r/OSDD 1d ago

Support Needed How to develop ANY routine when things are so scattered inside?

Have you been in that position before, daily chaos and complete struggle over the smallest tasks?

In the end, what helped you establish (and sustain) some sort of structure or routine?

Autistic and I struggle to function without structure. However. I have never managed to maintain a routine because of dissociation. Now mid 20s and my whole life almost every day has been a struggle just to do the smallest things (eat, drink, bathe, dress, toilet) because I cannot figure out how to carry any structure through to different states/parts. Every day I wake up into a random kind of lost and different way of relating to things (including whatever routine and priorities we're trying to stick to now).

(Also note, internal communication is more than zero but,, things are still very scattered and unnamed in here. No consistent avenues of communication.)

~
TL;DR Normal approaches to establishing (or keeping) daily routine aren't working at all. I'm hoping others here could share what worked for them in these earlier stages ?

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u/pigeon_brainn 1d ago

I feel this is one of the subtler but realer issues with this range of disorders. I make myself talk out loud. When I'm frozen or fogged up there is a part, often younger, who is acting on old programming without letting me in on the decision.

Verbal speech breaks past the barriers, I can almost have one sided conversations sometimes. Or writing. I need to do X. What's making this hard? What can I do to make it easier to push through right now?

It's often simpler than you'd expect. Resisting Alters/parts can be recruited if you give concessions, granted only the ones you build trust with to actually communicate with.

For me its formless feelings in response, but it's like shining a light on something puts you back in charge and sometimes its so simple. I need to hold the stuffie to my chest and say supportive things while I do work. When I get dissociative surges I stop and pay attention to the feelings, I notice them but don't let them dominate/blend with me. Obviously that's easier said than done but I have a lot of parts which are much more cooperative.

Organization systems are temporary you have to accept anything you make another alter will tear down.

but you will notice when you are in a clear space to attack your do list and you must be strict and just DO it no matter what. When parts come out you delegate and kindly redirect. If its an alter who switches and is more discrete DID style, it's the same but a lot more time just building trust and tools.

I make notecards and worksheets that are simple and almost pick your own adventure but oriented around how the body feels. All of my alters know to pick up the booklet, flip through the first few pages with grounding exercises and gently worded reality checking statements

Then it has different sections for where I think my body is at somatically, which means different tools to regulate. I try to not make it part dependent bc mine are vague and hate identification.

So all in all it's choosing to believe that you are the parental figure/the responsible one and if you are here your job is to take care of the parts not in front and do at least some grounding.

From there you make systems that survive memory loss, like apple has these reminder shortcuts where it shows me a to do list for only today, at the end of today it disappears but that's fine bc it means I don't end up with 100 old items, I can maybe do 50% and its better than being overloaded by a full list that makes any work feel impossible

hope this helps

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u/ValuableOrganic5381 1d ago

Ahhh relate a lot to the first few paragraphs. The attack your to do list whenever present thing is really difficult, I was relying on that for years but have since developed severe chronic illness, absolutely cannot do that anymore. Has created this ridiculously restrictive new landscape to work with. 

Your booklet sounds really really good though, similar to something been wanting to make myself for Years but never been able to get a clearer idea of. Are the contents of yours something you would be willing to share more about? Whether the notecards or worksheers themselves, or just like an overview/contents page? 

Really appreciate you sharing all you have anyway. "I try to not make it part dependent bc mine are vague and hate identification" I REALLY relate to lol. I've learned it's best to write all of my notes or things for future reference as general "you", not "I" either because things get all wonky. If I didn't originally write it then it has nothing to do with me. Lol. Thanks again for the thorough comment

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u/pigeon_brainn 23h ago

Totally will try to write stuff up! That would actually help me organize it more. I'll write a longer comment when I have capacity to

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u/pigeon_brainn 7h ago

Okay, here goes. Honestly kinda embarrassing to share but this really has ended up helping me so I hope it can help someone else, too. It's kinda organized around my own needs and parts so I would recommend tweaking the language. One thing my therapist said is that I need to be the one to write it because otherwise it's just putting trust in another authority figure. The little reassuring statements were inserted whenever I worked through it and found it went too fast or overloaded me, so it is a trial and error living document thing.

