than psychopaths are, psychopaths might not even experience emotions at times.

2. Psychopaths are more likely to be sadistic and commit serious crimes than sociopaths.

3. Sociopaths can love pets and people outside of their family, while psychopaths can’t. Psychopaths typically don’t even view their wife or husband as family.

4. Sociopaths are more impulsive than psychopaths, but also more cautious than psychopaths.

5. Psychopaths are more paranoid and suspicious of the environment around - they also display far more social awareness than sociopaths.

Both of them are extremely unlikely to think that they need help or that they have a problem… Sociopaths and psychopaths don’t usually seek therapy.

F51.3 Parasomnia, Somnabolism (FIRST CASE)

... secondary to G47.3 Sleep Apnea

13M only child, M: early retired teacher to look after only son, F: died of illness

onset: a year after F died

5 YRS PTC, Dx "Mild Obstructive Sleep Apnea [Gk. a = no + pnoei = breathing] & Hypopnea [>Gk. hypo = below + pnoia = breath] (Low Respiratory Rate) Syndrome"

probably aggravated, since M showed me a video when C was a child having sleepwalking -- agitated & crying (seems to have night terror)

personality: appear schizoid to me, did not fill up drawings for happy memories & best version of self; experienced anxiety upon entry to new school as Gr 7, then again at Gr 8 for the first few months due to having new classmates

                    : appeared effeminate to me based on how he moved, which our janitress affirmed when i asked her

referred to PCMC: pedia pulmo & pedia psycha

 

mania vs hypomania

 Mania - StatPearls - NCBI Bookshelf (nih.gov)

Dailey & Saadabai, 2023 (National Institute of Health)

"Mania is a period of 1 week or more in which a person experiences a change in normal behavior that drastically affects their functioning. Mania can be distinguished from hypomania in that hypomania does not cause a major deficit in social or occupational functioning, and involves a period of at least 4 days rather than at least 1 week. The defining characteristics of mania include increased talkativeness, rapid speech, a decreased need for sleep, racing thoughts, distractibility, increase in goal-directed activity, and psychomotor agitation. Some other hallmarks of mania are an elevated or expansive mood, mood lability, impulsivity, irritability, and grandiosity."

severe anxiety with psychotic features

 

Anxiety Psychosis: What it is and How to Control it (calmclinic.com)

Anxiety Psychosis Treatment

Experts theorize that the reason the brain tends to have psychosis-like symptoms during extreme anxiety is that the brain doesn't know how to cope with extreme stress, and uses some of the symptoms of psychosis as coping mechanisms.

In many ways, stress overloads the brain so strongly that many of its functions shut down in order to be less affected by the stress. Once the anxiety decreases the brain no longer needs to protect itself and the symptoms go away.

So in many ways, part of reducing the psychosis is simply waiting it out.

There are ways to get yourself "back" to reality. Psychologists often advise utilizing your senses to make sure you feel yourself in the present. For example, running your hands under cool water and then focusing on the cool feeling can "snap" you back to the present. Focusing on different objects and describing the colors, smells, and sounds can help too. These activities essentially ground you in reality so that you're not stuck in your thoughts.

guilt vs shame

 source: msn.com/en-ph/news/other/the-psychological-effects-of-keeping-secrets

my conclusion: guilt is OBJECTIVE & PARTIAL (not always bad), shame is SUBJECTIVE & TOTAL (always bad / negative). Catholic teaching (from St Augustine): Hate the SIN, love the SINNER.

GUILT: "I regret having done something wrong. I wish I had done something differently."

SHAME: "There's something wrong with ME (whether or not I have done something objectively wrong). I'm failing to live up to expectations."

