This is important to understand, as dissociation does not always have to occur in the presence of traumatic events. Triggers for dissociation may be non-threatening to other individuals, however for specific reasons they may generate negative feelings and/or memories in young people with lived experience of trauma.
It doesn't have to have been caused by a traumatic or stressful event. Many people think that this disorder might be more common than previously thought.
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.
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.
For many people, dissociation is a natural response to trauma that they can't control. It could be a response to a one-off traumatic event or ongoing trauma and abuse.
Zoning out is considered a form of dissociation, but it typically falls at the mild end of the spectrum.
The difference from active avoidance (on purpose avoiding thinking about or doing something) is that dissociation tends to happen without planning or even awareness. Many times, people who are dissociating are not even aware that it is happening, other people notice it.
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.
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.
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.
A person may experience depersonalization, derealization or both. Symptoms can last just a matter of moments or return at times over the years. The average onset age is 16, although depersonalization episodes can start anywhere from early to mid childhood.
One's mind going completely blank. A sense of watching oneself from the outside. A disconnection from surroundings. Glazing over or feeling lost.
The main cause of DID is believed to be severe and prolonged trauma experienced during childhood, including emotional, physical or sexual abuse.
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.
You may suddenly lose your sense of identity or recognition of your surroundings. 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.
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.
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.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
Examples of mild, common dissociation include daydreaming, highway hypnosis or “getting lost” in a book or movie, all of which involve “losing touch” with awareness of one's immediate surroundings.
Dissociation functions as a coping mechanism developed by the body to manage and protect against overwhelming emotions and distress 6. This can be a completely natural reaction to traumatic experiences, and can be helpful as a way of coping at the time.
Have you ever caught yourself “daydreaming” during boring meetings to find that you have little idea what has been said? These are all normal, mild examples of a psychological phenomenon known as “dissociation.” Dissociation is an altered state of mind that is much more common than people realize.
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.
When Symptoms Occur Without a History of Trauma. It is important to understand that trauma can be inherited independently of difficult family circumstances. A child can develop anxiety, depression, or other stress-related issues such as PTSD as a result of an inherited vulnerability rather than direct trauma.