Highly Complex Dissociative Identity Disorder (HC-DID) is a specific structure and function of DID.
HC-DID stems from C-DID, or polyfragmentation. in C-DID, you can see many fragments of alters, lack of other coping skills besides dissociation, subsystems, an active inner world and more.
C-DID comes from trauma being integrated into day to day life, becoming inescapable with no other way to cope.
HC-DID is similar to C-DID in these ways, but differs with the types of traumas that were ingrained into day to day life. HC-DID can be a result of RAMCOA/TBMC. these types of abuse purposefully change the way the system works or how the alters behave/interact with others.
HC-DID systems frequently have programmed alters or a collection of programmed alters (side system), programmed behaviors, extreme amnesiac barriers, hierarchical system structure and very rigid and complex rules and organization.
many HC-DID systems, such as myself, only find out about their programmed status through programmed alters fronting and attempting to either return to the abusers, attempt to harm the body, or other types of programming. i will not be discussing programming in depth, as it can be very triggering.
the difference between the types of systems is important. it will determine the type of therapy needed and the therapist will need to be RAMCOA/TBMC informed to avoid triggering any programmed alters.
C-DID and HC-DID are not the same thing!
my depression tips:
* whenever you go to the bathroom, try to do one hygiene task like brushing your teeth, moisturising or washing your face, bc ur already in there so you might as well
* leave out clothes in the bathroom so if u feel like you have the energy to shower you don’t have to waste time on picking out clothes, you can just get straight in
* if u wanna shave but you don’t have the energy, u can get an electric shaver and shave in bed, you won’t get as much hair off but it still does something
* get some of those one time use, water free toothbrushes and keep some next to ur bed, and use some water and any empty bowl or container to spit the toothpaste into. you can also keep a mini mouthwash next to your bed
* for food, try to get ready made meals and frozen meals. i keep a mini fridge in my room with drinks and snacks so if i can’t make it down to the kitchen i have something to fuel my body with
* if u can’t clean your room, make a list in order of priority (mine is floor, bed and surfaces) and whenever you feel like u can or u get a random burst of energy, just do a little bit
* keep a waterbottle next to your bed, and if you have clean tap water refill it whenever you go to the bathroom. i usually use fizzy water and squash so i feel like i’m drinking soda but it’s much healthier
* if u can’t get out of bed but wanna feel more clean, change your underwear and your shirt, then use some dry shampoo and wipes on ur armpits and sweaty areas
* if u have pets, make them a priority bc they need you to live, and they care about you so much, so spending time with them will make u feel better and loved
* if u can’t brush ur hair, don’t tie it up bc it will turn into a rat’s nest and you just don’t wanna have to deal with that. even detangling it with your fingers is better than nothing. also braiding it will protect it
* if u can’t sleep, lying still and closing your eyes still is rly good rest, and if u don’t wanna be alone with your thoughts you can listen to a podcast (any true crime or mythology ones are my fave)
* buy multiple pairs of ur comfort outfits so you always have something you want to wear to change into
* try to get up and open your window to air your room out of the smell, incense also works well to cover it
* to keep you entertained, here are some ideas:
* listen to ur fave songs, podcasts or an audiobook
* browse some social medias (tiktok, reddit and tumblr are my faves)
* join a discord server and just kinda idle on that and watch ppl chat
* play a mindless game on ur phone or if u have a handheld device like a switch (on my phone i love life is strange and on my switch i’ve been playing legend of zelda: breath of the wild)
* read some fanfics on ur phone (all the young dudes is a must read)
* kids activity books of ur fave fandoms are rly fun
* read some webtoons (heartstopper is amazing)
* watching a game play through on youtube (minecraft and skyrim ones are my faves)
* rewatching ur comfort movies or watching some funny cartoons
* if u have a laptop, download sims and play that
do you have any advice for trying to figure out if im a RAMCOA survivor or if im experiencing delusions? there are some alters in my system fully believe we are a RAMCOA victim and claim to have memories to support this, but the rest of us think that we are just experiencing delusions and that these memories are incorrect or exaggerated.
I want to preface this by saying most of our delusions come from excessive paranoia in our OCD. Fear we have done something, will do something, are evil, and will do more evil, all when fully unreasonable to think and not comporting with reality. However we are not by any means a fully reliable source for this. Ultimately differentiating repressed memories and delusions should be done by a professional who is knowledgeable in both fields.
