most of the time I would say yes as I’ve found posts/messages/notes written by “me” I don’t remember where I’m confused about my own life & similarly found purchases I don’t remember & woken up in the middle of doing things & all the classic stuff, but also I’m kind of not experiencing that at the same time?

Like I’ve had it as just that for a very long time but also recently had a whole lot of head chatter that I guess would be related? Like I’ve always had that also I guess but idk it’s not that strange, but lately according to posts I made here and other subs in the past it was apparently like a whole toddler tantrum going in alongside my own monologue that would take over sometimes (i don’t remember this though), but also when it took over I’d black out most of the time, sometimes I’d be watching it happen still, other times I’d only wake up after it according to my therapist.

After digging through my profile I found a post I made to the cptsd sub about my dreams that’s pretty alarming to me. In that post I said that I only learned about what happened to me because I had dreams where a sibling that doesn’t exist in real life named Christina had all that abuse happen to her, but I know now all of that happened to me. But the thing is is that that name pops up into my head all the time, and I don’t know anyone by that name in real life. It would have to be from that dream, but I literally just rediscovered it just now and don’t remember it or making that post / going through that discovery at all. That name pops into my head as like, why are people calling me this other name? I’m Christina you dumbass. My real name isn’t even close to christina idk how I could be losing it this much

There’s also a lot of signs that the abuse is still going on during my lost time, but like, idk if I have amnesia with that and the other blackouts than what the hell is the rest of this stuff ??

Is this normal for this ?? Should I be looking into something else instead of OSDID? I’m only diagnosed with CPTSD so far but have been referred to a specialist for severe trauma and dissociative states so I assume it’s that but at the same time I’m not sure. Has anyone experienced stuff like this? sorry for long weird rambley post

It can’t be both full amnesia and 0 amnesia, right?

Hi so i figured I'd just make on post instead of two seperate ones.

1. What do people mean when they say they hear voices?

I know that people say that they can hear their alters talking. Is this like actually literally hearing stuff, like it's like they're actually behind you in real life, or is it more like how you hear an internal monologue? Because I can "head" my alters, but I wouldn't word it like that. It's more like I get thoughts that aren't my own.

2. Feeling invalidated/weird about non human traits

I'm a crow hybrid thingy, and my name is Crow. Especially in the online space I am very open about "being a bird" I use crow gifs and refer to myself as a bird quite often. But when talking about someone about birds, especially crows specifically, it always feels so invalidating when we're having a conversation about a bird, and I feel/experience alot of the traits we're talking about (e.g. nesting, preening, purring etc (yes crows can purr))

Ice tried coming out and saying I'm plural and trying to explain these things, but if I don't at most people will assume I'm a furry or a therian (no hate to those groups, just not exactly what I experience).

I don't always feel comfortable outing us, but I don't know how to deal with feeling so... alien.

Sorry for the word vomit, thanks to anyone who gives answers/advice!

-Crow

Yeah... woke up like that. Switching meds and the last few days all the voices in my head have been a'swirlin'. (Not heard, just internal.) And I've been switching/splitting/whatever you call it. My diagnosis is so gray, I'm not sure what to call what.

Anyway, she came out to play. And she is MEAN. The cruel honesty came last night, after a day of feeling like a little. Like talking to someone about a coworker who thinks she's a hot goddess, and I gafawed and said "Um no. She's not."

And I'm being short with the kids today. And mean AF. Called my doctor to leave a message and I warned them that this is who they are dealing with. The message was even sassy... facepalm

Whyyyyyyyy? These internal voices and switching was gone for the most part. Now I'm not and I'm so tired and just scared of what this means and what I'll say. I swear I can't even attempt to contain what she says. I try... but holy heck.

I don't want my kids to know about this... my husband has accused me of split personality before. I corrected him and told him it's DID now and that I remember too much. Although, I do lose some time.

TL;DR Switching and the mean one is out. The "honest" one. And I'm a mom trying to contain it for my kids.

TW distressed child alter, physical self-harm (cutting)

I had a nightmare where there was clearly emotions at play from distressed child alter(s), specifically fear, terror even, and wanting to escape but being unable to. So far so good, I know that’s just their emotions/memories of past abuse. What got me thinking is that in my dream the abuser was cutting me with razor blades. This was never done to me by another person but I/other alters have used this way of self harm in the past. Now I‘m thinking could this have been something like the child alters‘ POV from having their body cut by other alters? Did I experience in this dream what they experienced IRL whenever an alter cut themself? I don‘t have access to them so I can‘t ask them nor will their protectors let me have any insight.

