Tag Archive: c-ptss

Safety and Internet

develop your own safetySAFETY AND THE USE OF INTERNET

Complex-Trauma & Structural Dissociation
© Nique, 31 august 2014
What do you need to know about
Support, Advocacy, Help or even Professional help – versus the use of the internet

Because lots of fellow sufferers question safety and trust as they join a (support) group or community, I want to write the following lines to give you all something to think over.

I think those lines are important, so don’t ignore them – give them a change by reading them.


What do we need to know about the mental healthcare workers e.g. fields

Know the basic differences in degrees of psychological working fields and their abbreviations. Lots of people use abbreviations on the internet to impress. Don’t be impressed by an abbreviation without a public mentioned licensee number and working field and working address.

(c) Nique DIDWhat is the Difference Between Psychologists,
Psychiatrists, and Social Workers?


internetsafety-wordleSupport groups are nice places to talk with your fellow sufferers, but they also can be very hurtfully. So keep your emotions and yourself safe at all times, because a community holder e.g. owner can’t guaranty you any safety. So please don’t believe otherwise and know that it it’s you and only you who can keep you safe on the internet.

Don’t follow medical advises from people who carry only an online profile with an alias name.

Many people use fake accounts, nothing wrong with that, its even smart in order to communicate safe through the internet. But it’s very badly wrong if they start to advise you, educate you or even analyse or treat you on a medical or therapeutically way with a fake account.

If you accept help from someone by the use of the internet, then know who you’re talking to before you share private information with such a person, and take notice of the following handles.

Safety_MattersYour contacts with a medical background
e.g. Professionals

Ask always for a copy of license if someone advises you under the title of Ph.D., clinical- or average Psychologist, SW, LCSW or other likewise practicing working fields. Even students have a scholarship number.

Never accept online counseling or psychological treatment if you don’t know who you are dealing with.
And above all keep in mind: Professionals will keep a professional distance too their clients because they know their ethics. This means also that they don’t join their clients in an online community advocacy or support group.

Follow never education, medical advises or knowledge from people which refuses to identify themselves with their real name and living or working address. Professionals will carry a profile picture to be cognizable, because they don’t want to hide and they do want to be trustworthy.

Professionals will always identify themselves and they have also no problems with being recognizable.

support-groupsSupport and Advocacy Groups

Support Group:
What does it mean? Members provide each other with various types of help, nonprofessional and nonmaterial, for a particular shared, usually burdensome, characteristic. Members with the same issues can come together for sharing coping strategies, to feel more empowered and for a sense of community. The help may take the form of providing and evaluating relevant information, relating personal experiences, listening to and accepting others experiences, providing sympathetic understanding and establishing social.

What does it mean: It’s a commonly used English term (the emphasis is on the first syllable) that indicated the work of organizations that are committed to the rights of certain groups, e.g. women, minorities or children.
The term literally means ‘ voice ‘ or ‘ defense ‘

How to join safely a Support or Advocacy Group or community

After all those warnings you could get scared to join an online support or advocacy group e.g. community, don’t because that isn’t necessary if you keep on guard with your own safety!
So I will give you also some handles to Join safely a support or advocacy group on the internet.

Make sure you don’t use your real or full name – and please don’t use double accounts because it’s very important to be recognizable for other community users and members. Make as less as possible changes in you profile.
Don’t share your real personal name and living details, it adds no value to a membership of an online support or advocacy community or group because the moderators and owners can’t protect your personal details and they also don’t need them. Even professionals keep their personal home address privately.
Don’t take this lithely and help new members to start safely by sharing and advising those handles.

Do not to another person what you don’t like done to you, treat them as how you would like to be treated !!

TeamHow can I share my personal story, emotions and or feelings

You can easily share your personal story if you don’t share your photo, real name and address. So it is not harmful to tell someone what your experiences were and what harmed you so much. What your emotions are and why you join this group, etc..