First of all, do you have a history of delusions or any type of delusion-prone mental health condition in your family? If not it is more likely it is an actual memory than a delusion. If you don't have a disorder that makes you delusional/delusion-prone or easy to be convinced of false things, it is more of a possibility than it would be otherwise. Do you have an anxiety disorder that can allow for delusional paranoia? That can sometimes happen.
Second, why do you think it's a delusion. What genuinely makes you feel it is one? If you can find a reason that reason may lead to more of an answer. Sometimes you can figure out that you think its a delusion because it has no basis in reality or doesn't properly fit into whatever gaps you do have or it doesn't seem to make sense in your specific case.
Another thing to note- a lot of the time RAMCOA survivors who are systems will have an entire grouping of alters who had little to no awareness of the RAMCOA whatsoever. I myself writing this now (Dorian), am not an alter who has any connection to that trauma. I find it strange and odd- the only reason me and others in my grouping have accepted enough of it is due to articles and exposes and literally drama board blogs around the cult we grew up in, as well as more things to do with excessive gang activity in the area. I also have had to realize my role itself spawned from RAMCOA but was so niche and specific that it didn't need to have me be aware of why it was going on. (Most likely I am made out of fused fragments which is why I'm a fully fleshed out alter today with no awareness of what my main role has been for- or perhaps my role was able to cover other things happening organically enough that it was more common).
One other way we differentiate delusions and genuine memory for ourselves is that... if the memory explains something like an entire OCD theme, a grouping of behavior, nightmares, and specific issues that could reasonably be tied to the specific memory, we tend to be pretty sure it is genuinely a memory. Most recently these have also only come up via flashbacks that have made alters become incredibly self-destructive and distressed to a degree that has only ever happened with uncovering of horrific trauma memories before.
Again we cannot tell you anything that will be 100% accurate. This is something that is incredibly personal and should be talked over with a professional. Additionally be careful because there are some bad professionals who think ALL ramcoa is delusion because they reject the reality of of ramcoa existence blatantly. Make sure it is someone who is properly trauma informed just as much as you need them to be informed on delusions and delusional disorders to make sure they don't just fully ignore that either.
what is the difference between did, complex did, and highly complex did? where would a small system w a subsystem fall into that?
The differences are usually described as where they fall on the dissociation scale according to the Theory of Structural Dissociation (ToSD). Highly complex DID (HC-DID) does not have any medical recognition as far as I know, I believe it’s mostly a community term to bring survivors of RAMCOA programming together (please correct me if this is wrong). Distinctions in system structure between DID and complex/polyfragmented DID (C-DID or P-DID or PF-DID) have been documented, but literature on complex DID hasn’t been updated since the 1980s if I remember correctly.
Within the community, distinctions are made as follows:
DID is defined as two or more alters and amnesia between parts. This is distinguished from OSDD-1a, which does not include distinct parts, and OSDD-1b, which does not include dissociative amnesia (dissociative amnesia in DID can manifest as gaps in important life events, lapses in memory of recent events or well-learned skills such as driving, and discovery of possessions the patient does not remember owning or purchasing).
C-DID is not so much determined by alter count (as people have claimed it is) than it is determined by the actual structure and features of the system. For example: C-DID is more likely to have a complex and expansive innerworld, complex splitting patterns (splitting multiple alters at once, splitting groups, splitting a few fully formed alters and a group of fragments, etc.), and subsystems (alters with alters). It has also been said that polyfragmentation is a phenomenon that starts with normalized, everyday abuse and trauma before the age of 5.
Question, would maladaptive daydreaming about the torture also, counties as creative expression of the trauma? Also, please stop calling us out/j
I've seen lots of survivors of various kinds of abuse, particularly RAMCOA, post recently about how either one of the first signs they were abused in that way, or something they rediscovered/recalled later on, was that during childhood they often re-enacted traumatic scenarios or scenarios similar through games, or playground role-playing. Expression of trauma and abuse through creative means is very common in childhood - scientifically, it's more difficult for anyone to express their trauma through verbal means than it is through art, or etc, and this is the basis for art & play therapies commonly used with children and younger patients. It's a recognised phenomenon in psychology that there are certain markers in children's art for trauma, as it alters one's self perception to go through these experiences, especially in youth. So, in reference to RAMCOA/OEA in particular - recreating these situations in childhood games is perfectly normal, and if you feel this is an experience that resonates with you, you're not at all alone.