What are your experiences with some alters harming your body and others being negatively affected by it? It never occurred to me that other alters (child alters in particular!) would have to just endure having their own body cut with their own hands while in the background, unable to stop it.

Unrelated question: is there a way to edit flairs on mobile?

I only have access to 2 alters as of now and they're all abusing me. I cannot fucking stand the 2 introjects of my abusers who insist I am married in headspace to my childhood rapist and am living in Bangladesh. I'm in Wimbledon and I've never lived in Bangladesh but was threatened with a forced marriage as a child and am getting really sick and fucking tired of dealing with abusive alters by myself due to a useless mental health system full of therapists that dont understand my OSDD.

At one point I was exploring DID with a therapist and I didn’t get diagnosed but we (me and multiple therapists) realized I do have structural disassociation. I have other fragments that I’ve given other names and they hold specific memories and emotions. They don’t ever take over (as far as I know).

A lot of the time I share a thought stream with these other fragments and they influence me. And it gets in the way because I have a lot of conflicting influences. They really only make themselves known when I’m experiencing a strong emotion or let my mind wander. A few times during flashbacks they’ve been in the room with me.

Some of these fragments have other genders and they’re all distinct. We just all share the same mind. I have Cptsd and am wondering if this is a possible thing with my disorder. Or if I have something more. The last therapist I talked to about this recognized it as a form of disassociation and asked if I wanted to explore it more. But I haven’t seen her for months. I don’t really like not knowing what is going on with me and not having an explanation.

Does anyone else get eye strain, headaches, a fuzzy feeling behind the eyes? This is really just a discussion because I wanted to hear about the physical symptoms of switching as they’re not discussed much.

Tagged venting but some advice, input, (a margarita too?) welcome

I’m a trans man, recently diagnosed with OSDD. Everything’s been great until I’ve realized I’m stuck with a dead name alter. Who’s hellishly stuck in her ways, to the point of “blasting” the whole “it’s great to be a woman” “it’s great to be in this pre op body”- and similar, routine. Which makes me want to put it in a hard fuckin reverse and J-Turn up the wall. I had my dead name weaponized against me for years, so I already want nothing to do with her off of that principle. I tried and tried and tried though, despite that, only for her to turn around and be difficult as hell. I even offered to refer to her as a nickname of her choice. And ofc she wants nothing to do with that 🙄

This is kinda just a vent post, but I also wanna know if anybody feels the same way and can give a bit of advice. Does anybody have an alter of opposite gender/sex? I just don’t really know how to handle it? At first, it felt awful not being able to see myself in the mirror, and I still don’t ever look in mirrors. It’s just gotten to the point where I don’t even feel like being sad about it anymore. I’ve gotten used to it, but I still hate it. Usually the end game in this is either final fusion or functional multiplurisity, but I don’t want either. I want it to just be me. My body. My face. My voice. Without having to adapt my others personalities’s traits.

I don't really know what I'm doing with my life anymore. Our new therapist is very nice and helpful but I feel like she's the reason I've been so out of it. Maybe it's because I told her about my home life abuse from my dad thinking that it was "public knowledge" (the term Ive used with her to describe things that I can share without losing memory of it after). I saw her last Monday and I'll be seeing her tomorrow (Monday) and I just feel so lost. I don't know what's been happening all week. I'm so tired constantly and I'm in so much physical and mental pain. I've gone back to a very touch repulsed state of mind and hate being touched by anyone and everyone. I don't remember what's been going on in our classes either, which is really bad. I don't know i don't know. I just want to get help. I want this to all be over with and I want a solution to this madness. I don't know how much longer I can go on with this happening even though it only got worse a week ago. On one hand i want to be told that this is all just one big episode and itll go away with meds or something, but on the other hand i want to be told that this is all very real and everything in our childhood did happen. Whatever outcome it may be, i just want help. I want release.

We usually only switch because we are stressed/anxious or feeling any negative emotion heavily (which is almost all the time) and I want to know if switching only happens when you guys feel heavy negative emotion too? Am I alone on this one?

