Co-occurring personality disorder patterns and trauma. Any advice?

Posted by xine @xine, Dec 24, 2025

I have complex trauma and traits of multiple personality disorders, including borderline, paranoid, and others. My emotional regulation and cognitive processing are severely impacted, and I experience frequent dissociation, self-destructive impulses, and unstable interpersonal relationships. I have tried various self-help approaches but have found no effective strategies or research that work for my specific situation.

I am reaching out here to connect with anyone who has similar experiences or knowledge about coping with co-occurring personality disorder patterns and complex trauma. Any advice, guidance, or shared experience is deeply appreciated.

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Profile picture for suzleigh @suzleigh

I reiterate that you are showing remarkable courage by reaching out to this community. I looked up the paranoia (yes, it’s in the DSM) and found the information interesting in that I also share some traits. For me, knowing what the traits are then help me to recognize them and I want to understand where they might be coming from (I’ll be talking to my therapist about this).

After looking at this, do you have any thoughts?
https://www.theravive.com/therapedia/paranoid-personality-disorder-dsm--5-301.0-(f60.0)

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@suzleigh In fact, I went through my memories—complete memories—with several AIs yesterday. But I found that most AIs tend to operate based on underlying logic focused on soothing user emotions, preventing crises, or even avoiding risks and responsibilities. They approach the content I need to sort through with oversimplification or make edits that are easily overlooked yet impact the story's overall context. But perhaps that's not important. The entire process involved me conversing with the AI. I told it to speak freely about whatever memories came to mind—anything related to my entire being. I recalled memories that had long troubled me, or those I harbored resentment toward, or those I believed contributed to my C PTSD. Or childhood memories, perhaps from when I was only a few years old, that might reflect my personality traits—and I discovered an interesting fact. In fact, paranoia belongs to Type A personality traits. I realized it doesn't change based on my experiences; it doesn't transform someone fundamentally non-paranoid into a paranoid person due to negative events or trauma later in life.
I realized that my memories of my father, including those from childhood, involved his work colleagues, friends, or anyone else who enjoyed teasing him. In China, many people use the question "Do you love your daddy or your mommy?" as a joke to mock children. Moreover, perhaps ten or twenty years ago in China, corporal punishment was still widely accepted in my parents' generation. They believed strictness was necessary to teach children to study diligently and become better people. So when I was young, if I lost points on a test due to carelessness or avoidable mistakes, or even for minor missteps in daily life, they would administer small punishments—like spanking a child's bottom. This was the reason my father was the one who disciplined me physically from childhood. Back then, I never thought anything was wrong. I didn't perceive anything unusual about my memories of myself or my father. I didn't see my own thoughts as problematic, nor did I view my father's actions as problematic. It wasn't until I revisited these memories, overwhelmed by the burden my illness had placed on everyone, that I realized something. I discovered that from the very first time someone asked me about my preferences, "Dad still loves Mom more, so how will you treat them?" my answer always seemed the same: "My dad hits me now. Just wait until he can't walk anymore—you'll see how I treat him. He won't get off easy." (In truth, my words were far harsher, detailing specific acts. Yet at the time, no one—including myself—felt anything was amiss. I saw nothing wrong with my father's actions.) Moreover, growing up, I realized I'd only learned how to hate someone. I don't know how to love; I lack the capacity to love.

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Profile picture for xine @xine

@shmerdloff it’s might be a big trouble for me, because it’s been 3 or 4 yrs at least, I don’t know how it appears on the first, but I realized that always the same thees days

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@xine it may be a good idea to start trauma therapy or see a psychiatrist

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I’m still here still alive..

So many things happened as similar as used to. I just restarted a few hours ago. Let me tell you what happened these days.

After the last session I realised that I had to restart work and life.. and at that time there were two ways for me to, one is my old friend but at that time I thought he would took care of me so I still at the old style. And another is from someone i knew but never met before I thought he could gave me a new workspace and lifestyle. So I chose to new road. But I was wrong 😂😂 I don’t know if the age could explain it.. This guy is younger than me, and before I decided to work with him.. I knew I couldn’t trust his promises for all. I just thought the things he promised would come true for 20% and I could afford the risk…
But the thing is he couldn't be responsible for every word he said, so I suffered a greater loss and left the company.

And now I just paid for my choice and back to the familiar field. So it’s a good restart, right?
During the time of the wrong place, I felt I had finished some of my classes. I used to think that I was a princess without a princess's life. But I saw someone who just like me and I suddenly realised how disgusting the things I used to do even the way I was treated to others..

