#comorbid culture is

[comorbidpersonalitydisorders]

comorbid personality disorder + c-did culture is "why did symptoms of [disorder] suddenly intensif- oh its you" (symptom holder fragment has entered the front room)

MOOD

[chronicsymptomsyndrome]

I sort of hate how much of a hypocrite I am for being really bad at regulating things like tone and body language and facial expression when I communicate but then also being so hypersensitive to that stuff in others

[narcissisticpdcultureis]

npd culture is coincidentally attracting people who have bpd… or am I the only one?

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[growntourettesmemes]

[vss-culture-is]

VSS + ASD culture is closing your eyes to watch the static and shapes as a stim

Vss culture is

[ppd-culture-is]

NPD co morbid w PPD culture is being SO paranoid of EVERYTHING your reputation, your friends, all that stuff but having npd makes you wanna seem stainless so you make a huge effort to hide it and then hating that there's no representation for it. Like im not obvious unless im with ppl who im SUPER close with (one person) so no one clocks me and therefore cant ruin my reputation or get under my skin in that sense

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[cluster-b-culture-is]

comorbid cluster b culture is your pds all creating the most fucked up smash combos of symptoms imaginable to make you spiral

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[aspd-culture]

alright. either all of you need to stop being so god damn relatable, or i need to reevaluate my entire life and see a doctor.

... i do have an (informal) NPD diagnosis, though, so i have no idea where that line is drawn since i know they can have some similarities, i think? so i might as well ask: do you or any followers have any info to share on how to differentiate between NPD and NPD+ASPD?

aspd-culture is

Yep! I can definitely help with that. A major characteristic of ASPD is self-esteem that is affected by very in-the-moment things; for example, if I am playing a video game and doing well, my brain will be pumping me full of good self esteem - "I am so cool and I may not be good at this game usually but if anyone saw me right now they would think I am such a good gamer everyone look at me I am getting a free trial of being a god" - but then, just as fast, if I mess one thing up I will spiral downwards into believing I am so bad at games that I should never touch one again, lest anyone ever have to witness the horror that is my terrible lack of gaming skills. This goes for pretty much anything including weird things like feeling better than everyone because I am forcing my body to stay awake even though it is tired while everyone else is controlled by their flesh vessels. This ego is also affected by other symptoms, so if I am successful at lying or manipulating, I am more likely to have an extremely elevated self esteem in that moment, and the opposite if I get caught doing one of those things.

Meanwhile with NPD, there is a somewhat more stable, episodic self esteem wherein for long periods of time there will be elevated self esteem with episodes of ego crashes. In the case of the two of them, anecdotally I have heard that those ego crashes become very easy to cause by things that would affect self esteem in aspd, and that those crashes are sometimes easier to recover from by exploiting ASPD's symptom based self esteem (not allowing yourself to get bored, being manipulative, successfully lying, etc).

So, if someone just had ASPD their arrogance would be more temporary and less intense (I am doing so well at this game my teammates are so lucky to be playing with me while I am doing this well), while if they had NPD it would be more intense (I am the best at this video game. My teammates are lucky to have met me, and I should invite them to a party - gaming term for a digital group used to make sure you're on the same team during team games for those who don't know - so that they can continue to benefit from me carrying this entire team and maybe if I do they'll tell me how great I am doing) and if they had both, they might think something in-between (I am the best at this game, my teammates should feel lucky that this game requires teams so they get to play with me. Maybe I'll invite them to a party so that I don't risk having a crappy team next game because then I won't want to play anymore and deal with an ego crash, and maybe if I do, they'll point out how my double kill basically won the last round for us).

NPD also often thrives on attention from other people, whilst ASPD comes with a disinterest and sometimes outright disgust or fear at the idea of interaction with people outside of what is necessary for convenience. Both tend to view relationships as transactional to some degree, but pwASPD are generally looking for more tangible and/or practical benefits from people, whilst pwNPD are generally looking for the good feelings they get from attention and praise from others. I don't have much info on how this specific symptom looks in people who have both.

