| Feature | DID | OSDD-1a | | | :--- | :--- | :--- | :--- | | Distinct Alters | Yes | Yes (but less distinct; more like "ego states") | Yes (highly distinct) | | Amnesia | Yes (gaps in everyday memory, not just trauma) | Yes | None (or minimal) | | Identity Alteration | Marked discontinuity in sense of self | Marked discontinuity | Marked discontinuity |
On paper, an OSDD-1b system can appear highly functional. They hold down jobs, maintain relationships, and keep appointments because their memory is intact. But internally, the energy expenditure is enormous. osdd-1b
According to the DSM-5 framework, a diagnosis of OSDD-1b requires: | Feature | DID | OSDD-1a | |