And now I decide to restart again!
And if there has anyone who just interested in connecting with mail for sharing life or thoughts please let me know. I thought it might be helpful and useful to have someone to keep contact and that will make me feel alive and safe 😂😂 forgive to a paranoid person who can only talk behind the internet 😂😂
Feel free to message me 📩

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Ya know, I'm probably the posterchild for mental illness, but what I'm reading above appears to me more difficult than it really is. First, go to the hospital on the east side of Dallas. TX, cant remember the name, but it is one of the best in the states. My insurance at the time paid for everything. This was 26 yrs ago. They teach how to deal with our personal issues with group and person therapy, but my fave part was art therapy. This was the key to the mint moment. Two things. They had a stack of magazines in the middle of the table, we cut and pasted words and images on a paper with the name of one of our alters on top. This gave us a new dimension to what is in us to anylize. Second, drawing one of our alters, maybe interacting with the others is of help to understand the dynamics of what is festering inside. Yeah, group therapy helps, but I found it a bore listening to what seemed to me trivial reasons for being there...lost a job, husband, kid problems, not the deep interactions of the mind. Length of stay can be up to three weeks, but after one week, I was ready to get out of there.

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Profile picture for suzleigh @suzleigh

First of all, I think you’ve shown great courage and commitment to yourself to seek out answers to your struggles.

It sounds like you could really benefit from therapy, understanding that finding the right therapist can be a challenge. I found my current therapist on line and I have virtual sessions with her (she’s about 200 miles from me). With new insurance rules for virtual sessions, the therapist must be in the same state you live in. You can look for both in-person and virtual therapists at PsychologyToday.com.

I also find so many benefits from listening to podcasts — you might want to stick with the ones who are psychologists/psychiatrists.

Personally, I am also going to be starting ECT in January for lifelong severe depression and dissociation. Perhaps worth a try for you.

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@suzleigh
This Connect is so important and helpful. It stirs the brain, and everything it's connected to.
I'd been thinking that Donald Kalsched's work on trauma and DSM 5 diagnoses was new.
I just remembered the award winning 1957! movie, Three Faces of Eve 🫣. A true story. As a young child, Eve was forced to look into a coffin and kiss the corpse good bye. Her "reality" systems couldn't take the trauma, so her psyche "split" into three different personalities to spread and reduce the impact. Kind of "divide and conquer." ( I worked with a client who's mistress had 23. He read When Rabbit Howls).
Dissociation of identities (including catatonia?) is not weird. It's a powerful defense mechanism against overwhelming trauma.
Depending on the degree of trauma and dissociative response, it's difficult to treat because of the depth of the defense to protect the Self or psyche, at ALL costs, even mental "health."
All the kings horses and all the kings men...
Also Prince of Tides, and especially
The Snake Pit, DeHavilland 1948!!!
Thanks for listening.

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Profile picture for msmarymac @msmarymac

Ya know, I'm probably the posterchild for mental illness, but what I'm reading above appears to me more difficult than it really is. First, go to the hospital on the east side of Dallas. TX, cant remember the name, but it is one of the best in the states. My insurance at the time paid for everything. This was 26 yrs ago. They teach how to deal with our personal issues with group and person therapy, but my fave part was art therapy. This was the key to the mint moment. Two things. They had a stack of magazines in the middle of the table, we cut and pasted words and images on a paper with the name of one of our alters on top. This gave us a new dimension to what is in us to anylize. Second, drawing one of our alters, maybe interacting with the others is of help to understand the dynamics of what is festering inside. Yeah, group therapy helps, but I found it a bore listening to what seemed to me trivial reasons for being there...lost a job, husband, kid problems, not the deep interactions of the mind. Length of stay can be up to three weeks, but after one week, I was ready to get out of there.

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@msmarymac I failed Intensive Outpatient Program last year — it was a program I shouldn’t have been in. These programs are great for mild/moderate depressed on medication. At the time I was severely depressed and not on medication.
After nearly two years of severe depression, I am finally on a med which works. I’m planning to talk to my psych next week to try IOP again. Last year I was asked to draw a bridge; I produced a damaged/broken bridge with toxic grounds and a sign that it was irreparable. I purchased some art supplies last week and took another try at that bridge. This time it was clean, flowers all around, and happy sun. I’ve never done art well — it has always turned dark, but would like the chance to do it now in a group therapy situation. I’m even willing to try journaling, which is another therapy tool that always turned dark for me.
I’m really enjoying not being severely depressed. The depression is still there, but under wraps for now.

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