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The experience of having tulpas is much more accurately likened to the experiences of fiction writers whose characters come alive and begin talking to them in fact, a great number of tulpa creators have formed tulpas that way! Neither disorder is 'self-inflicted', and we recognize them as very different experiences from tulpa creation. DID is a dissociative disorder typically caused by childhood trauma. Schizophrenia is a breakdown in perception of physical reality and consistency that has strong genetic influences, and does not always involve hearing voices. Not at all! Schizophrenia and DID (formerly called MPD, and still called MPD in some areas outside the US) are disorders characterized by clinically significant distress, dysfunction, or danger.

So is this like schizophrenia/multiple personality disorder/dissociative identity disorder? However, unlike them, tulpas possess their own will, thoughts and emotions, allowing them to act independently. A tulpa is a mental companion created by focused thought and recurrent interaction, similar to an imaginary friend.

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