But keep in mind to do it on a way that they can’t trace your story back to your personal address and name.  With an alias you are pretty safe in a Google+ community and within G+ you stay the boss over your own messages. This in contrast with the use of a forum such as a php forum or likewise where the administrators and management can censure or edit your personal messages.

Don’t share personal pictures or likewise – family pictures if you don’t want to be recognizable all over the place. Pictures will be very easily found by search engines like a google picture robot and likewise search engines.

i_love_internet_safetySupport Groups with a mental healthcare issue as there topic title

Joining a group with a mental health issue, for example:
Support groups Complex-Trauma, or a DID group or a BPD group or a Trauma and dissociation group, etc..

Know this, knot it even in your ears:

In such a group you will meet other people with also a mental health issues. They can be very friendly, they are most likely fellow sufferers and it can very easily feel very trust worthy. But also there you need to keep something very important in your mind!
The behavior of someone with a mental health issue can change in an instant and under the influence of their mental health issue. It is also not uncommon that this activates a disturbed chain reaction in such a group. On such a moment take a step back, take a brake (a day or even two days or as long is needed) until the group has calmed down. Don’t let yourself talking in to something if you had nothing to do with a or the conflict yourself. In other words ‘mind you own business’.

This sounds hard but it isn’t.
Very often a conflict accelerates by the interference of others.

Support means also: help conflicting members to talk with each other – don’t talk for them, don’t talk about them and also don’t interfere with the conflict: Help them to talk with each other and stay neutral

Always keep in mind – everything you say can be used against you because you can’t predict the behavior of an individual with a mental illness as you also can’t predict the behavior of a healthy person. So avoid private conversations as much as possible in a mental health issue group or community. The more open you communicate, the more safe a community and you are. It’s very honorable if we can help each other and it will always be our intention, but do it in the open of the group and back off during a conflict.

Then you guarantee your own safety at the best.

And at the end I want to write:
Keep always your own mental health and well being on the top level of your social

Internet is as safe as you make it safe – for and by – yourself !
Create or keep a natural and healthy distrust towards the use of social activities on the net

Make the Net useful for You

Friendly regards,
CE at the Dutch Top Referent Trauma Center, Assen-Drenthe – The Netherlands


Complex Trauma PTSD

The diagnostical reality of a SD-DID sufferer

Are all DID diagnoses a tertiary structural dissociation?

  • SD * Structural dissociation
  • MPD * Multiple Personality Disorder
  • DID * Dissociative Identity Disorder
  • BPD * Borderline Personality Disorder

Are all MPD/DID diagnoses the same as a tertiary structural dissociation of the personality ?

A very complex Post Traumatic Stress Disorder

  • Technically and to SD diagnostically instruments: YES
  • Reality to the present time of a global diagnostically acceptance and understanding of the SD: NO

Because until now the three levels of a Trauma related Structural Dissociation of the personality are not globally recognized or used as a diagnostically instrument to diagnose a (Complex) PTSD and a Trauma related dissociation.Three levels: primary, secondary and tertiary.

  1. PSD – a PTSD a primary Structural dissociation of the personality
  2. SSD – a Complex Trauma related Dissociative Disorder, in combination with a attachment or severe personality disorder, a secondary SD
  3. TSD – a Complex Trauma with severe dissociative symptoms a tertiary SD

Until this moment level 2 and 3 are a diagnostically mess. Because there is still no suitable diagnostically DSM category to define a Complex Trauma (CPTSD) with severe dissociative symptoms.

Result: Level 2 and 3 of the SD are totally mixed up as a Dissociative Identity Disorder.

