Treatment FAQ

dissociation is a normal experiential phenomenon which does not require treatment

by Shany Grady Published 2 years ago Updated 2 years ago

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In addition to these dissociative disorders, dissociation may also occur as a symptom of other conditions including: If you have a condition such as PTSD or a dissociative disorder, you may sometimes have felt "disconnected" from yourself. If so, you may have experienced common but distressing incidents like these:

Can dissociation be a symptom of other conditions?

For those unable to physically escape, dissociation provides a psychological exit from the horror of the event. Once the traumatic experience has been dissociated from the sense of “who one is,” it is no longer considered as a self-narrative.

Is dissociation a self-narrative?

Trauma is one of the central reasons why dissociation and dissociative disorders emerge. When faced with tremendous physical or emotional pain, an individual may unconsciously distance themself from the experience. For example, dissociation is a common response to child sexual abuse.

What is trauma and why does it cause dissociation?

Experiences with dissociation and trauma can predict the potential for addiction, according to a study published in 2014. 4  Another study showed "relatively high levels" of dissociation among women with both substance use disorder and PTSD, but also suggested that more research into how substances affect dissociation would be helpful. 5 

Can experiences with dissociation predict addiction?

Does dissociation require medication?

There is no specific drug to treat dissociation, but it's possible to get better with a mix of medication and counseling. Your doctor will tailor your care based on how severe your symptoms are and their cause. Your treatment may include: Psychotherapy.

What is the treatment for dissociation?

Psychotherapy. 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.

What is normal dissociation?

This is a normal process that everyone has experienced. 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.

What is the phenomenon of dissociation?

“Dissociation” describes a state in which the integrated functioning of a person's identity, including consciousness, memory, and awareness of surroundings, is disrupted or eliminated.

Is dissociative disorder treatable?

There is no cure for DID. Most people will manage the disorder for the rest of their lives. But a combination of treatments can help reduce symptoms. You can learn to have more control over your behavior.

Is it healthy to dissociate?

It is a regular function of the human brain to be able to detach from reality and cling to something reassuring to avoid anxieties. Dissociation may be a normal phenomenon, but like everything in life, all in moderation.

Can you be hospitalized for dissociation?

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.

Does everyone dissociate?

Many people may experience dissociation (dissociate) during their life. If you dissociate, you may feel disconnected from yourself and the world around you. For example, you may feel detached from your body or feel as though the world around you is unreal. Remember, everyone's experience of dissociation is different.

What causes dissociation?

Dissociative disorders are usually caused when dissociation is used a lot to survive complex trauma over a long time, and during childhood when the brain and personality are developing. Examples of trauma which may lead to a dissociative disorder include: physical abuse. sexual abuse.

Is dissociation common?

Prevalence. 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.

Can you dissociate without trauma?

Lots of different things can cause you to dissociate. For example, you might dissociate when you are very stressed, or after something traumatic has happened to you. You might also have symptoms of dissociation as part of another mental illness like anxiety.

What does it feel like to dissociate?

Depersonalization refers to feeling severed or alienated from your body. Individuals who experience depersonalization often report not recognizing...

What does dissociation look like in children?

Children who suffer from dissociation often display symptoms that can be misinterpreted. Kids with dissociative disorders are prone to trance stat...

Is it bad to dissociate?

Dissociating isn’t always negative. Detaching from reality can be positive, such as in a flow state, or neutral, such as when daydreaming or “spac...

What sets dissociation in motion?

Trauma is often a precursor to dissociation. The overwhelming force of traumatic events can overpower existing coping mechanisms. For those unable...

How do dissociative disorders develop?

A pattern of abuse or trauma is one way for an isolated incident of dissociation to shift into a disorder, as dissociation becomes habitual, reinfo...

Is dissociation adaptive?

Dissociation can be an effective defense against acute physical and emotional pain, especially for children. A creative survival technique, it can...

How can you help someone who is dissociating?

It can be very frightening to witness a loved one become disconnected from their identity or memory . Stay with them throughout the episode, and t...

Can I manage dissociation myself?

If you have distressing episodes of dissociation, it’s important to seek help. Support and treatment is available, and finding a therapist can...

What should a therapist do if a patient dissociates?

When working with trauma survivors, it’s not unusual for therapists to witness a client dissociating. The client may abruptly stop talking, break...

What is dissociation in psychology?

Dissociation is a disconnection between a person's sensory experience, thoughts, sense of self, or personal history. People may feel a sense of unreality and lose their connection to time, place, and identity.

What are the symptoms of dissociation?

Related Symptoms. People who are experiencing dissociation may also experience additional symptoms called depersonalization (feeling as if the self is not real) and derealization (feeling as if the world is not real). Having either of these symptoms is a serious health problem.

