Talking therapies are the recommended treatment for
If a client is dissociating in the session, simple exercises can help ground them. You could ask a client to find three red objects in the room, or ask the client to listen out for three sounds and identify them. Sound can be a safe bridge back into the here-and-now.
Psychotherapy. Psychotherapy is the primary treatment for dissociative disorders. This form of therapy, also known as talk therapy, counseling or psychosocial therapy, involves talking about your disorder and related issues with a mental health professional.
Findings revealed that therapists have strong emotional and behavioral responses to a patient's dissociation in session, which include anxiety, feelings of aloneness, retreat into one's own subjectivity and alternating patterns of hyperarousal and mutual dissociation.
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.
Mental illnesses such as obsessive-compulsive disorder, panic disorder and post-traumatic stress disorder may cause similar symptoms to a dissociative disorder. The effects of certain substances, including some recreational drugs and prescription medications, can mimic symptoms.
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.
Feeling like you're looking at yourself from the outside
Feel as though you are watching yourself in a film or looking at yourself from the outside. Feel as if you are just observing your emotions. Feel disconnected from parts of your body or your emotions. Feel as if you are floating away.
They can happen to us all sometimes. For example, during periods of intense stress or when we're very tired. Some people also find that using drugs like cannabis can cause feelings of derealisation and depersonalisation. Dissociation is also a normal way of coping during traumatic events.
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.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
The four dissociative disorders are: Dissociative Amnesia, Dissociative Fugue, Dissociative Identity Disorder, and Depersonalization Disorder (American Psychiatric Association, 2000; Frey, 2001; Spiegel & Cardeña, 1991).
Hands. Your client's hands can give you clues about how they're reacting to what comes up in the session. Trembling fingers can indicate anxiety or fear. Fists that clench or clutch the edges of clothing or furniture can suggest anger.
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.
If you've had disturbing experiences over and over, you may get severe forms of dissociation known as dissociative disorders. You may leave your normal consciousness, forget things, or form different identities within your mind.
Treatment for dissociative disorders can take time, several weeks at least. For some people it can take much longer to restore memories or to eliminate additional identities.
You might find that your behaviour changes depending on which identity has control. You might also have some difficulty remembering things that have happened as you switch between identities. Some people with DID are aware of their different identities, while others are not.
A sense of being detached from yourself and your emotions. A perception of the people and things around you as distorted and unreal. A blurred sense of identity. Significant stress or problems in your relationships, work or other important areas of your life.
Zoning out is considered a type of dissociation, which is a feeling of being disconnected from the world around you. Some people experience severe dissociation, but "zoning out" is considered a much milder form. Daydreaming is the most common kind of zoning or spacing out.
Symptoms of a dissociative disorder
Symptoms of dissociative disorder can vary but may include: feeling disconnected from yourself and the world around you. forgetting about certain time periods, events and personal information. feeling uncertain about who you are.
Dissociative amnesia may surround a particular event, such as combat or abuse, or more rarely, information about identity and life history. The onset for an amnesic episode is usually sudden, and an episode can last minutes, hours, days, or, rarely, months or years.
Derealization is similar but distinct from depersonalization. The latter involves a feeling of detachment not from your environment, but from your own body, thoughts, or feelings. It's as if you're watching what's happening to yourself as an outsider.