Multiple-complex Developmental Disorder(McDD)

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[quote=buryuntime]I considered it at one time but it seems to say you have to be really aggressive, which I'm not.[/quote]

Being aggressive would describe me for sure. I haven't heard that those with McDD are particularly aggressive, but I am still a neophyte on this issue.

Last edited by Master_Shake on 18 Apr 2009, 4:44 pm, edited 1 time in total.

Nope, don't have it.

My psychistrist says this is what i have but its not in the dsm so they couldnt diagnosis me with it. so instead i was dx'ed with aspergers with adhd and learning disorders and schizoaffective with bipolar. the wikipedia doesnt mention it, but to be diagnosised with it the symptoms must be presestant and not be explained by enviromental factors like ptsd or enviromental depression.

I would say just by reading the criteria, I am somewhere inbetween McDD and AS. I have a lot of anxiety When I was a kid, I had a problem with inappropriate laughter, big time. I got in trouble for it a lot. You could describe me as having had episodes of giddiness. Luckily, now it's not as much an issue.
I don't have the aggression or psychotic tendencies.

1. Regulation of affective state (anxiety, panic and agression).
* Intense generalized anxiety, diffuse tension, or irritability. Yes
* Unusual fears and phobias that are peculiar in content or in intensity. No
* Recurrent panic episodes, terror, or flooding with anxiety. No
* Episodes lasting from minutes to days of behavioral disorganization or regression with the emergence of markedly immature, primitive, and/or self-injurious behaviors. No
* Significant and wide emotional variability with or without environmental precipitants. No
* 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. No

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. No
* Inability to initiate or maintain peer relationships. Yes
* 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. No
* Profound limitations in the capacity of empathy or to read or understand others’ affects accurately. No

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. Yes
* Confusion between reality and fantasy life. No
* Perplexity and easy confusability (trouble with understanding ongoing social processes and keeping one’s thoughts “straight”). What? Idk...i'll say No
* Delusions, including fantasies of personal omnipotence, paranoid preoccupations, overengagement with fantasy figures, grandiose fantasies of special preferential ideation. I was preoccupied with fantasy but they didn't have gradious notions, and i've grown out of it so i'll say No?

* 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 * I do have this problem..

*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.*I relate to that somewhat ^

In conclusion: I sort of have it mildy maybe / maybe not...idk wtf.

I have McDD and avoidant personality disorder.
I don't get any treatment yet but I will as soon as I get a doc apointment and this autumn I will start in a group for ppl with neuropsychiatric disorders. This group is an "activity-try" group that tries different kind of stuff like bowling, learning to play instuments, go to artgalleries and so on.

Parts that apply to me bolded. Parts that once applied and no longer do, italicized. My own comments in {curly braces}.

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. {Of course this is known to be common in autistic people.}
* 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. {Otherwise known as shutdowns and shifting abilities. This is something that is far more true of me and those like me than most autistic people. The reason in my case is that my development of more advanced skills or even supposedly basic ones resembles climbing a cliff by my fingernails rather than walking up a hill with my feet on solid ground. No matter how high I climb, I always fall to the bottom when I stop concentrating. I wish this was better acknowledged among autistic people in general because I get unrelenting levels of crap for being unable to maintain even so-called basic skills even in areas where I appear advanced. I get accused of doing it on purpose even when I am fighting tooth and nail to function. Additionally autistic catatonia can cause the same in me and others. I so very hate the meme that says learning is like climbing a staircase and that those of us it doesn't work like that for are fakers or lazy or something.}
* 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 {not sure} (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. {even my best friends I have trouble maintaining relationships with which is quite frustrating}
* 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. {I resent this being considered a symptom as if it stems from nowhere. I had very good external reasons for such ambivalence. Ideas like this can pathologize behavior that has external causes.}
* Profound limitations in the capacity of empathy or to read or understand others’ affect accurately.