A big one is that whilst pwNPD may disregard others' rights, feelings, opinions, safety, etc in favor of their own, pwASPD are more likely to disregard both others' and our own rights and safety in favor of avoiding boredom and/or gaining something. People with just NPD are unlikely to consistently disregard their own rights or safety whilst doing so is a part of diagnostic criteria for people with ASPD. Someone with both may think they are invulnerable due to their NPD, and because of that put themselves in situations that are dangerous even though that is a risk to themselves because they believe they will be able to charm their way out of the situation should it go poorly, or may disregard their own safety but never disregard their own rights.

PwNPD have a tendency towards jealousy and envy that is not as prevalent in ASPD, whilst pwASPD have a tendency toward impulsivity and irresponsibility that is not as prevalent in NPD.

Both cause a tendency to lie to and manipulate others for their own gain or to avoid their own loss, tend to come with low to no affective empathy (as well as cognitive empathy, sympathy, and compassion in some with the disorder, although many people eith either or both have some or all of these outside of affective empathy), and a fear or mistrust of others' intent. Both can also cause issues forgiving other people and can lead to intense but short-lived serious relationships (for example, getting engaged to or moving in with people quickly over and over, but not actually staying together long enough to get married).

ASPD causes issues managing anger and boredom that can sometimes lead to being seen as aggressive by others, whilst NPD causes issues managing self-esteem while alone that can sometimes lead to issues with dependency on others.

I am not an expert on NPD as I do not have it, so if any of this information is inaccurate for NPD (not that you personally don't experience it, but that I am entirely wrong about something) pwNPD feel free to let me know and I will correct it. Also feel free to add on anything I missed to help anon!

Edit: Correction from replies. Thank you!/gen

[thatadhdautisticqueer]

Me with my memory issues and my AuDHD brain

What a rollercoaster of feelings, right?

[self-dx-culture-is]

Self dx culture is your brother and your aunt being diagnosed or at least asked to get diagnosed with ND's, then thinking maybe your mother also has a ND (explains a lot) and then of course there is you, diagnosed disabled since birth but there are other issues which were ignored or have only recently been continiously looked after. Basically, co-morbidity is real.

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[comorbidpersonalitydisorders]

Comorbid PD culture is oh please no not another personality disorder please I don't need another one

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[chronicsymptomsyndrome]

Can we go ahead and normalize medicine? Taking pills in front of people? Taking pills in public and not getting weird looks? Using alternative medicines or anything other than pills and not being treated like a novelty? Fucking please because first of all literally everyone takes medicine of some kind at some point in life okay and second of all people need medicine to live it’s a thing it’s pretty common and people need to be in public for a lot of reasons actually so can we please

[narcissisticpdcultureis]

Suspected (and possibly self diagnosed) NPD is having a second disorder that affects your NPD, so one criteria doesn't exactly fit (ex. having high empathy), but you're unsure, so now you're constantly worrying that you're faking having NPD even though it explains a lot of your feelings and behaviors.

(PS. please let me know if this is invalid or not!)

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[thombyxbe]

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[mothmvn]

i dont think i have something as intense as EDS but my joints are definitely uh... loosey goosey. cartilage soft as butter. probably genetic, looking at my 1m90 beanpole cousin and his casual contortionist poses (samesies).

in retrospect it makes sense that i avoided (competitive, structured) physical activity my whole goddamn life: I knew my motions were unstable in a way that took a lot of effort and focus to counteract, which in competitive PE class is commonly known as being bad at sports (because my joints were kinda lowkey floating in their sockets!!)

maybe i would have fared differently if the performance in phys ed classes wasnt competitive. apparently competition is not an issue for a lot of people who enjoy it and find it motivating - can't relate when i was failing through i guess no fault of my own, but in a way that couldn't be disambiguated from failing through not trying (i didnt wanna try because my joints would probs flail and that would look stupid!! i was a little kid!!)

aaaggghhhrhghh maybe if i had been born into the boy gender this would be noticed as "concerning" for a boy to not be physically active and my joint instability woulda gotten addressed before the ripe age of 23. where would i be athletically if that were the case.

[ppd-culture-is]

Ppd culture is also having AVPD plus OCD