I am the host of my system. I am also one of the "problem solvers" in the system. Which means I deal with everything that requires quick thinking and finding solutions. I'm not sure what the actual title of the role is but I'm so tired of it. I can't ever leave the front AND I have to protect the others with problem solving and handling stressful situations. Just because I handle stressful situations doesn't mean I'm not stressed.

I'm good at it. I'm really good. But I hate this role. It's exhausting and stressful and tiring.

I'll be okay when all this inconvenient stuff is over but I can't help but be a little exhausted. Some stuff I can't solve and then that bothers me at the same time because I feel like I really can't do all this on my own but I don't know if anyone has the roles I do... I'm a host, possible old protector, and main trauma holder.

We met this little who I’ll call R at work the other day when she started having flashbacks. She’s 4 she fronted again today.

We’ve been with therapist M for about two years we can talk about nearly everything but sexual things. I don’t know why.

Sometimes we have to explain to the Littles why certain sexual things are wrong

Anyways she (R) met the cats today, and one of them started purring and she said “make kitty c__?”

Someone explained that it just meant he was happy and that that “didn’t happen with cats”

Im just afraid she’s going to front and start talking about c__ and sex with our therapist

We’ve told her about CSA but never the details, most we had an alter say was basically Why didn’t the other boy like it

It’s funny cuz sex is everywhere in our past but we won’t talk about it

For clarification, I'm not asking for an armchair diagnosis or whatever. I'm currently seeing a doctor and I just need to know if my suspicions of it being OSDD or something else are true, so I can bring it up with them. (I struggle with my words and explaining how I feel/what I experience.)

For the record I have Autism, ADHD, PTSD, and GAD. I genuinely can't remember my childhood before 8-10. I'm currently 20 years old (turned august 2024). My sister has Bipolar disorder and i have a cousin that has DID, for family genetics sake.

(and another clarification, the fictional characters listed aren't me claiming theyre alters or fictives, again I struggle to word things so to get my point across to what my "moods" are like, i used fictional characters from league, class of 09, and limbus company)

i'm sorry if this isn't the right subreddit. I'm scared to tell people about these suspicions because i dont want to be labelled as an "attention seeker" or "faker", and i don't have any friends who have these sorts of issues besides my cousin, who is 17 and i don't want to dump all this on him.

https://preview.redd.it/vjczqar41syd1.jpg?width=750&format=pjpg&auto=webp&s=251e0d53296a136e03aefb90272f07f169b1018c

https://preview.redd.it/0m1fsh241syd1.jpg?width=750&format=pjpg&auto=webp&s=a487b66d4b9788add7f19044f9af6c546253a181

We are all happy to care for our kids (4&6) and love them very much. We are all protective of them and want to be the best mom we can be, but it's so so hard to navigate being a parent with OSDD.

Our littles don't want to play with our kids like we were hoping would happen. Our littles don't understand how to play and they feel uncomfortable trying to figure it out in front of the "real kids", so they just feel confused when they front.

The teens feel very irritated by the kids and do their best but end up acting like they are being pestered by their younger siblings if they front for too long. Since the kids see them as their mother and only know the host, that isn't an acceptable way to act and then the host gets defensive and then the maternal headmate tries to take over and then the teens get mad and then everything just devolves.

Our husband will look at us sometimes like "why are you acting like this?" and the answer is heartbreaking but real: because "I" am not always these kids mom, even though that's all you can see.

Sometimes the person in charge of this household and these kids and being a wife and this body is a scared child, or an angry teenager, and all of us is traumatized as fuck. We're carrying so much and we masked ourselves into this beautiful life that we can't really handle.

I could write a book about our relationship and we’ve been together less than four years. He has done a lot to hurt me and I have responded by hurting him. He did things that violated me early in our relationship, not intentionally he says, but that created a deep distrust between my alter River and him. River is like, my big mean scary protector I guess. They have said verbally abusive things to our partner after our whole system was hurt many times, in the interest of protecting us. I know this isn’t okay.