To this matter I want to share a personal note:
Last February I had a nice and also educative conversation with Professor Ph.D. Onno van der Hart. During this conversation we also spoke about the frequency DID is diagnosed. And that to my opinion to many people get diagnosed with a DID while they suffer more likely a level 2 of the Structural dissociation of the personality. And to this personal observation and conclusion I asked him some feedback and he answered to me:

Dutch respons:
” Nique ik ben het met je eens dat mensen veel te snel ook van DID (of Dis) spreken als er in feite van secundaire dissociatie van de persoonlijkheid sprake is–terwijl dat waarcshijnlijk ook vaker voorkomt dan tertiaire dissociatie van de persoonlijkheid. Kortom, ik ben mij er zeer van bewust dat de dissociatieve stoornissen (DD) méér omvatten dan alleen DIS, en dat dit vaak onvoldoende wordt aangegeven. Ik ben bang dat het spreken in termen van niveaus–primaire, secundaire en tertiaire–van dissociatie van de persoonlijkheid, zoals wij dat doen, niet gangbaar is. Want dan moet men ook onze theorie accepteren, en niet iederene kent hem of wil in die termen gaan denken.“. (Onno van der Hart, February 2014)

Prof. Ph.D. Onno vd HartWhich means (Eng translation): 

“Nique, I agree with you that people much too quickly speak of a DID when in fact they talk about a secondary dissociation of the personality — as it shows that though is more common than tertiary dissociation of personality. In short, I am very aware that the dissociative disorders (DD) include more than just DID, and that this often insufficiently is indicated.
I’m afraid that speaking in terms of primary, secondary and tertiary levels — of a structural dissociation of the personality, as we do, not generally is accepted. Because then one must also accept our theory, and not everybody knows him or want to start thinking in those terms.“. (Prof. Ph.D. Onno van der Hart, February 2014)

To me this also explains the difficulty to find fellow sufferers and good informative websites about SD.
I’m diagnosed with a diagnose where all sorts of mentally disorders are mixed up with each other, because globally and diagnostically there is no diagnostically system to define a Complex Trauma related disorder. And also there is a severely lacking of understanding to the theory of a Structural Dissociation such as given by The Haunted Self a (study book). So people like me, who suffer a complex Trauma with severe dissociative symptoms but also free of a personality disorder, we aren’t recognized by a global diagnostically system. I suffer no symptoms of a Borderline or other personality disorder. I suffer a complex Trauma with severe dissociative symptoms (ANP switching) – a Tertiary structural dissociation of the personality.

In may 2014, I also had a shared conversation with my own personal CPT and Ellert who both go in the same Dutch traumatology team and which also diagnosed my case. I spoke to them about the mixed up diagnoses — personality disorders, SD DD and level 3 as a DID, and Ellert answered  (Literal text translation):

Ellert Nijenhuis, Ph.D.

“Sometimes the facts are more strongly than the theory. I mean: about 40% of the current DID
 population meets the criteria of BPD. An even larger group has a personality disorder (approximately 60%). BPS also develops in early childhood, sometimes BPD seems trauma-related, sometimes it seems not. You could also say that BPD is a sign of a certain imbalance of the personality.
Very general: on axis II diagnoses are not made out on the basis of a development, but on the basis of symptoms.
(Ph.D. Ellert Nijenhuis, may 2014)”. 




My personal conclusion
lots of info which you can find on the internet and which is carried out by people who were diagnosed with classical MPD in the past and now declare themselves as diagnosed with DID as a Trauma related tertiary structural dissociation of the personality;
lots of them don’t even understand the theory of a Structural dissociation – – the difference between ANP and EP and realted switching behavior – – and inform you totally wrong. Until now I could not find one website who informs you right about the structural dissociation of the personality such as given by: Kathy Steele, Ellert Nijenhuis and Onno van der Hart.

My words are probably rough to take in and lots of people hate me by it, but a diagnose is also not meant to please but to point out the reality of symptoms, behavior and a the mental disorder(s) someone is suffering.  So again I answer to the question: is all the info on the internet about DID – – related to a Tertiary Structural dissociation of the personality?  NO !
ecause to make such a statement we would need to re-diagnose all the MPD/DID sufferers which were diagnose for the 21st century and which aren’t diagnosed by the diagnostically instruments and knowledge (interviews and differential D instruments) which define a diagnose of a Trauma related Structural Dissociation of the personality – the three levels.

