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The lifetime prevalence of dissociative disorders among women in a general urban Turkish community was 18.3%, with 1.1% having DID (ar, Akyüz, & Doan, 2007). In a study of an Ethiopian rural community, the prevalence of dissociative rural community, the prevalence of dissociative disorders was 6.3%, and these disorders were as prevalent as mood disorders (6.2%), somatoform disorders (5.9%), and anxiety disorders (5.7%) (Awas, Kebede, & Alem, 1999). A similar prevalence of ICD-10 dissociative disorders (7.3%) was reported for a sample of psychiatric patients from Saudi Arabia (AbuMadini & Rahim, 2002).

Paul H. Blaney
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Call it dysphoric mania, agitated depression, or a mixed state: nobody will understand anyway. Mania and depression at once mean the will to die and the motivation to make it happen. This is why mixed states are the most dangerous periods of mood disorders. Tearfulness and racing thoughts happen. So do agitation and guilt, fatigue and morbidity and dread. Walking late at night, trying to get murdered, happens. Trying to explain a bipolar mixed state is like trying to explain the Holy Trinity, three persons in one God: you just have to take it on faith when I tell you that the poles bend, cross, never snapping.

Elissa Washuta, My Body Is a Book of Rules
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Reflecting on various aspects of our lives is essential for a person to grow and adjust to changing phases in their life. Self-analysis entails examining a person’s existing level of self-esteem and documenting the inner voice that speaks to a person, which is frequently either affirming of self-defeating. Failure to periodically engage in self-analysis, make crucial revisions in our personas, and modify our thinking patterns when we encounter transformative events in life can lead to mood disorders, burnout, and other emotional maladies.

Kilroy J. Oldster, Dead Toad Scrolls
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