I just got some time truly to myself since this happened but.. last week he was very disrespectful to me and I didn’t even argue really. I just snapped and told him I’m going to my mom’s. He stood behind my car and sat on my car trying to prevent me from leaving. This is NOT the first time he’s blocked me from even just getting space from him.. but this was the most extreme. We have been on the fence about staying due to recent circumstances and River felt we needed to leave then. He eventually let me go, and then I realized I can’t burden my mom and came back. I packed a bag and was going to go somewhere else, and he physically took the bag from me and I tried to get it back and he wouldn’t give it to me. He was blocking the door. He told me I was too dissociative to drive and I told him that wasn’t true, I didn’t feel safe with him and needed to leave. I was threatening to call the cops because he wouldn’t let me leave and he basically was like do it, you said you’re having a mental breakdown. It’s not going to go well.

I felt so alone and afraid that night. I’m just now really reflecting and I feel sick. I’m not in a good place to make any decisions but I have expressed to him that when he blocks me I feel trapped. Not to mention I make very little money and he supports us financially. I’ve told him I don’t want to burden my mom. He knows I’d have nowhere to take my cats. I’m just getting scared that he knows damn well what he’s doing or just doesn’t care. I feel so fucking just god. I don’t know. I want to run away

I want to start by saying I have DID and a vivid inner world, a lot of really dramatic things happen in there.

I had a “friend” I met through here, turns out she was potentially part of the cult so me and my other friend blocked her.

But the point is I used to rely on her for system help I was so desperate that I paid her monthly.

That stopped a few months ago

An innocent reuniting with an alter who woke up from dormancy turned into this cult reenactment thing in which one of the alters joined the cult (internally not literally!!!)

Alters left me notes that I’ve ignored. I haven’t fixed anything in the innerworld and I’m getting over being sick so I have time

I just feel my innerworld experience is invalidated or I’m told to go to the hospital from spaces like these

Should I just do this stuff before therapy, or with my therapist?

We’ve been letting the littles out, meeting new ones still.

I just feel like we’re paralyzed by fear. Were scared more programing will go off but now we know she knows how to handle it. Still Idk

to start off, context. i've just been through a really messy breakup, school's been kicking me in the ass, overall just horrible mental health. i am clinically diagnosed with generalized anxiety disorder, which i've heard can be comorbid with other specified dissociative disorder. and i also have unspecified mood disorder, among other things, but they're not really important here due to the amount of stress i've been dealing with, especially after the horrible past year (and unrelated trauma) my best friend who is diagnosed with DID thinks that i've suffered an acute dissociative episode, and i'd believe it, my account on pinterest has been deleted, i don't remember much in my life at all, being called my chosen names feel unfamiliar, in recent memory i just remember getting angry, and odd things have been happening like waking up in the shower, whole entire boxes of protein bars ending up on my desk along with various other clutter (i had just cleaned my desk,) and just spacing out a lot more than usually. and my chronic migraine is back. i have back issues but i felt as if they're just gone when i'm like this. i look at my texts and social medias and there's just stuff i never said? like apparently i'm a big fan of tally hall, which is a band i've always hated. my friend thinks i'm dissociative but i'm more of a believer of a carbon monoxide leak in my house. and before anyone asks, no i don't use any drugs what the FUCK is going on, am i losing my mind or is this just a result of carbon monoxide in my house. because i'm having symptoms of both. i'm probably missing crucial parts of the story, that's my bad, i've always had memory issues but this week specifically it's been awful. sorry if this is all over the place, but i find it important to add i don't hear voices, but my friend says i don't need to, and i already feel like there's another distinct part of me i'm not in touch with. my friend and i are very anti-self diagnosis, but something is happening to me, and it feels akin to OSDD (not sure what type, sorry) or some kind of acute dissociative episode. thank you for the read.

Hello i split a new alter recently, and he shows some symptoms of bpd 1 i believe. Sharing traits of experiencing manic states and lower states, im not quite sure of any other symptoms since i dont believe the body has bpd. I wanted to see if anyone else experiences this. Help is appreciated thank you

I'll keep it short, basically when certain triggers happen I daze out extremely hard, I'm still aware but can't think anymore, I get stuck. Then there's a new train of thought going on that in retrospect makes no sense to me why I would've thought that way but also understand bc I was triggered af and in an emotionally fb and in the moment it made sense to me. Memory is pretty much okay just trying to remember too hard is a delicate act if I don't want to trigger myself internally.

Usually with my alters I can't see their thoughts and there's some degree of amnesia, but with this thing I can see and even somewhat think about it's thoughts which is weirding me out and making me think it's probably just cptsd+dpdr in this case and not another alter or fragment.

Just want some opinions on the matter, it's not that important to me to classify what it is, but I am wondering what I'm experiencing.

