Dissociative identity disorder. Formerly known as multiple personality disorder, this disorder is characterized by "switching" to alternate identities. You may feel the presence of two or more people talking or living inside your head, and you may feel as though you're possessed by other identities.
In clinical settings, dissociation is a core symptom of various disorders, including dissociative disorders (e.g., dissociative identity disorder, DID), (complex) post-traumatic stress disorder (CPTSD, PTSD), and borderline personality disorder (BPD) [2].
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.
Dissociative disorder is a mental illness that affects the way you think. You may have the symptoms of dissociation, without having a dissociative disorder. You may have the symptoms of dissociation as part of another mental illness. There are lots of different causes of dissociative disorders.
As an example, someone with dissociative identity disorder may find themselves doing things they wouldn't normally do, such as speeding, reckless driving, or stealing money from their employer or friend, yet they feel they are being compelled to do it.
The four dissociative disorders are: Dissociative Amnesia, Dissociative Fugue, Dissociative Identity Disorder, and Depersonalization Disorder (American Psychiatric Association, 2000; Frey, 2001; Spiegel & Cardeña, 1991).
Is zoning out the same as dissociation? No - the two are very different. ADHD-related zoning is simply a trait when the brain no longer focuses on the task at hand. Dissociation, on the other hand, can be due to Dissociative Disorders, which pertains to problems in emotions, memory, perception, behavior, and identity.
Schizophrenia and dissociative disorders are both serious mental health conditions. While the two conditions do share some similarities, they are not the same and have distinct characteristics, symptoms, and treatments. Schizophrenia is a condition marked by disturbances in thoughts, feelings, and behaviors.
Dissociation is not a form of psychosis. These are two different conditions that may easily be confused for each other. Someone going through a dissociative episode may be thought to be having a psychotic episode, and in some cases, dissociation may be the initial phase to having a psychotic episode.
People with BPD score low on cognitive empathy but high on emotional empathy. This suggests that they do not easily understand other peoples' perspectives, but their own emotions are very sensitive. This is important because it could align BPD with other neurodiverse conditions.
Most professionals believe that dissociation exists on a spectrum. At one end of the spectrum is an experience like daydreaming. At the other end is chronic and complex dissociation which may make it difficult for an individual to function in the "real" world.
For someone with this type of BPD relationship, a “favorite person” is someone they rely on for comfort, happiness, and validation. The relationship with a BPD favorite person may start healthy, but it can often turn into a toxic love-hate cycle known as idealization and devaluation.
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.
People often "describe feeling as if they and the world are unreal or as if they are outside of their body," says Halpern. "They may say that they feel like they are watching themselves in a movie." Similarly, you might also feel "emotionally numb or detached as well as little or no pain," adds McInnis.
The American Psychiatric Association (APA) provide the following examples of more severe symptoms of dissociation: perceptual alterations, emotional or physical numbing, distorted sense of time and space, unreal, unstable, or absent self, and more.
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.
Dissociation functions as a coping mechanism developed by the body to manage and protect against overwhelming emotions and distress 6.
Symptoms of mild dissociation include daydreaming or becoming fully engrossed in something, such as a book or film. Severe dissociation takes these feelings further. It can cause a disconnect in identity and perception, and people may become emotionally numb.
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.
As emphasized above, the evidence emerged in the research is that dissociative experiences are significantly associated with symptom clusters of the ADHD, particularly attention deficit symptoms.