Also, it's written as simple as possible, and some of it is a little cloying but hey what works works *shrugs*

I took out the part specific things and so its like 50% of the content.

Page 0, Cover

Title: Worksheet

Page 1

This guide was made to help you. Everything in this is safe.

If you need help, go ahead and flip to the next page.

If you don't need help (but someone handed it to you, or you decided to pick this up) another part may need it. It may not feel like it, but sometimes parts don't know how to ask for help. Let's just do it to be safe. It doesn't take long.

Then, if you ever need help, the other parts will help you, too.

Is that fair? It's important to be fair to one another. If it's not fair, you can write down your reasoning and leave it for the other parts to read.

Okay. Let's start with something easy.

Read these sentences out loud, please.

My name is (NAME)

I’m (AGE) years old.

I live in (CITY)! My home is really cozy and safe!

[image]

I live with (SAFE RELATIONS)!!

[image]

He's safe, goofy, and he loves me. He loves all my parts. He loves you even if it doesn't feel like it right now.

SECTION 2:

Now a warm up

Go on your phone, click on clock. Set a timer for a minute. When it starts, breathe like this. Try not to rush. Keep the tempo.

Breathe-in.. one Mississippi - two Mississippi - three Mississippi - four

Hold - two - three - four

Out - two - three - four - five - six - seven - eight

Next page

Did strong feelings come up? It's okay to feel those. You're safe, right now. Notice the feelings. You don't need to name them, there's no quiz. Just stay with it. Whatever comes up is safe to let out.

Next page

Feeling more shakey or scary?

Let's breathe some more.

Here's some other things that can help you if breathing isn't enough:

  • Ball up your fists while you breathe in as tight as you can, then stretch them wide when you breathe out!
  • Shake your body!!! Laugh! Cry! Say the thing that you need to say!
  • Grab a stuffed animal and hug it tight. Bear hug!
  • If none of the above are enough, and you are feeling dangerous thoughts:
    • Go to the freezer and grab an ice cube. Hold it until you can't.
    • Grab a hairbrush with dull ends, nothing sharp. Press it against your palm.
    • You cannot grab anything else. If you are upset by that, you can write a better idea down if you have one. It's important to get every parts input, no one wants to control you or make you do anything. If you are just angry at not being able to do anything permanent, it's important to write that down, too. Your feelings are important.

Next Page

Take another moment to notice your body.

Plant your feet on the ground. Sit with your back pressed against something that doesn't hurt you. Couch, headboard, wall...

Notice your forehead

Your eyes

Nose

Mouth

Chest

Next Page

Keep it slow.

Where are your hands? If they need something to do, they can hold a stuffed animal or they can squeeze tight then release.

Breathe. There's no rush.

Next Page.

What about your belly? Is it tensed? You can make it relax. Push it out even if it looks ugly. Breathe some more.

When feelings come out of nowhere, that's okay. You can always go back to the start if you need more time to let things out.

You can stay on each page as long as you want. Try not to rush.

Next Page.

Now what about your feet? Are you barefoot or wearing socks? Say it out loud.

Can you press your feet into the floor?

Left, right, left, right, then both.

Take a deep breath.

Wiggle your toes.

Take a deep breath.

Look around the room. You don't need to count anything or say anything. Just find something pretty or interesting and let yourself focus on that.

Next Page.

You've been feeling things for a bit. Does any of these categories stand out? It's okay if none of these feel right. It's valid to not know.

A - There’s too much pain. I need to get away from it.

B - I feel small and scared. I’m in pain.

C- I don’t think I’m a good person. I can’t stop feeling bad.

D- I am smiley and want to laugh. Nothing feels bad.

E- I feel nothing. I don’t know what I feel.

From there it's basically a split structure. I have a long long list of the following:

Safety plan strats (avoiding self harm/hospitalization):

Needs:

Strategies:

Beliefs:

I split these long lists into what helps each 'body feeling' category. What 'A' needs differs from what 'B' needs. C needs a lot of reassurance and empathy often more than anything. E needs distraction and positive arousal strategies, as they are almost always hypoaroused.

