Dissociation – feeling detached from yourself, like in a dreamlike state, feeling weird or off-kilter, and like everything is surreal – is a common anxiety disorder symptom experienced by many people who are anxious.
You might experience dissociation as a symptom of a mental health problem, for example post-traumatic stress disorder, depression, anxiety, schizophrenia, bipolar disorder or borderline personality disorder.
Dissociation is a way the mind copes with too much stress. Periods of dissociation can last for a relatively short time (hours or days) or for much longer (weeks or months). It can sometimes last for years, but usually if a person has other dissociative disorders.
Dissociative disorders usually develop as a way to cope with trauma. The disorders most often form in children subjected to long-term physical, sexual or emotional abuse or, less often, a home environment that's frightening or highly unpredictable.
Dissociation Symptoms
Memory loss surrounding specific events, interactions, or experiences. A sense of detachment from your emotions (aka emotional numbness) and identity. Feeling as if the world is unreal; out-of-body experiences. Mental health problems such as depression, anxiety, and thoughts of suicide.
Triggers are sensory stimuli connected with a person's trauma, and dissociation is an overload response. Even years after the traumatic event or circumstances have ceased, certain sights, sounds, smells, touches, and even tastes can set off, or trigger, a cascade of unwanted memories and feelings.
Usually, signs of dissociation can be as subtle as unexpected lapses in attention, momentary avoidance of eye contact with no memory, staring into space for several moments while appearing to be in a daze, or repeated episodes of short-lived spells of apparent fainting.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
Dissociation is a break in how your mind handles information. You may feel disconnected from your thoughts, feelings, memories, and surroundings. It can affect your sense of identity and your perception of time. The symptoms often go away on their own.
Zoning out is considered a form of dissociation, but it typically falls at the mild end of the spectrum.
When a person experiences dissociation, it may look like: Daydreaming, spacing out, or eyes glazed over. Acting different, or using a different tone of voice or different gestures. Suddenly switching between emotions or reactions to an event, such as appearing frightened and timid, then becoming bombastic and violent.
Causes. Most mental health professionals believe that the underlying cause of dissociative disorders is chronic trauma in childhood. Examples of trauma included repeated physical or sexual abuse, emotional abuse or neglect.
Too much dissociating can slow or prevent recovery from the impact of trauma or PTSD. Dissociation can become a problem in itself. Blanking out interferes with doing well at school. It can lead to passively going along in risky situations.
Dissociation may be a normal phenomenon, but like everything in life, all in moderation. For some, dissociation becomes the main coping mechanism they use to deal with the effects of a trauma response in anxiety disorders, such as PTSD, or other disorders, such as depression.
Too much dissociating can slow or prevent recovery from the impact of trauma or PTSD. Dissociation can become a problem in itself. Blanking out interferes with doing well at school. It can lead to passively going along in risky situations.
Eye contact is broken, the conversation comes to an abrupt halt, and clients can look frightened, “spacey,” or emotionally shut down. Clients often report feeling disconnected from the environment as well as their body sensations and can no longer accurately gauge the passage of time.
Yes. If you have the right diagnosis and treatment, there's a good chance you'll recover. This might mean that you stop experiencing dissociative symptoms. For example, the separate parts of your identity can merge to become one sense of self.
Any kind of trauma can cause dissociation. This could be assault, abuse (physical, emotional, or sexual), natural disasters, military combat, war, kidnapping, invasive medical procedures, neglect, or any other stressful experience.
Although there are no medications that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medications or antipsychotic drugs to help control the mental health symptoms associated with dissociative disorders.