RAMCOA changes one's perception of what is normal, and intentionally so, and so to see a child express this through games which would ordinarily be much more domestic - like playing house, whereas a survivor might reenact a scene of torture, or an imagined trafficking ring - is a child survivor expressing a scenario which is normal for them without having to acknowledge it verbally through any means. This extends again to art, and writings, etc - if you look back on the "ordinary" parts of your childhood, and feel the trauma bleeds into those regardless, this is perfectly normal. Even if you feel that at the time you shouldn't have known about those things, or that you didn't see them with nearly the weight that they should have carried - all of this is okay. Everyone works things out at their own pace. All of us survived.
— Muse
Ello Ello, we are the Mountain cap collective, and this is our resource and talking about our system profile .
I’m not gonna go over all the  diagnosis because they are too numerous, but we will list some of the more important ones C-DID, ASD, ADHD, CPTSD,H-EDS, POTS, dyslexia and dyspraxia .
We are a RAMCOA survivor, we are not planning to talk in detail about it, but will plan to share basic information about RAMCOA and the basis of what we experienced . We are leftist, this is a safe space for all. This is not a page about blood liable and conspiracy, if you support that kind of shit, please leave the front door is wide open. We also don’t support narcissistic abuse (it’s called emotional or psychological abuse), we have low empathy ourselves because of the abuse we suffered&ASD, sooo Yeet!
Anyways, a quick get to know us!

They/Them
Host
🐱.
He/Him
🌻.
Wolfy
He/They
🗡️🐈.
Lou
He/Him
⚜️.
Louis
He/They
🏞️.
Jippi
Any/All
🐈.
Honestly, that’s everybody who fronts enough so yeah!
Anyone who has intimately experienced the current state of psychiatry in the US (notably child psychiatry) can attest to its inefficiency and its potential to do more harm than good. Patients are often issued sets of conflicting diagnoses; BPD, bipolar disorder, PTSD, ADHD and ect. Many of them fail to clarify the true nature of the problem and those who do receive treatment beyond being handed a prescription don’t seem to gain anything from it. Well, guess what?
TIL that in 2009, after years of prospective studies and a letter of support written by mental health commissioners from across the US, the National Child Traumatic Stress Network sent in a formal proposition for Developmental Trauma Disorder to the APA (American Psychiatric Association) to be included in the DSM-V. And guess what?
It was denied. Just as it took all the way until 1980 to have PTSD accepted as a diagnosis in the wake of a generation of war-time trauma, so too is the notion that dysfunctional responses are the natural consequence of issues occurring during the span of childhood and adolescent development. The APA responded by saying that “no new diagnosis was required to fill a ‘missing diagnostic niche.’” This is of course, in the face of a hard numbers: that one-million children are abused and neglected every year in the US.
There is an incredible amount of evidence to suggest that not only is Childhood Developmental Trauma a Thing, but that without having a proper diagnosis to work from, clinical professionals are finding themselves woefully inept at making any progress with their patients. So you know, if you feel like you’re just “fucked up” and you’re convinced that you were born that way, maybe this can be your first step to realizing that no—you’re not “just” anything. If you were raised in a consistently dysfunctional household, all available research suggests your body internalized that, became hyperaware of threat and caused you to develop accordingly.
You did nothing wrong—it was and continues to be the adults in your life that fail you. You have done nothing but respond to your circumstances in the only way your body knows how.
For those interested in learning more about this, I urge you to read The Body Keeps the Score by Bessel van der Kolk and to look into the research done by Kolk, Perry and other professionals on DTD. Warning to survivors: the book pulls no punches and such, can be very triggering. Tumblr no longer tags anything that includes external links, so I ask that you send me a reply or a message in the event you’d like some actual materials.
Note: I am not a professional in this field, so I urge people with actual credentials to elaborate, because I know ya’ll are out there and you’re just as mad about this shit as I am.
Coping Mechanisms Masterlist
this is temporary if I believe it is
I AM NOT my perception, or my thoughts
I am the observer of the thoughts
my mind is protecting me and is stressed from not knowing how to fix it. Thank you for protecting me but it will be okay
the negative thoughts are just a symptom of depression, dissociation/dpdr, c-ptsd, or anxiety or all of the above
thoughts are just like another one of the 5 senses. Like how you can perceive textures, smells, tastes, sounds. Your thoughts allow you to perceive an experience. But you are not your nose. You are not your mouth. You are not your ears. You are not your hand it’s just a hand that’s connected to your body. And so You are not your thoughts. You’re the one experiencing these sensations you are not the sensations.
Even if you genetically are predisposed or your genetics or brain chemistry has caused the issue. Especially in this case your thoughts do not define who you are they are just a reaction your brain is creating to protect you from something it thinks is a threat.
self hate and depression is a coping mechanism: your body wants you to be better, to be perfect to avoid something negative that hurts and self hate is the way it decided to go but it doesn’t have to be that way. Tell your mind “thank you” and “I love you but it’s okay.” “We are safe” and “I am enough.”
