Dissociation is a state of mind that occurs when someone separates themselves from their emotions, and is a common trauma defense mechanism in people with Post Traumatic Stress Disorder (PTSD). Dissociation can feel like an out-of-body experience or like disconnection from the world around you.
Experts in PTSD support and treatment believe disassociation is a common feature of post-traumatic stress disorder. The same events and experiences that cause PTSD, can result in the individual experiencing some degree of emotional detachment from reality.
Dissociation during times of stress is one of the main symptoms of BPD. It's also associated with acute stress disorder and post-traumatic stress disorder (PTSD), both of which can co-occur with BPD. It's important to note that not everyone with BPD experiences dissociation.
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. Some people may dissociate as part of certain cultural or religious practices.
Dissociation can occur in response to traumatic events, and/or in response to prolonged exposure to trauma (for example, trauma that occurs in the context of people's relationships). Dissociation can affect memory, sense of identity, the way the world is perceived and the connection to the physical body 3.
The four dissociative disorders are: Dissociative Amnesia, Dissociative Fugue, Dissociative Identity Disorder, and Depersonalization Disorder (American Psychiatric Association, 2000; Frey, 2001; Spiegel & Cardeña, 1991).
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.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
“Blanking out” or being unable to remember anything for a period of time. Experiencing a distorted or blurred sense of reality. Feeling disconnected or detached from your emotions. Feeling like you're briefly losing touch with events going on around you, similar to daydreaming.
Dissociation is a mental process where a person disconnects from their thoughts, feelings, memories or sense of identity. Dissociative disorders include dissociative amnesia, depersonalisation disorder and dissociative identity disorder.
If someone with the disorder is experiencing ongoing trauma, then dissociation can become “fixed and automatic” outside of one's control, with some people reporting that they've been stuck in a dissociative period for weeks, months, or even years at a time.
Risk Factors and Suicide Risk
People who have experienced physical and sexual abuse in childhood are at increased risk of dissociative identity disorder. The vast majority of people who develop dissociative disorders have experienced repetitive, overwhelming trauma in childhood.
That's what PTSD (post-traumatic stress disorder) is—our body's overreaction to a small response, and either stuck in fight and flight or shut down. People who experience trauma and the shutdown response usually feel shame around their inability to act, when their body did not move.
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.
Awareness of yourself and what's going on around you can be compromised during dissociation, which might feel like an unwelcome and frightening intrusion into your mind. On a psychological level, dissociating can be an involuntary means of coping with acute stress, such as physical abuse.
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.
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.
Sometimes dissociation is a way of coping by avoiding negative thoughts or feelings related to memories of traumatic events. When people are dissociating they disconnect from their surroundings, which can stop the trauma memories and lower fear, anxiety and shame.
Some anxiolytic medications reduce hyperarousal and the intrusive symptoms of dissociative disorders. SSRIs are also commonly used to treat anxiety and are good choices for people with dissociative disorders. Benzodiazepines are typically contraindicated because they typically exacerbate dissociation.
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.
If someone has dissociated, they are not available for this type of interaction. You are talking to a person who cannot reason with you. The person might be able to hear you, but regardless, they may be unable to respond.
Dissociative identity disorder is a severe form of dissociation, a mental process which produces a lack of connection in a person's thoughts, memories, feelings, actions, or sense of identity.
Dissociation exists on a spectrum that ranges from mild everyday experiences to disorders that interfere with daily functioning. Nearly everyone experiences mild dissociation from time to time. In fact, daydreaming is a prime and common example of mild dissociation.