It's really just as the title says. I don't know if anyone else experiences this, but when I talk to my singlet friends I can recognise their integrated parts, like "ah that's the part of you that comes out when you're feeling [x]", I never bring it up because I think that's weird. But it's just confusing. I know everyone has parts to themselves, just with singlets it's less distinct.

Anyone else experience this? And anyone know why? I think it's just because I'm used to being so separate that that's the only way I can understand them, but I don't know entirely

I don’t want to forget my life. There’s so much bad shit but I don’t want to forget my friends or my girlfriend I love them way too much they’re the only reason I’ve gotten through it all and I don’t want to ever forget them but I’ve already had times where I forgot my girlfriend and some of my closest friends which freaks me the fuck out. Like I found messages/notes to other friends I did remember where I’m confused about why these other people are texting me, or why one of my friends is “texting me as if we’re dating”. I don’t want to forget I feel like I’m going insane my memory has never worked ever in my life my brain has never worked how do I not do this how do I not forget how do you deal with it I’m sorry sorry

To preface, no official diagnosis but we talked with our therapist and it’s definitely something. But like what’s the deal with denial? It’s even stranger since we’ve made a post on this subreddit before about a different question. Like despite talking and communicating with each other daily, and the frequent headaches and disassociation, we’re worried about this not being real. Because if it isn’t OSDD or DID or anything, then what is it?

If anything, I think the fact that we get high is what gives us the thought of “our brain tricking us into faking this”. We don’t get high everyday - we’re not high 24/7 or anything, but we keep it to like 2 times a week. We know it’s a dissociative drug but it still worries us that it could be the cause, somehow.

Also, another thing that’s worrying to us is how we “talk” in the head or whatever. It feels like the thoughts or whatever are still coming from us, but like from a deeper part of our brain. Or that it’s easiest for us to “talk” when one uses the mouth and the other uses the head. Because what if it’s some just elaborate roleplay thing that we gaslight ourselves into thinking it’s an alter or anything.

Sorry for the long post, we try not to research this topic much or openly talk about it because we’re worried about any potential confirmation bias :/

i posted this post on r/mentalhealth but no one interacted or replied & i really need some support :(

[TW: ⚠️ CSA, brief mentions of various other traumas in the comment i added for context on the original post, brief mentions of suicidality]

https://www.reddit.com/r/mentalhealth/s/HM9u3zuB6V

i would have posted it here originally but, i wanted to just post it on a more broad subreddit because i mention other mental health issues & i feel a bit different from most of you. i don't feel like i have a "headspace" & have very little internal communication between alters. i also feel so fragmented; all of my 'aparently-normal-part' (ANPs in structural dissociation theory) alters don't feel like whole developed people. the only one that feels like it's own entity is my persecutor, but he wants us all dead so he can die with us, so we gatekeep him from ever fronting, & he's only ever been able to take full control once (that i'm aware of, but i have a lot of dissociative amnesia...). i also used to hear him in my head constantly, but i can't anymore. i suspect OSDD type-1a because of the amnesia & how most of my alters feel like fragmented versions of 'me' - just with entirely different ages, genders, voical ranges & vocabulary, motives & preferences, typical fight/flight/freeze/fawn responses, personalities & modes of interacting with the world etc... they also have different bodies, but i'm really only able to know their forms through dreams (random example but i'm afab & in a recent dream i was one of my male alters & itched a body part i do not have irl lol). my face irl often looks foreign though; i try to avoid mirrors. my youngest alter also is a baby (i think from when we first split) & when she's the only one in front i literally cannot understand or speak english - hard to describe but it sounds like american-accented jibberish, i also don't know the bodies' own name when she fronts, but usually there's at least one other co-fronting with her so, i generally only run into that issue after losing total consciousness (like after passing out or having a seizure), it's like she's the only one left experiencing things upon return. also since i have amnesia & not-so-good internal communication, i don't know any of my alters names, except our persecutor...

