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. You can read more on our page about the causes of dissociative disorders.
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.
Dissociation is a way the mind copes with too much stress. 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.
Too much dissociating can slow or prevent recovery from the impact of trauma or PTSD. Dissociation can become a problem in itself. Blanking out interferes with doing well at school. It can lead to passively going along in risky situations.
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.
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.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
Treatment for dissociative disorders often involves psychotherapy and medication. Though finding an effective treatment plan can be difficult, many people are able to live healthy and productive lives.
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 might be a way to cope with very stressful experiences. 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.
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.
Thus, therapy for dissociation generally focuses on acknowledging and processing the painful emotions that are being avoided. By changing how a person responds emotionally to a trauma, therapy can help reduce the frequency of dissociative episodes. A therapist may also teach coping skills for use during dissociation.
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.
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.
You suddenly feel confused and as if you can't think clearly. You feel like things are unreal but can't describe exactly why. For some reason, you feel odd, unusual, and that something is not as it should be. You feel something is out of sorts but don't know what it is or how to describe the feeling.
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.
The process of dissociation usually occurs outside your own awareness, though you may also realize it is happening, particularly if it is in the context of anxiety. The experience involves a disconnection between your memory, consciousness, identity, and thoughts.
[24] also confirms this finding by showing that dissociative children have a lower IQ at 90.06 ± 10.3. The personality assessment of adults revealed that 50% of the subjects were emotionally unstable and neurotic. This revealed that neurotics were at higher risk to have dissociation.
Dissociative disorder clients typically spend many years in treatment. Many are hospitalized repeatedly over time.
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.
Zoning out is considered a form of dissociation, but it typically falls at the mild end of the spectrum.
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.