3. Impaired cognitive processing (thinking disorder)d
* 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. {Not all of these things are "thought problems". Psychiatry often labels unusual speech as unusual thought. Some of these things for me were related to undiagnosed OCD. Others I think resulted from going through some developmental stages normally apparent in toddlers, when I was an adolescent. Like weird fantasy ideas.}
* Confusion between reality and fantasy life. {In adolescence. The same way normally happens in toddlers but hadn't for me yet. They don't call young children psychotic for such things.}
* Perplexity and easy confusability (trouble with understanding ongoing social processes and keeping one’s thoughts “straight”). {I spend most of my time underneath idea-based thinking. Idea-based thinking is hard to sustain and falls apart fast. Another cliff-climbing thing.}
* Delusions, including fantasies of personal omnipotence, paranoid preoccupations, with fantasy figures, [i]grandiose fantasies of special preferential ideation. {See above. Grandiose fantasies were a medication reaction. Otherwise the same adolescent thing. I had a fantasy world I used to escape from what I thought was a dreadful reality. On the whole however my connection to the real world is more robust than most because fantasy requires idea-thought which I can't sustain.}

So... I could have once been diagnosed with it but I don't think this is separate from autism. It's more like people with certain characteristics are being pulled out of autism/AS/PDDNOS and put in a sepaate group regardless of the cause of the different behavior. Psychiatric classifications are so very screwy and arbitrary.

I do appreciate them noticing these things though especially the so-called regression thing, which is the story of my life but people often treat me as unique when I know I'm not.

I have already written about this but I do this anyway. The criterias that I fullfill are written in bold.

If one matches two or more points for each group, McDD can be suspected.

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.

I don't have it.

what meds do people take for this?

I think I probably have this as I have a sprinkleing of manic episodes and psychotic episodes from time to time.

Ive just been perscribed citalopram (celexia) and I worry it will bring on a manic episode as it says on wiki that it does. Im not picking the meds up till next week and they want me to have a blood test on monday (my mum says that will be just to rule out thyroid issues) but it makes me very worried.

For the moment I don't have any meds 'cause they haven't found anyone that works for me yet.
But usually you get antianxiety, antidepressants, antipsychotics and sleepingpills, some also got those ADHD meds 'cause many with McDD have problem with focus, attention and hyperactivity.

I've tried citalopram and they didn't work for me, I just went hypomanic (they didn't tell me that but I know that it's called that now, I usually call the my hyperhappiness state).
I've also tried stilnoct, imovane, seroquel, mirtazapine, cipralex... and a lot more I can rememeber the names on.

Perhaps as time goes on and it becomes a more recognised condition they will find a good 'med mix' for people with this.

Im so worried I will go manic as Im useually more predesposed to that than being down, this year is the first time in ages Ive been down. I was down for a long time (18 months) after my dad died but then I suddenly went hypomanic and started arrangeing lots of political groups and activities and taking on multiple courses and acting sexually inapropriate and spending too much.

I dont want to go like that now as I could spoil things for my kids at school or do things I regret. Another previous high episode in my early 20's still leaves me with loads of shame (cant even say what I did) and I worry so much about getting like that again.

Then we have the opposite problems. I'm usually depressed and anxious, but meds usually make me to easier go inte hypomania, but I go in to hypomania without them too but the time between the mypomanic times are shorter with most meds.
Or I don't feel any different at all with meds. I'm a hard case they say, with no meds working... exept theralen which I'm now immune to :/

I've started to get more dissociation problems too the last 6-7 years and they can't find anything that help me with that either. It's all verry tiredsome. I hope it will go better for you.

Interesting, but I really don't think I have that. Asperger's is what I was diagnosed with, and that diagnosis pretty much explains all of my eccentricities. I looked into McDD and I don't have any psychotic symptoms besides the occasional bout of paranoia and "over-engagement of fantasy figures". And even though it's really easy for me to become irritable, for the most part my demeanor is very mellow and easygoing, so I don't have any of the mood problems either.

I would say yes, I have McDD but it is not as severe I think as some other people with it. But basically this diagnosis explains my life.