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.
If you dissociate, you may feel disconnected from yourself and the world around you. For example, you may feel detached from your body or feel as though the world around you is unreal. Remember, everyone's experience of dissociation is different.
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.
There are five main ways in which the dissociation of psychological processes changes the way a person experiences living: depersonalization, derealization, amnesia, identity confusion, and identity alteration.
Can dissociative disorders go away without treatment? They can, but they usually do not. Typically those with dissociative identity disorder experience symptoms for six years or more before being correctly diagnosed and treated.
Signs and symptoms depend on the type of dissociative disorders you have, but may include: Memory loss (amnesia) of certain time periods, events, people and personal information. A sense of being detached from yourself and your emotions. A perception of the people and things around you as distorted and unreal.
Trina was demonstrating a “dissociative shutdown,” a symptom often found in children faced with a repeated, frightening event, such as being raped by a caregiver, for which there's no escape. Over time, this response may generalize to associated thoughts or emotions that can trigger the reaction.
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.
Dissociation usually happens in response to a traumatic life event such as that which is faced while being in the military or experiencing abuse. In this way, dissociation is usually associated with trauma and post-traumatic stress disorder (PTSD).
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.
Zoning out is considered a form of dissociation, but it typically falls at the mild end of the spectrum.
You could feel as though you're observing yourself from the outside in — or what some describe as an “out-of-body experience.” Your thoughts and perceptions might be foggy, and you could be confused by what's going on around you.
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.
Thus, therapy for dissociation generally focuses on acknowledging and processing the painful emotions that are being avoided. By changing how a person responds emotionally to a trauma, therapy can help reduce the frequency of dissociative episodes. A therapist may also teach coping skills for use during dissociation.
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.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
Dissociative disorders are characterized by an involuntary escape from reality characterized by a disconnection between thoughts, identity, consciousness and memory. People from all age groups and racial, ethnic and socioeconomic backgrounds can experience a dissociative disorder.
Studies show that a combination of selective serotonin reuptake inhibitors (SSRI), a specific kind of antidepressant medication, and lamotrigine, an anticonvulsant and mood stabilizer, is an effective treatment for dissociative disorders, especially depersonalization-derealization disorder.
Dissociative disorder clients typically spend many years in treatment. Many are hospitalized repeatedly over time.
When trauma and chronic stress become overwhelming, our nervous system tends to move into a shutdown state. Counsellors often refer to it as dissociation, a common response to traumatic events.
Lots of different things can cause you to dissociate. For example, you might dissociate when you are very stressed, or after something traumatic has happened to you. You might also have symptoms of dissociation as part of another mental illness like anxiety.
Transient and mild dissociative experiences are common. Almost 1/3rd of people say they occasionally feel as though they are watching themselves in a movie, and 4% say they feel that way as much as 1/3rd of the time. The incidence of these experiences is highest in youth and steadily declines after the age of 20.