Multiple-complex Developmental Disorder(McDD)
I have recently read an article in wikipedia on "Multiple-complex Developmental Disorder".
it is another disorder within the autism spectrum.
I find it quite helpful as asperger does not entirely explain behaviour like depression and other stuff.
do you know about this disorder?what u think of it?
I have never heard of this disorder before but I think most people with AS would be able to fit into the criteria somehow. I have AS and I have severe mood swings (from depression to feeling almost invincible) does this mean I might have McDD instead? I find all these different disorders confusing because so many overlap. ![]()
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DX: HFA and ADHD
Here is information about Multiplex Developmental Disorder (MDD): http://www.med.yale.edu/chldstdy/autism/mdd.html .
Another source: http://www.mcdd.be/informatie_McDD_symptomen_en.htm
1. Regulation of affective state (anxiety, panic and agression).
* Intense generalized anxiety, diffuse tension, or irritability.
* Unusual fears and phobias that are peculiar in content or in intensity.
* Recurrent panic episodes, terror, or flooding with anxiety.
* Episodes lasting from minutes to days of behavioral disorganization or regression with the emergence of markedly immature, primitive, and/or self-injurious behaviors.
* Significant and wide emotional variability with or without environmental precipitants.
* High frequency of idiosyncratic anxiety reactions such as sustained periods of uncontrollable giggling, giddiness, laughter, or “silly” affect that is inappropriate in the context of the situation.
2. Consistent impairments in social behavior and sensitivity.
* Social disinterest, detachment, avoidance, or withdrawal in the face of evident competence (at times) of social engagement, particularly with adults. More often attachments may appear friendly and cooperative but very superficial, based primarily on receiving material needs.
* Inability to initiate or maintain peer relationships.
* Disturbed attachments displaying high degrees of ambivalence to adults, particularly to parents/caregivers, as manifested by clinging, overly controlling, needy behavior, and/shifting or aggressive, oppositional behavior toward parents, teachers, or therapists are common.
* Profound limitations in the capacity of empathy or to read or understand others’ affects accurately.
3. Impaired cognitive processing (thinking disorder)
* Thought problems that are well out of proportion with mental age, including irrationality, sudden intrusions on normal thought process, magical thinking, neologisms or nonsense words repeated over and over, desultory thinking, blatantly illogical bizarre ideas.
* Confusion between reality and fantasy life.
* Perplexity and easy confusability (trouble with understanding ongoing social processes and keeping one’s thoughts “straight”).
* Delusions, including fantasies of personal omnipotence, paranoid preoccupations, overengagement with fantasy figures, grandiose fantasies of special preferential ideation.
And:
With McDD'ers the behaviour is much more extreme. It is a lot harder to predict when they are going to break loose and to calm them down, don't even mind about prevention. Anxiety and anger are the big problem in the behaviour with McDD-people. They have absolutely no control about the regulation of these emotions. Only soothing will not help and if you keep questioning can even make things worse. They need to be kept in reality as much as possible.
McDD'ers differ from autistic types in this matter that they are more aggressive, have more anxiety, are more psychotic in thinking, are more suspicious and show more weird interactions, while people with autism are more disturbed in their social interaction and communication and are also more stereotyped and rigid in their behaviour.
No, I don't have it.
From that list I only had or have:
* [...] behavioral disorganization or [...] markedly immature, primitive, and/or self-injurious behaviors.
* [...] periods of uncontrollable giggling, giddiness, laughter, or “silly” affect that is inappropriate in the context of the situation.
* Social disinterest [...]
* Inability to initiate or maintain peer relationships.
* Disturbed attachments displaying high degrees of ambivalence to adults [...] as manifested by [...] oppositional behavior [...].
* Profound limitations in the capacity of empathy or to read or understand others’ affects accurately.
* [...] irrationality [...] magical thinking, neologisms [...]
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Autism + ADHD
++++ no spell check when posting from my IPAD ++++
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The trouble with having an open mind, of course, is that people will insist on coming along and trying to put things in it. Terry Pratchett
This is very interesting. Thanks for the article. ![]()
I said yes.
I've been diagnosed in addition to HFA/AS with Bipolar and Borderline Personality Disorder (OCD and PTSD as well). I also have consistent psychotic symptoms that are only controllable with medication. I've had them as long as I could remember.
I am not physically violent but I can be quite nasty with my words. I actually see Yale doctors...I'm going to be doing DBT if it ever gets through my insurance.
I'm not sure really. I think this may be what my father has. He had some developmental delays and was a was a late talker. He was diagnosed with simple schizophrenia as a child. He then went on to have periods of psychosis in his late teens and early 20's...Then in his mid to late 20's he stopped being delusional and psychotic and never had another psychotic break. When I was little and he was in his 30's and 40's he would behave very aggressively and had trouble controlling his anger (read violent and abusive), which would alternate with his obsessive interests and complete shutdowns.