i've been so lost. i'm really struggling to just stay alive, let alone take care of myself. please don't think i'm gross (i already feel so disgusting) but i haven't even had the drive to shower or brush my teeth in months. i don't leave the house at all though so at least im not doing a disservice to the world by being stinky lol, but i can't function. my 'functioning' alters have seemed frozen in time for quite a while now. i have an appointment with my psychiatrist tomorrow to discuss OSDD, but i keep accidentally missing appointments with her due to dissociating...either i remember the appointment the night before but am in a totally different state the day of & don't know what day it is that day, or i get time-skips. (it's also the last appointment i can ever have with her, because she's a child psychiatrist who also works with people during pregnancy & post-partum, & i have a daughter who's turning 1 very soon, which means i'll technically be leaving the post-partum phase, & it might be a long waiting list before i can actually see someone else...plus i've worked with a lot of psychs & it's rarer to find a good one than one that actually damages my psyche. luckily, the one i'm meeting with tomorrow is one of the good ones..)

i know i need therapy, but i've only had 1 good therapist out of 7 (been in therapy since the age of 12). & no one in my area will take me currently...

i fear a bad breakdown could kill us. had some really close calls with near-death experiences from attempts throughout life... i don't feel particularly suicidal right now, mostly just numb, but when i start to really feel things again...it gets bad.

I uhhhhh this has never happened before

We have a caretaker (cohost) who’s been severely depressed for about a week and a half, I’m talking he’s spent all week in the inner world curled up in bed, someone is looking after him but it’s been rough

Our closest friend, who really likes him, asked about him and I just said he wasn’t feeling well so I (the host) was the most prevalent all week

But then she started bringing out board games/asking for help with research in very specifically worded ways, brought out some of his favorite games which she knows are a positive trigger, and then just. Outright admitted she wanted to see what would happen later during the night

To be fair, he did sort of spectate when she did that because he was interested, he didn’t speak or fully take front, and it was nice to see him at least a little distracted. It wasn’t a bad thing, and I think she was just trying to help? I’m just a little concerned that if she pulls this again with someone else it might be dangerous.

Thoughts?

I’m just posting here because I’m not sure what this is,

So I grew up in a very emotionally and medically neglectful home. I didn’t have friends and didn’t do extracurriculars until I was a teenager. But also, I don’t really remember anything.

But a few weeks ago at my therapist appointment I brought up the possibility of having a dissociative disorder, because I dissociate to a point of it interfering with my daily life. I’ve forgotten people I’m close to, forgotten childhood memories that apparently I should remember, basically most of my life is missing.

After I told her that, I feel like I’m remembering more things from when I was younger. Things like where I was when I broke my leg, getting a new bike, just random things like that that I didn’t have memories of before this.

I’m kinda worried that I’ve now been making a big deal of nothing. If I can just randomly remember things now, what if I always could? I just never paid much attention to it? I truly did have a different person living inside of my head at some point, and since I don’t remember most of my life, I’ve kinda convinced myself that I’m just a fully different person living for someone who isn’t here anymore. But that’s just a coping mechanism for my lackluster childhood, and the person in my head was just an imaginary friend.

I dunno. I don’t think I have any certain disorder but I just feel stupid for making such a big deal out of something that I apparently never really struggled with.

Did anyone else ever experience this?

i swear. he was there. i could FEEL him. my brother. I havent seen him in so long. i knew it was him though. I felt the door open behind me. I felt his presence getting closer to me. I FELT him. For one stupid moment i thought i would turn around and see him. There was no one there. i swear i felt him right behind me. HE WAS THERE. When i turned around the door had not been opened. there was no body there. I could no longer feel him. This has haunted me for months. I wish he was here.

Edit: Anyone know what this means? I want to see him again so bad. it really messed with me. Anyone gone through something similar?

okay so. we know we're a system (osdd), we always say we don't have any trauma but it's likely that we just don't remember it,, we don't have any Amnesia with switching but we have emotional amnesia(?) where like we remember the events that happened when another alter fronted but we don't remember what they felt? well, it's more like that when our host fronts, where when he's at front everything another alter has done feels like a dream for him, but he hasn't fronted in a while

back on topic, we have a really bad memory where we usually forget things a day or two after it happened and i usually chalk it up to lack of sleep or brain fog but idk I can't remember all of fifth grade

so is this valid or am i just delusional in being a system?

another thing is, lately we haven't known who we are / who's at front, and we haven't been able to sense anyone (any alters) near so it's kind of like this Limbo where we don't know who's at front, and don't know whos nearby in front/at co front/in headspace,, is this normal??? and valid??

this might sound really stupid but how do you tell the difference between intrusive thoughts/intrusive voices or alters?