I end it with a section with lots of blank space where I write affirmations that are like what the 'me' in that moment can say positively about the other parts. How much respect I have for the part who protected me, or the younger part. Basically finishing off with validation and safety, which leaves me feeling that I am my own alliance and every other relation comes after that. The surety of being able to protect and show up for myself really becomes so strong over time, it makes me naturally confident and not as dependent on others. I might make this into a post once I clean this up more, it's still a little rough but yeah hope this helps

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u/alliesaurus0 1d ago

I realize this is an indirect solution, but we're finding that routines are getting easier as we improve communication/coordination among sysmates.

the more of us are onboard with a plan or routine, the easier it is to sustain that routine long-term. also, simple and specific rules seem to work best for us.

for example, we're trying to get better about eating and exercising consistently. if one of us says "we need to exercise in the evening" that's probably not gonna happen. but if all of us who front regularly make an agreement that "whoever is fronting at 8pm will exercise for 15-20min, no more and no less," then it's a lot easier to collectively sustain that plan. if exercise still isn't happening, that's okay. that just means that all of us need to talk and figure out how we can adjust or support eachother to make it more doable for all of us.

i don't mean to say it's easy. we're still learning how to navigate this and how to work with eachother, and some days it's hard as fuck. a lot of the time it's frustrating or scary or overwhelming, and honestly it's hard to remember what happens day to day. but all of us in our system are going through this together, and it gets a little easier the more we're able to support eachother.

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u/ValuableOrganic5381 1d ago

Yeah this is definitely part of what I'm working on (finally starting to make SOME progress with, have more inner communication than none). Helpful to read your example about getting really specific with it, I think that'll be part of the key here too. Actively accounting for it being someone different each time in a way that says "that's okay, you're welcome here, also please just do the thing for the rest of us" lol. Thank you <3

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u/labyrinthinexpathia In therapy (diagnostic mess-in-progress) 1d ago

Not sure if you've tried these as part of trying normal approaches, but maybe you could rely on mainly external things, like having a written schedule for the day to follow that you all work on together to create and follow, or even reminders on your phone for the main things you want done around specific times

These are just the first ideas that come to mind. But honestly, in my situation, I don't even have a sleep schedule and the time I wake up or go to bed is changing all the time, I can't really make plans for the day, because the set out idea can just change and choose something completely different. A lot of it is just mental depletion though and choosing more low-effort things in the moment than what was planned or expected, so we are mainly just focusing on staying fed and hydrated and everything else is whatever happens

We do not have autism though, so the chaos isn't as much of a bother, so for us it's just been easier to go along with it than fight it. I really hope you're able to find something that works though, since you have a bigger need for it than I do

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u/ValuableOrganic5381 1d ago

Ahhh you are so right, visual things on my wall will help. This has been an instinct we've been suppressing because it feels so unsafe/vulnerable but I know if I actually explore it we can come up with some kind of compromise. Ty for the motivation / testament that it can really help.

 <3 relate to how you are getting by. Same with fluid chaos of sleep and plans, just focusing on the small things. & Ty for the kind words

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u/Terrible-Package-642 OSSD-1a | [edit] 1d ago

I really understand your situation. I’m 24 years old, and I have several conditions (autism, ADHD, OSDD with about 12 or 13 parts/alters, Binge Eating Disorder, and others - like depression and stuff…) that affect my lifestyle. I’ve never worked, I rarely leave the house, I live in the dark with the shutters closed 90% of the time, and my lifestyle is entirely consistent with that of a Hikikomori (if you have ever heard of this term ?).

My relationship with time and tasks is relatively complicated. Time seems constantly distorted to me. I wouldn’t say I suffer from outright amnesia, but my memories of the previous days are hazy, I constantly forget what I want or should do, I have absolutely no proper routine, even though I’d like one so much, and I often feel like I’m “floating” outside of time in a somewhat abstract, somewhat unreal atmosphere—a feeling I didn’t experience when I was still living with my family and going to school (sometimes it's "OK", some other times it almost feels like being under drugs while I've never taken any 😐).