Shame, therefore, tends to PREOCCUPY people more than guilt because it can chip away at our sense of SELF-WORTH and lead to feelings of HOPELESSNESS.

trichotillomania (hair-pulling D/O) case # 01

 10.18.2023 F16 Brgy 188, CC 

trigger: stress c/o irritation over siblings (youngest of 5)

F: unemployed, M: domestic helper, elder bro & sister breadwinners -- bro sells soaps

ps: unfortunately, SU refused to remove her head covering for me to see what it looks like :-)

schizoid vs schizotypal

 Schizoid vs. Schizotypal Personality Disorder: What's The Difference? (therecoveryvillage.com)

SCHIZOID

• Having little interest in relationships or sexual experiences
• Choosing to be alone
• No engagement in pleasurable activities
• Lacking close friends other than family members
• Feeling indifference to praise or criticism
• Refraining from displaying warmth or love

SCHIZOTYPAL

• Believing that others are talking about them
• Magical thinking patterns or odd beliefs about oneself or others
• Unusual body sensations
• Suspiciousness or paranoia
• Confusing or eccentric thinking, speaking or behavior patterns
• Peculiar appearance
• High levels of social anxiety

PD definition

 Schizotypal Personality Disorder vs. Schizophrenia - The Recovery Village Drug and Alcohol Rehab

Unlike other mental health conditions, personality disorders are believed to be:

• Pervasive: affecting all areas of a person’s life
• Stable: despite fluctuations of intensity symptoms are rarely, if ever fully absenttabl
• Resulting from poor adaptation: impaired personal identity, or inability to develop interpersonal skills

stimming

 Autism Tests for Adults: Symptoms and Evaluations (verywellhealth.com)

STIMMING = self-calming behaviors that are difficult to stop even in public

Ex: pacing

      rocking

      hair twirling

      humming

statistical co-morbidties of ASD: ADHD (28%) & Anxiety (20%)

 

Autism Tests for Adults: Symptoms and Evaluations (verywellhealth.com)

the positive side (yang) of anxiety

 The Lesser-Known Positive Aspects of Anxiety - Psychic Monday

source: MIND & MENTAL (2023 Sept 05) 

[limitation: the article does not have citations]

1. improved INTUITION c/o heightened awareness of surroundings & people, ill: navigate a busy city or pick up on social cues

2. increased EMPATHY c/o hyper-aware of people's emotions

3. improved COGNITIVE FUNCTION c/o high cortisol --> memory & problem-solving

4. increased MOTIVATION c/o sense of urgency --> productivity & goal achievement in shorter time

5. more & more CREATIVITY c/o active imagination --> creative thinking & problem-solving --> innovative ideas & solutions

important notes on ASD

Source: DSM-5-TR (2022), p. 62.

re: childhood vs adulthood symptoms

"Diagnostic criteria may be met when restricted, repetitive patterns of behavior, interests, or activities WERE clearly present during CHILDHOOD or at some time in the PAST, EVEN IF SYMPTOMS ARE NO LONGER PRESENT."

re: NO universally accepted cut-off scores

"... the symptoms of ASD occur as DIMENSIONS without universally accepted CUTOFF scores for what would constitute a disorder. Thus, the diagnosis remains a CLINICAL one, taking all available information into account, and is not solely dictated by the score on a particular questionnaire or observation measure."

OCPD vs OCD

 

the hemingway depression and suicide transgenerational pattern

 The Interesting Life of Ernest Hemingway - en.claireandjamie.com

Death

Depression, paranoia, ECT, heavy drinking, hereditary hemochromatosis [iron overload](which caused his father to kill himself) and possibly even multiple concussions which may have caused him to develop chronic traumatic encephalopathy (CTE), saw Hemingway check into the Mayo Clinic for further shock treatment. But upon returning home to Idaho, he ate his favorite meal – New York strip steak, a baked potato, Caesar salad and a glass of Bordeaux – then took his own life by shotgun when he "quite deliberately" shot himself with his favorite shotgun in the early morning hours of July 2nd, 1961. 

Family Curse

Tragically, Hemingway's granddaughter Margaux committed suicide by drug overdose in 1996. Depression and suicide is a dark theme that runs through the Hemingway family like a curse.

As well as her grandfather Ernest and her great-grandfather (Ernest's dad) two of Ernest's siblings also died by their own hand. Suffering from cancer and depression, sister Ursula died of a drug overdose in 1966 and Leicester diabetic faced with the loss of his legs, shot himself in the head in 1982. Margaux's sister, Mariel Hemingway has become a mental health advocate. 

auditory hallucination as a symptom of intellectual disability

 

can intellectual disability cause auditory hallucinations - Search (bing.com)