Knowledge does change and has changed.
But in all those years they never adjusted diagnoses given in the past.

The Internet and all given information that comes with it
is it trustworthy

shutterHow to know if the information you read on Blogs or personal managed websites is trustworthy to the understanding of a Structural dissociation of the personality or a DID related tertiary structural dissociation of the personality (the three levels)?

Most people who are diagnosed during the 21st century by the expertise of a Trauma center and or by a clinical psychologist which is specially trained to work with the instruments to diagnose a structural dissociation of the personality (SD theory), will have no problems to mention where they were diagnosed. Because they have no reason to make a secret of it.

Websites written by people who refuse to mention who diagnosed them and when they were last diagnosed with DID or otherwise, are often also the websites where you will get misinformed about DID and the Structural Dissociation of the personality – SD theory.


Also websites where you find information which is most indicated to the (EP not in though with the present time) switching and alternation behaviors are not the websites where you get objectively informed about a structural dissociation. There focus is too much orientated on the acceptance of unrealistic Switching behavior which isn’t a realistic match to how someone suffers a Tertiary Structural Dissociation of the personality.

That sort of websites do carrie out a stigmatizing profile of a classical MPD/DID diagnose which are more damaging than educative to the understanding of a Trauma related Structural Dissociation of the personality.

If someone pretends to share educative information about a disorder as DID then they will also have no problems with you asking ‘when and by whom were you diagnosed?’ If you talk about knowledge and you write a whole website to give meaning to a diagnose in order to help out a global understanding of a ‘diagnose’, then the diagnose and who diagnosed him/her has to be also no secret! If they send you away with an answer ‘you are out of line with that question because that is private’ or ‘It doesn’t matter which diagnose I carry’ than you have the wrong website to inform yourself about a Structural Dissociation of the Personality.

Also keep in mind: A big and over active website does not always mean ‘trustworthy information’.

Love and understanding to you all

attentiona note of attention:

To all the professional mental caretakers and psychotherapists out there
please inform yourself on a professional way about the trauma related structural dissociation of the personality such as given by Kathy Steele, Onno van der Hart and Ellert Nijenhuis.

And to all readers pleas note
In order to correctly understand the explanation of my own personality systems, you need some knowledge of the summary of a SD. Be ware: Switching between personality parts is not a phenomenon that only belongs to a trauma related Structural Dissociation (SD) – such as a very complex PTSD the dissociative identity disorder (DID) – or a complex PTSD Secondary SD (OSDD) – or a less complex Post traumatic stress disorder PTSD.

There are other disorders that have symptoms of identity problems and switching behavior between personality states such as a theatrical personality disorder, a Borderline Personality disorder, a bipolar disorder or schizophrenia. A Dissociative Disorder (DD) has a wider range of being a co-morbidity disorder. And also the tertiary SD, DID, the trauma related Dissociative Identity disorder is a polysymptomatic condition which is characterized by a hidden presentation (S.Boon & N. Draijer).
So keep in mind: Diagnoses of a ‘trauma related’ structural dissociation of the personality can only be done by an experienced clinical trauma psychologist/psychotherapist which is specially taint to do so. 

*  *  *  *  *


Complex Trauma PTSD


The interactive brain systems

How about the interactive brain systems 

(the magic of our brain complexity)