I try to remember my goals: how I want to be happy, the things I want to add to my life that will make me feel calmer and happier. (If you don’t have any goals or ideas think of anything you want in this world to achieve, or learn, or earn and write it down and imagine how it would feel if you had it right now. It helps push you to realize you can shape your life how you want)
that someone in this world loves you. If you can’t name anyone. Your own body loves you. It keeps you alive and gives you the ability to experience things like eating yummy food, being able to pet an animal and feel how soft their fur is, being able to look up at the sky and see stars or clouds. Simple every day things that we take for granted because we get so stressed out from life and drama. Sometimes we forget we could lose our eyesight and we wouldn’t be able to see things or people that we love. We could get injured and never be able to walk, run or jump again. We could lose our ability to breathe and be hooked up to a ventilator. I like to write down anything I can think of to be grateful for everyday in my journal and it makes me feel less depressed, less anxious,and excited to be able to just .. be alive especially when I want to not be alive anymore
I remind myself that when I was a baby I didn’t have any thoughts I didn’t know shit. The way I grew up and had to experience life made it so I perceive life the way I do. I like to imagine if I was a blank slate what are the different ways I could look at my life? What are the ways I can decide to look at situations or myself? People don’t just wake up and love themselves they were taught to feel loved. Just like how we don’t wake up with these negative self hateful thoughts. We got them from somewhere. We can choose if we want to still believe our perceptions or not. But learning to be happy and to love ourself is like a skill. Just like how learning to hate ourselves took time and repeated experiences.
imagining an older version of myself comforting present me. And imagining myself currently to comfort past me during traumatic moments
bubble baths
napping with soothing audios, or sleep meditations
walking outside
calling a friend
visiting a family member or friend
Write yourself a note when you’re happy to yourself and read it when you’re upset
Make a voice memo give future you a pep talk, positive affirmations, or even guided meditations and listen to it when you’re upset
lighting a candle and writing down an intention and meditating or you can pray if you believe in a god or have a religion. Or if you just believe in the universe and law of attraction
journaling
cleaning or tidying up a little
eating a yummy but healthy snack
cooking or baking
(if I’m severely not okay) holding an ice cube, running my hands in cold water and splashing the water in my face, taking a cold shower, taking a rubber band on my wrist and snapping it back
reading a book
watching my favorite tv show or movie
watching a comedy
playing music and forcing myself to dance (when I’m alone of course 😅)
yoga
exercising
watching cute animal videos on YouTube
Singing in the shower
Adult coloring books
some type of video about philosophy that reminds me that I’m not alone and we are all lost
some type of video that reminds me how beautiful life can be
some type of video that reminds me that I’m not in control of my circumstance, my genetics, or the world but I’m in control of how I react that I’m the one that gives power to my thoughts
Breaking thought patterns, bad habits and doing self care every day helps immensely. Over time it gets easier and easier to feel okay and to even feel happy. But never stop doing these things for the rest of your life. You either feed the negative thoughts or you feed the positive. You either feed the negative habits or you feed the bad. You get to choose. Seek help, and be gentle with yourself. Healing isn’t linear.
I dont want to make this a habit however, when looking for terms to reclaim, I came across a post that made me recoil in disgust. @ cincinique made a post defending the not reclaimed term Trans Ramcoa and I would like to bring this to people attention so they can block the people interacting with this post and defending this term. I would like this to be perfectly clear, if you use the term Trans-Ramcoa or similar Trans-id terms, you are:
Defending Child pornography
Romanticizing Child Prostitution
Romanticizing the torture of Children
Defending Child rapists
YOU. ARE. BORDERLINE. PEDOPHILIC.
Not in a million years will these people understand what we went through as a child, all the abuse and torture we experienced at the hands of the people who were supposed to love us. To call this a kink, to say its just you being "kinky" is you getting off to the idea of child torture. You calling this a kink is you pushing people into dangerous situations were they will be abused and tortured. What you post matters. What you do matters. Do not make your legacy online supporting child rape and child torture.