What is depersonalization and derealization?

Depersonalization and derealization are often responses to overwhelming traumatic events that cannot be escaped, such as child abuse and war trauma. 3  They arise in order for the person to keep on functioning at the moment of being severely traumatized.

What to do if you are dissociated from your doctor?

Medications. Your doctor may also prescribe medications such as antidepressants, sleep aids, and anti-anxiety drugs to help you manage problems with mood, anxiety, or sleep. If your dissociation is due to a psychiatric condition such as schizophrenia, your doctor may also prescribe an antipsychotic medication.

Why do people dissociate from trauma?

Dissociation often occurs as a reaction to trauma, possibly as a way of helping a person distance themselves from the traumatic situation. 3  Assault, abuse, accidents, natural disasters, and military combat are all sources of trauma that can cause dissociation.

What is the best treatment for psychological distress?

Dialectical behavioral therapy (DBT), which helps people learn skills that allow them to better manage emotions and stop harmful behaviors. Eye movement desensitization and reprocessing (EMDR), which utilizes CBT strategies along with visual exercises to help reduce psychological distress.

Can you dissociate from a threat?

On the other hand, if there is a real threat, dissociating from it when escape might otherwise be possible could expose you to the risk of harm. Talk to your doctor if you think you might be experiencing symptoms of dissociation or a related condition.

How to treat dissociation?

Dissociation is often treated through a combination of therapy and medication. Therapy can allow people to gradually access and consciously process the experiences during which they have dissociated. Coming to terms with that pain can liberate dissociated feelings and fully integrate one’s identity.

Why is dissociation a dissociative disorder?

Trauma is one of the central reasons why dissociation and dissociative disorders emerge. When faced with tremendous physical or emotional pain, an individual may unconsciously distance themself from the experience.

What is dissociating?

Dissociating is the experience of detaching from reality. Dissociation encompasses the feeling of daydreaming or being intensely focused, as well as the distressing experience of being disconnected from reality. In this state, consciousness, identity, memory, and perception are no longer naturally integrated.

What is the prevalence of dissociative identity disorder?

Among those with Dissociative Identity Disorder, the prevalence of childhood abuse and neglect is about 90 percent according to the DSM-5. Stress and trauma can trigger dissociation in adulthood as well, such as in the case of physical assault or military combat.

What is dissociation a symptom of?

Dissociation may also be a symptom of several other conditions, including acute stress disorder, post-traumatic stress disorder, depressive disorders, bipolar disorder, schizophrenia spectrum disorders, personality disorders, seizure disorders, and substance or alcohol use.

Is trauma a precursor to dissociation?

Trauma is often a precursor to dissociation. The overwhelming force of traumatic events can overpower existing coping mechanisms. For those unable to physically escape, dissociation provides a psychological exit from the horror of the event.

Is dissociating scary?

Some say that the world loses color. Naturally, dissociating often feels scary, especially if the experience feels profound and uncontrollable.

What is dissociative disorder?

Dissociative disorders are characterised by fragmentation in an individual’s thoughts, sense of identity and reality . An individual with a dissociative disorder may undergo significant memory loss at specific times, describe an ‘out of body experience’ where they feel they are watching themselves from a distance, or feel like they do not have a clear sense of identity. It is common for symptoms of a dissociative disorder to develop in response to a traumatic event.

What is the first line of treatment for dissociative disorder?

Psychotherapy tends to be the first line of treatment for dissociative disorders. During talk therapy, an individual can work with a trained therapist in order to develop new stress management techniques and when it is safe to do so, begin processing underlying trauma.

Why do psychologists use dissociation?

Some psychologists define dissociation as a defense mechanism of the subconscious mind. We set the mechanism into motion in order to avoid experiencing emotional pain. This is especially true when we’re in conflict or a stressful situation.

What are the symptoms of dissociative disorder?

In dissociative disorders, there are some common symptoms, though they don’t have to all be present at the same time. Normally one’s attention levels are altered. There may be disorientation in time and space and the individual’s behavior is usually automatic. For example, driving, reading, or other things we know how to do without thinking.

Why is amnesia different from normal forgetfulness?

Disassociative amnesia is different from normal forgetfulness because it affects one’s life. A person with this particular type of amnesia feels uncomfortable with it.

What is dissociation in psychology?

Dissociation is when an individual mentally spaces out in order to not remember or remove themselves from a situation. The dissociation can be triggered by anything at any point in time and is often related to a traumatic experience. Individuals who dissociate intensely usually do not know that they are dissociating, ...

What is dissociative episode?