When I was diagnosed at age 3 with (he was 30), my doctor told him that whatever I had....he also seemed to have. He never actually pursued an actual diagnosis.
I wonder if I have something similar to him. I'm not aggressive or violent (then again I'm female). But I do have periods of mania and psychosis (diagnosed Bipolar I), and when I'm depressed I display many of the negative symptoms of schizophrenia like the emotional dampening, anhedonia, alogia, and avolition. I have never once felt sad or hopeless during a depressive episode....I simply can't feel anything.
This is an interesting topic. I think that MDD can develop in an AS person who has had a lot of social trauma and chronic undiagnosed-adult-AS-stress experiences.
I.e. I see MDD as a multifactorial developmental disorder that a lot of undiagnosed, adult AS have or can develop. I.e. to me it looks as if it's a kind of pervasive developmental with social psychological metastructures, atop an AS substrate.
I probably have something like this, that I've been referring to as "PTSD" from repeated experiences with sexual harassment & retaliation traumas. If you notice, some axes of MDD are consistent with PTSD, including intrusive thoughts and other thought and personality disordered behavior that can arise in a chronically traumatized person.
If AS with social anxiety and PTSD isn't a differential diagnosis from MDD, then MDD could apply to me, so I picked "yes" even though I'm not taking the time to investigate this carefully.
melissa17b
Veteran
Joined: 19 Oct 2008
Age:55
Posts: 513
Location: A long way from home, wherever home is
...
I have many of the Section 1 (mood disorder) issues, in the form of severe alexithymia and perpetual anxiety. Rarely aware of my feelings and almost totally incapable of expressing them until hours to years later, I switch from "up" moods to "down" moods without provocation, understanding or control. It seems that my normative state is mildly to moderately down, with the perpetual risk of snapping well down at any time. Anxiety is also a ruling and debilitating force in my existence - there are few havens from it and even fewer opportunities to shelter in them. Always present in some manner, it is a universal pervasive theme of my nightly dreams, so powerful most days that I generally wake up in a highly disturbed state, anxious sometimes to the point of terrified. On a typical morning, it takes about 30-60 minutes of after-waking-up lying down and lucid dreaming to "put my mind back into my body" so I can wake up and attempt to function.
Section 2 is the autistic stuff, and I pretty much run the table there.
Section 3 is where I am eliminated from MDD contention. The "perplexity and easy confusability" part is totally me, and is also omnipresent. I also am prone to frequent verbal ticcing of nonsense words or other random acts of echolalia. However, even if this might constitute a technical squeaking-by, the other Section 3 items - the "serious schizophrenia" stuff - are completely foreign to me. Distinctions between reality, fantasy, imagined and desired are all too real to me, and I am not at all given to dissociation or even the smallest of delusions. As difficult as it can be at times, I am firmly grounded in (or is it imprisoned by?) reality. On the basis that I do not exhibit the more serious core schizophrenic symptoms to any degree, I would self-assess (and have been formally screened on other occasions) as schizophrenia-negative and therefore MDD-negative.
Overall, I find the Section 1 issues far more impairing than the Section 2 autistic things, as for me autism at least comes with some positive aspects and hyperdeveloped abilities. I could only imagine that Section 3 would be even worse.
I have Childhood-Onset-Schizophrenia and Asperger's. McDD can be used as an umbrella term for that.
http://www.mcdd.be/informatie_McDD_symptomen_en.htm
I think I fit that one pretty well. Not sure though, cause I'm the type that sees myself in multiple disorders. Basically none of my symptoms fit well with anything. They even said schizoaffective is tentative and just a guess. Schizoaffective I don't think really explains my obsessive interests, stimming, or meltdowns, but what's unusual about me is my good conversation skills and I can read facial expressions which schizophrenics are suppose to have a hard time doing.
Basically, I acted more autistic as a child, when I had poor social skills and I talked about subjects non-stop, and almost daily meltdowns and more psychotic as an adult with delusions and thought disorder.
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Crazy Bird Lady who owns cats and no birds
I do not have it.I never even had any symptoms ever in my life like that. The only time I had those problems was when I was on psychiatric medications from 1999-2008. Depending on how much and how high the dosage. When I had high dosages and/or had more than 1 medication(from 2002-the beginning of 2008), I had most of the symptoms. When I had very low dosages(1999-2001, and while they were "weaning me off" in 2008), I only had 1 or 2 symptoms. But as soon as I got off, I no longer had them. That was because for years they thought I needed medications for anxiety and depression, which turned out not to be anxiety disorder and depression disorder, but was situational due to being in an inappropriate setting(group home) and being misunderstood with my needs, and/or Aspergers(both mom's and group home). All that suffering for nothing.
The doctor also explained when I am on medications that are not needed, they can damage me. Probably because their was nothing in the brain for those meds to fix, but they had to go somewhere, so the chemicals went to those parts of the brain where they would normally go(which were okay in the first place. So those perfectly good parts were poisoned, which damaged and screwed me up.
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