Hypnotic Thoughts


Broadcasted by:  HypnoticThoughts

Hypnotist Paul RamsayPaul Ramsay

Paul Ramsay is a board certified hypnotist in private practice, hypnotizes over 1500 people per year, and tours as a stage hypnotist. For over 10 years, Paul Ramsay has been entertaining college and high school students as a stage hypnotist. In 2011, Paul introduced his exclusive interactive show called Mind Games. Paul’s video series Hypnotic shows a day in the life of a traveling stage hypnotist. Paul’s private practice is dedicated to helping individuals stop negative habits such as smoking, fingernail biting, and overeating. Ramsay’s private practice also offers customized, individual personal coaching programs to help his clients achieve their goals and maximize their potential. www.PaulRamsay.com


mani-saint-victorCognitive Neuroscientist Manuel Saint-Victor

M.D. Dr. Saint-Victor is Chief Neuroscientist at Mindful360, which he co-founded. Dr. Saint-Victor is focused on using a non-pathological approach to helping people get better by becoming more self-aware of their strengths and resources. Dr. Saint-Victor trained under Dr. Eva Ritvo, M.D. and Dr. Ray Ownby, M.D., MBA, Ph.D. as a Psychiatry Resident at Jackson Memorial Hospital; attended Medical School at UNC Chapel Hill School of Medicine; and conducted cognitive neuroscience research under the supervision of Stephen M. Kosslyn, Ph.D. as an undergraduate at Harvard University. Dr. Saint-Victor’s white paper about Core Value Alignment will be released in July 2014.


What is the Default Mode Network?

The default mode network (DMN) is a network of brain components active when during daydreaming, self-generated thought, and when not attending to outside stimuli.  Some neuroscientists theorize that the DMN is involved with the Freudian ego functions.   There is increasing evidence that moderation of thedefault mode network is the mechanism of hypnosis effects.

As stated in “Bringing Unconscious Thoughts to Awareness: Default Mode, Body Rhythms, and Hypnosis“, a study reviewing the changes induced by neurohypnosis and hypnotherapy:

sence of self

“The default mode network is vital to our sense of self and sense of agency, moral sensitivity, organizing memory to reconstruct the past, simulating the future such as inner rehearsal and daydreaming, and imagination such as free association, stream of consciousness, and taking other people’s perspective.”

See the Video . . .



The Central Executive Network(CEN)

The Fronto-parietal Central Executive Network (CEN) handles inhibition, task switching, and updating.  It inhibits the default mode network, engages your conscious brain to think and maintains attention on a prioritized task.   It’s helpful to think of it as active when you put effort forth to keep your mind from wandering during a goal directed task.  Many psychiatric conditions including ADHD are associated with poor inhibitory regulation of DMN activation by the CEN.   The dance between the CEN and DMN are coordinated by the Salience Network which, based on the amount of relevant outside stimulus triggers a switch out of REST mode into cognitive functioning.

See the Video . . .


The Salience Network

The Salience network is made up of the anterior cingulate cortex and the insula.

Together they coordinate to monitor the conditions in the body for homeostasis (insula) from temperature, to pH, to pain, to hormonal discomfort and notify the anterior cingulate cortex.  You may recall that the ACC handles conflict.  Well, those would be the conflicts.

Also keep in mind that information coming in through the senses, including auditory, visual, and tactile are part of the data integrated by the insula

to much info

The autistic brain

Once the salience network is activated it modulates the default mode network.

It kicks the brain out of daydreaming, mind wandering,  and other self-referential behavior and into ready for action mode.

See the Video . . .


focusDorsal Attention Network (DAN)


The Dorsal Attention Network increases attention to external stimuli based on goals and activated mental representations by increasing the salience of goal relevant stimuli.

See the Video . . .


coldPolyvagal Theory


Polyvagal Theory doesn’t exactly fit into brain networks…but it does.  I’d like for you to stretch the network concept to include any system with a bunch of interacting nodes.  Polyvagal Theory explains the role of the vagus nerve (cranial nerve 10) in your social cognition.  In a nutshell, the vagal nerve has a dorsaland ventral branch. The dorsal branch is associated with lower vertebrate fight, flight, freeze behavior.

The ventral branch is associated with tend and befriend type responses to stress and allows continued use of facial micro-expressions and empathy.



See the Video . . .







Complex Trauma PTSD