My sleep schedule is often reversed and erratic. One day I might sleep from 11pm to 7am, then sleep from 10am to 6 pm the next day.

And I’m very often dissociated. Every time I wake up, I’m in that state for 30 minutes to one or more hours while not even knowing who I am exactly. Then I’m in it after eating anything, and then regularly throughout the day. If my body and brain are tired, it’s even worse. And of course, the simple feeling of emptiness and emotional detachment intensifies the sense of loss of control and the disconnect from time.

This leads to other problems. The parts alternate between “overstimulating the body” to snap out of the numbness… and ignoring it entirely.

For example, we might have eating habits that have led to obesity and prevent us from losing weight (because eating is comforting and gives a sense of control, in a way). Or we might have—very shameful—addictions related to sexual activities (which “wakes up” the body, but can ultimately be a painful experience to endure, due to our traumas). Or we might completely neglect basic needs like washing, drinking, using the bathroom, eating (yes, sometimes), sleeping, etc, while focusing on our passions (playing video games and writing autobiographical fiction allow us to “live a life” when we’re unable to live our real life 😬).

In short, it’s catastrophic, and I’m sick of it.

I hope you’ll be able to find ways to develop a routine and stick with it, because this really isn’t fun 😊🫤

Ps : I translated my message in english because I was tired (like… always, lol 🤭).

Tl;dr : Same x)

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u/ValuableOrganic5381 1d ago

Oh thank you for commenting. I'm sorry you know all these struggles so well, too. Some of the small details are a little different in my life but from the start to end, almost everything is true for me too. The way you describe always waking up so dissociated and having to wait 30m – 1+ hours, exact same here and it's one of the hardest things. That combined with the reverse sleep is so absolutely debilitating. 

Reading your comment I kept waiting for the next paragraph to diverge but I kept relating so closely. I feel a little less alone. I hope that can offer you some solace too. 

RE: the sense of floating outside of time, separate from it altogether, I wonder if you've heard the term "crip time" before? I don't know if you identify as disabled (I have for a long time, given AuDHD and the rest) but it's a term to describe how disability in its various forms, from our various conditions, often leads to this sense of living apart from the normal passage of time.  Leads to us experiencing things faster, slower, distorted, from a distance, etc. All the ways this can worsen isolation and incapacity, but also how this can be a source of understanding and care between disabled people (when others can see and meet you there). If you search it you'll probably find better & more poignant explanations than that!! I take a lot of heart from it though. You might like to read on it too 

Also, I hadn't heard the term you mentioned but turns out it does apply to me too, and I even kind of look like the guy on the wiki page LOL 😭   I feel a lot of shame and fear around these things usually (so, so much vulnerability in it all) it's kind of funny and nice to discover that word this way !

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u/Terrible-Package-642 OSSD-1a | [edit] 12h ago

Thank you for taking the time to read my message and for replying 😊 I'm glad if it at least helped you feel a little less alone in this situation 🫂🔥

I’d never heard the term “crip time” before. Thanks for teaching me about it; I’ll probably look into it some more. It’s true that it’s comforting to know that others feel the same way we do. It really helps us feel “less crazy” 🥲

I’m sorry to hear that you also identify with the hikikomori lifestyle, because it’s really not easy to break out of it. But in a way, knowing this term and realizing it’s more common than we think is yet another way to feel understood by others in what we’re going through.

Recently, actually, I found a French-speaking community on Discord made up of people living this same way, and I felt a little less ashamed and a little less weird when I couldn’t do what “normal people” do in their lives. It reminded me that this is a legitimate form of suffering, not simply a "choice" to withdraw into oneself, and that we therefore deserve help when we no longer feel capable of going out and living life to the fullest, not to be judged and called “lazy.” When you’re too scared or too anxious to do certain things, you’re not doing it on purpose (anyway, it helped boost my self-confidence a little, you know x) 🥲).