One of the many symptoms of mental illness that I often see go completely unaddressed is the presence of a guilt complex. Disproportionate levels of guilt can be symptomatic of several disorders, but are most commonly associated with trauma related conditions. A guilt complex is most typically defined as an obsessive fixation on the idea of being in the wrong in any given scenario, and assigning oneself an excessive amount of remorse and shame. Many psychologists believe that guilt complexes arise in early childhood, an are caused by unfair attributions of blame in early stages of cognitive development. Due to this association, many survivors of childhood abuse suffer from guilt complexes, and often go for years completely unaware of their condition. Specifically, victims of emotional abuse are extremely likely to have undiagnosed and untreated guilt complexes due to the taciturn nature of the abuse they experienced. Abusers in such scenarios often use manipulation tactics to convince their victims that the abuse they’re enduring is somehow their fault in order to discourage them from seeking help and comfort. This form of Pavlovian conditioning can instill long lasting guilt complexes in teenage and adult abuse survivors, and the lack of available information on this condition make it difficult to seek treatment. Luckily, there are several easily identifiable symptoms of this affliction.
Common symptoms include:
- Pervasive feelings of anxiety and paranoia over a prolonged period of time. Irrational fear and can be prone to panic attacks. Consistent worries and delusions of inferiority to others.
- Extreme emotional sensitivity, and frequent overreaction to minor problems and issues.
- Use of self deprecating humor and dark jokes as a coping mechanism. Often puts oneself down and emphasizes negative traits casually in conversation.
- Fear of abandonment so intense that one may suffer from delusional paranoia about being abandoned or left.
- Taking responsibility for small, unimportant issues in order to suppress subconscious guilty feelings.
- Self-martyrdom and self-victimization. Habitually seeking out suffering and persecution in order to feel better about the guilt.
- An angry or defensive persona.
- Utilizing any kind of “self punishment” to combat feelings of guilt and remorse. This can include purposefully sabotaging healthy relationships, intentional sleep deprivation, deliberate starvation and food denial, and self harm/self mutilating behaviors. These are the most common, but any form of intentional self destruction can be considered self punishment.
- Uncontrolable negative thought patterns and depressive moods.
- A tendency towards becoming addicted to alcohol and drugs, as well as intense hyperfixations on usually non addictive stimuli. This can lead to substance abuse issues that are difficult to handle.
- Compulsive behaviors of many kinds.
- Poor modulation of impulses.
- Low self esteem and high feelings of worthlessness and hopelessness. Feeling “undeserving” of happiness, love, or sympathy and working towards an undefinable state of worthiness.
- Excessive compliance, or inversely, fear of authority figures.
- Having dysfunctional relationships with friends, family, and significant others. Difficulty maintaining close interpersonal relationships with peers and loved ones.
- Nihilistic worldview and loss of self sustaining beliefs.
- Experiencing “compassion fatigue,” or helping others at one’s own expense, and offering continued informal support towards as many people as possible despite any emotional distress this may cause. This form of burnout usually caused by prioritizing the wants of others over one’s own needs.
- Fluctuating/unstable sense of self and identity issues. Distorted body image and intense self-loathing.
- Hypervigilance of one’s own faults and issues. Interpretation of one’s own weaknesses as more of a hinderance than they actually are, and over exaggerating the intensity of any given flaw.
- Codependency and attachment-pattern based behaviors.
- Extreme difficulties in communicating one’s own wants and needs. Facing quandaries upon reaching out for help and setting boundaries.
- Shame associated with sexual intimacy and confusion in regards to sexual identity.
- Poor emotional regulation, unstable mood and regular outbursts or meltdowns. Maladaptive emotional management abilities and poor coping skills. Guilt is exponentially increased by any harm caused by these episodes.
- Blaming self for any adverse childhood experiences rather than the actual perpetrator.
- Pathological self-soothing behaviors, such as rocking, scratching or picking at skin, or hair pulling.
- Sense of brokenness or defilement due to negative stigma.
- Isolation and alienation, as well as a sense of complete and utter aloneness. Feeling inadequate due to lack of social interaction.
- Perfectionism and people-pleasing tendencies. Difficulty distinguishing between others’ wants and needs, and overperforming in most areas to make up for perceived inadequacy.
- Recurrent thoughts of death or suicide. Seeking redemption or atonement through suicide.
If you suffer from six or more of these symptoms, please contact your local psychologist, psychiatrist, or general practitioner. There is help available, and seeking therapy and medication can help you overcome your guilt complex. I suffered from a severe complex around the time of my suicide attempt, but I have been able to alleviate the severity of my condition through working with my therapist and school guidance counselors. I still struggle with guilt and shame, but it’s lessened significantly since I began seeking help. I encourage anyone else struggling to do the same.
Hi we’er the Mountain cap collectiveCPTSD,C-DID,ASD,Low empathy because of abuse, CSA survivorAsk pronouns, but you can just use they/them for anybody
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