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.
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. Many people with a dissociative disorder have had a traumatic event during childhood.
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.
When a person experiences dissociation, it may look like: Daydreaming, spacing out, or eyes glazed over. Acting different, or using a different tone of voice or different gestures. Suddenly switching between emotions or reactions to an event, such as appearing frightened and timid, then becoming bombastic and violent.
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.
Dissociation may persist because it is a way of not having negative feelings in the moment, but it is never a cure. Too much dissociating can slow or prevent recovery from the impact of trauma or PTSD.
Zoning out is considered a form of dissociation, but it typically falls at the mild end of the spectrum.
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.
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.
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.
Symptoms of Dissociation
“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.
Mild dissociation would be like daydreaming, getting “lost” in a book, or when you are driving down a familiar stretch of road and realize that you do not remember the last several miles.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
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).
The Shutdown Dissociation Scale (Shut-D) is a semi-structured interview, it was first published in 2011 to assess dissociative responses caused by reminders of traumatic stress .[1] The Shut-D Scale assesses biological symptoms associated with freeze, fight/flight, fright, and flag/faint responses, and is based on the ...
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.
Dissociative episodes in which someone suddenly stares into space and becomes unresponsive is derealization. Detached from reality, they enter a different place in their head, which could seem like hours to them. Derealization can lead to a “zombie” like feeling of going through life unaware and unawake.
So remember -- you are absolutely safe when driving with Depersonalization! Yes, feelings of dissociation while driving can seem scary initially, but don't let anxiety stop you from doing any of your day-to-day activities, and that 100% includes driving. Get into your car and drive, even if it's for a short distance.
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.
Any kind of trauma can cause dissociation. This could be assault, abuse (physical, emotional, or sexual), natural disasters, military combat, war, kidnapping, invasive medical procedures, neglect, or any other stressful experience.
The best treatment for dissociation is to go to therapy. An inpatient adult psychiatric program can be especially effective if your symptoms of dissociation are particularly intense, or if they are the result of sexual abuse.