Other and unspecified dissociative disorders

Other specified dissociative disorder (OSDD) and Unspecified dissociative disorder are two diagnostic categories for dissociative disorders (DDs) defined in the fifth edition (DSM-5) of the Diagnostic and Statistical Manual of Mental Disorders for individuals experiencing pathological dissociation that does not meet the full criteria for any specific dissociative disorder, such as dissociative identity disorder or depersonalization-derealization disorder.[1] These two categories replaced the earlier Dissociative Disorder Not Otherwise Specified (DDNOS) used in the DSM-IV and DSM-IV-TR.

OSDD is used when the clinician can identify the reason why the presentation doesn’t fit a specific diagnosis, such as mixed dissociative symptoms or identity disturbance following coercive persuasion. A diagnosis of unspecified dissociative disorder is given when this reason is not specified.[1]

Like other dissociative disorders, these conditions are often trauma-related[2] and may co-occur with other mental health diagnoses.[3][4] Dissociative conditions appear to respond well to psychotherapy. There are currently no drugs available that treat dissociative symptoms directly.[5][6]

  1. ^ a b Cite error: The named reference :0 was invoked but never defined (see the help page).
  2. ^ Boyer, Stacey M.; Caplan, Jennifer E.; Edwards, Lisa K. (2022-05-31). "Trauma-Related Dissociation and the Dissociative Disorders:: Neglected Symptoms with Severe Public Health Consequences". Delaware Journal of Public Health. 8 (2): 78–84. doi:10.32481/djph.2022.05.010. ISSN 2639-6378. PMC 9162402. PMID 35692991.
  3. ^ Rodewald, Frauke; Wilhelm-Göling, Claudia; Emrich, Hinderk M.; Reddemann, Luise; Gast, Ursula (February 2011). "Axis-I Comorbidity in Female Patients With Dissociative Identity Disorder and Dissociative Identity Disorder Not Otherwise Specified". Journal of Nervous & Mental Disease. 199 (2): 122–131. doi:10.1097/NMD.0b013e318208314e. ISSN 0022-3018.
  4. ^ Temple, Melanie J. (January 2019). "Understanding, identifying and managing severe dissociative disorders in general psychiatric settings". BJPsych Advances. 25 (1): 14–25. doi:10.1192/bja.2018.54. ISSN 2056-4678.
  5. ^ Şar, Vedat (2014-12-28). "The Many Faces of Dissociation: Opportunities for Innovative Research in Psychiatry". Clinical Psychopharmacology and Neuroscience. 12 (3): 171–179. doi:10.9758/cpn.2014.12.3.171. ISSN 1738-1088. PMC 4293161. PMID 25598819.
  6. ^ Brand, Bethany; Classen, Catherine; Lanins, Ruth; Loewenstein, Richard; McNary, Scott; Pain, Claire; Putnam, Frank (June 2009). "A naturalistic study of dissociative identity disorder and dissociative disorder not otherwise specified patients treated by community clinicians". Psychological Trauma: Theory, Research, Practice, and Policy. 1 (2): 153–171. doi:10.1037/a0016210. ISSN 1942-969X. Archived from the original on 2025-03-06.
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