Dissociative episodes are what they have been experiencing for most of their lives; therefore, it is what they see as the norm and society should not reprimand them for that. . Dissociation is not a taboo event, and therefore should not ostracize Stout’s patients from the norms of society.

What does Stout say about dissociation?

Stout says, “All human beings have the capacity to dissociate psychologically, though most of us are unaware of this, and consider “out of body” episodes to be far beyond the boundaries of our normal experience . In fact, dissociative experiences happen to everyone and most of these events are quite ordinary” (388).

How has society hindered the minds of its citizens?

Society has painfully hindered the minds of its citizens because it forces them to generalize groups of people into categories. If everyone were to stop and take a gander at what every man had to exhibit, society would recognize that each person has something to offer besides what is seen at first glance.

Is it real to see someone walking into a therapeutic office?

In society what is seen is real. If an individual is spotted walking into a therapeutic office, it is assumed that person is atypical; but if that same individual is seen walking into an office building of a successful company, it is assumed that person is stable and successful.

Do dissociative experiences happen to everyone?

In fact, dissociative experiences happen to everyone and most of these events are quite ordinary” (388). Due to dissociation being an occurrence that is not identified with ease, the majority of society does not recognize that we all in fact dissociate.

What is dissociation in psychology?

In more extreme forms, dissociation is a way the brain tries to protect itself from being overwhelmed or hurt and that may involve memory loss or loss of identity. Dissociation occurs on a continuum from mild or normal dissociation to pathological dissociation.

Why is dissociation important?

The purpose of dissociation is to protect the mind and emotional system from damage due to the overwhelming and often terrible nature of the experience .

How to stop dissociating and grounding?

Some common techniques to reduce dissociating and “ground” oneself include: Tactile sensations: Focus on immediate sensory input, like your bare-feet on the ground, the feel of sandpaper or the smell of peppermint.

What does it mean when you are dissociated?

In mild cases there is a sense of being detached or “out of it” or experiencing a hazy memory or distortion or time. Dissociation is a psychological process that occurs automatically in the brain and may involve a “disconnection” between our environment, our thoughts and our emotions, our physical sensations, memories, ...

Why do psychologists help with dissociation?

Don’t fear dissociation because it is usually happening for good reasons. With help, we can learn how to manage it so that it does not impact negatively on life.

Is it normal to dissociate?

Psychology: Dissociation is normal but too much can be a problem. You may not realize it but you probably “dissociate” several times a day.

Is dissociation normal?

Some mild dissociation is normal and can even be life enhancing. If you have experienced trauma or have dissociative episodes that are problematic in their frequency, intensity, or impact, please don’t hesitate to get additional support.

What Is Dissociation?

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Dissociation is a disconnection between a person's sensory experience, thoughts, sense of self, or personal history. People may feel a sense of unreality and lose their connection to time, place, and identity. Dissociation disrupts four areas of personal functioning that usually operate together smoothly, automatically, and w…
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Types

  • The Diagnostic and Statistical Manual of Mental Disorders(DSM-5) identifies three types of dissociative disorders: 1. Depersonalization-derealization disorder: This condition involves feeling detached from one's own body and thoughts. People may feel that they are observing their own life as an outsider or feel disconnected from their surroundings. 2. Dissociative identity disorder:…
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Symptoms

  • If you have a condition such as PTSD or a dissociative disorder, you may sometimes have felt "disconnected" from yourself. If so, you may have experienced common but distressing incidents like these: 1. Having flashbacksto traumatic events 2. Feeling that you’re briefly losing touch with events going on around you (similar to daydreaming) 3. “Blanking out” or being unable to remem…
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Diagnosis

  • In order to be diagnosed, your doctor will need to assess your symptoms and rule out other conditions that may be the cause. Your doctor may also refer you to a mental health professional. Your doctor will take a medical history, perform a physical exam, and possibly order lab tests to rule out any underlying medical conditions. There are a number of assessments that may be use…
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Treatment

  • There is no medication specifically approved for the treatment of dissociation. Your doctor may recommend psychotherapy and medication to help manage associated symptoms.
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Coping

  • Some strategies that you can use to help cope with stress and anxiety that might trigger dissociation include: 1. Getting adequate sleep each night 2. Using relaxation strategies to help you cope with stress 3. Getting regular physical exercise 4. Eating a healthy diet 5. Identifying and avoiding or managing triggers 6. Practicing grounding techniques that can help bring you back t…
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A Word from Verywell

  • If you've experienced depersonalization or derealization, you should be aware that such a response to actual traumatic events can be triggered again, even long afterward, by events that may or may not be threatening. If this happens, you could automatically enter a dissociative state at the first hint of potential trauma.7 If the situation isn’t actually threatening, you may appear …
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