The four dissociative disorders are: Dissociative Amnesia, Dissociative Fugue, Dissociative Identity Disorder, and Depersonalization Disorder (American Psychiatric Association, 2000; Frey, 2001; Spiegel & Cardeña, 1991).
Dissociative Amnesia
This amnesia is usually related to a traumatic or stressful event and may be: localized – unable to remember an event or period of time (most common type)
The 3 main types are: depersonalisation-derealisation disorder. dissociative amnesia. dissociative identity disorder.
While dissociation is not a symptom of ADHD, the two are closely related because they are often comorbid. 123 People with dissociative disorders may also show symptoms of ADHD and vice versa.
Feeling your identity shift and change
Speak in a different voice or voices. Use a different name or names. Feel as if you are losing control to 'someone else' Experience different parts of your identity at different times.
Many times, people who are dissociating are not even aware that it is happening, other people notice it. Just like other types of avoidance, dissociation can interfere with facing up and getting over a trauma or an unrealistic fear.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
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.
Dissociative amnesia is rare. It affects about 1% of men and people assigned male at birth and 2.6% of women and people assigned female at birth in the general population. The environment also plays a role. Rates of dissociative amnesia tend to increase after natural disasters and during war.
Famous people with dissociative identity disorder include comedienne Roseanne Barr, Adam Duritz, and retired NFL star Herschel Walker. Walker wrote a book about his struggles with DID, along with his suicide attempts, explaining he had a feeling of disconnect from childhood to the professional leagues.
Dissociation is a natural response to trauma while it's happening. But some of us may still experience dissociation long after the traumatic event has finished. Past experiences of dissociation during traumatic events may mean that you haven't processed these experiences fully.
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 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.
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 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.
Generally, zoning out or spacing out means that you are simply not in the moment, or that your mind is somewhere else. Zoning out is considered a type of dissociation, which is a feeling of being disconnected from the world around you.
Some signs your therapist can sense if you're dissociating:
They feel confused. They feel numb. They feel like you've gone somewhere else. Things don't add up.
Some grounding exercises that we find most helpful include giving the person in a dissociative state something to taste or feel. Ways you can do this is by giving them a candy and asking them to describe the taste and sensation.
For others, however, dissociation can involve hearing voices in your head, experiencing tunnel vision, having an altered sense of time, feeling light-headed, or as if your heart is pounding, says McInnis.
What is anxiety dissociation like? When you experience dissociation caused by anxiety, you may feel detached and disconnected from yourself. Your perceptions may change and time may seem to go faster or slower. You may feel emotionally numb, and the experience may seem unreal, flat, or dull.
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.
Dissociation is often part of having PTSD and autism. It can take different shapes and forms depending on the person. For me, it comes with complete physical and emotional exhaustion — often after days of too much work, too many people, too much change, too much stress, or a combination of all of that and more.