Treatment FAQ

i need to know what treatment are there for dissociative diordersdissociative disorder

by Shakira Jast Published 2 years ago Updated 2 years ago
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Dissociative disorders are managed through various therapies including: Psychotherapies such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) Eye movement desensitization and reprocessing (EMDR) ​Medications such as antidepressants can treat symptoms of related conditions.

Can dissociative disorders go away without treatment?

No, dissociative disorders cannot go away without treatment because it takes time and work to learn proper coping skills and to heal from the trauma that causes a dissociative disorder. Furthermore, even with treatment, the propensity for dissociation will always exist.

How to overcome dissociative identity disorder?

This can happen in various ways:

  • Each of your identity states may have different patterns of thinking and relating to the world.
  • Your identity states may come across as different ages and genders.
  • You may feel you have one 'main' part of your identity that feels most like 'you' - some people call this a host identity.

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How can I tell if someone is dissociating?

negative thoughts or feelings related to memories of traumatic events. When people are dissociating they disconnect from their surroundings, which can stop the trauma memories and lower fear, anxiety and shame. Dissociation can happen during the trauma or later on when thinking about or being reminded of the trauma.

How to cure dissociation?

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. Psychotherapy. This kind of treatment may help you find the cause of your dissociation.

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What is the treatment for dissociative disorder?

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 the most effective treatment for dissociative identity disorder?

Psychotherapy, or talk therapy, is the most effective treatment for dissociative identity disorder. 1 This condition frequently develops from childhood abuse or other traumatic events.

Can you cure dissociative?

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. Dissociation can become a problem in itself. Blanking out interferes with doing well at school.

How long does it take to treat dissociative identity disorder?

Treatment for DID consists primarily of individual psychotherapy and can last for an average of five to seven years in adults.

What triggers dissociation?

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.

Is dissociation a mental illness?

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.

How do therapists treat DID?

Some specific therapies used to treat DID include: cognitive behavioral therapy (CBT) dialectical behavioral therapy (DBT) eye movement desensitization and reprocessing (EMDR)

What is the best treatment for dissociative disorder?

While medications can be used to treat dissociative disorders, therapy is more commonly recommended as the best intervention. Different types of therapy address different aspects of dissociative disorders, and particular combinations of therapy modalities can be especially effective.

How does psychodynamic therapy help with dissociative disorder?

In the case of dissociative disorder therapy, psychodynamic psychotherapy can help people address and resolve underlying conflicts that drive dissociative symptoms. By gaining insight into the origins of their aversion to certain emotional states, they learn the deeper causes behind their dissociation.

How are anxiety and dissociation related?

Anxiety and dissociation are closely related. Both develop as responses to stress, trauma and chaos, and each can trigger the other. Treating anxiety symptoms can reduce the severity of dissociative symptoms. Some anxiolytic medications reduce hyperarousal and the intrusive symptoms of dissociative disorders.

Why do people have dissociative disorder?

As dissociative symptoms often develop in response to overwhelming emotional stress or pain, worsening depression and anxiety can trigger deeper and longer periods of dissociation.

How does validation help with depersonalization?

Validation combats derealization by acknowledging the reality of a person’s emotional responses.

What is EMDR therapy?

Eye movement desensitization and reprocessing (EMDR) therapy uses a novel technique in which the person receiving the treatment practices repetitive eye movements while revisiting a difficult memory to reprogram their response to that memory. The development of EMDR as a way to treat trauma and has been shown to be effective for people with trauma histories and trauma-related disorders.

What is psychodynamic therapy?

Psychodynamic psychotherapy is an older and more traditional form of therapy based on the work of pioneering figures like Sigmund Freud and Carl Jung. In this type of therapy, a person explores the effect of their past on their present, focusing on formative childhood experiences and a person’s relationship with their parents.

Psychotherapy for DID

Psychotherapy, or talk therapy, is the most effective treatment for dissociative identity disorder. 1 This condition frequently develops from childhood abuse or other traumatic events.

Medications for DID

There's no specific medication for treatment of dissociative identity disorder. 8 However, medications can be effective for treating depression and anxiety that often occur with this condition.

Coping Strategies for DID

A variety of coping strategies can be helpful for managing life with dissociative identity disorder. These include:

Summary

Dissociative identity disorder is a mental health condition that is commonly treated with psychotherapy, including cognitive behavioral therapy, dialectical behavioral therapy, psychodynamic psychotherapy, eye movement desensitization and reprocessing (EMDR) therapy, and schema therapy.

A Word From Verywell

Dissociative identity disorder can affect every area of your life. In some cases, it can prevent a person from working or having meaningful relationships. However, seeking treatment through therapy and other support networks can decrease dissociative episodes, or possibly eliminate them altogether. You're not alone.

How to help someone with dissociative disorder?

Talking therapy . Talking therapies are the recommended treatment for dissociative disorders. Counselling or psychotherapy will help you explore traumatic events in your past, help you understand why you dissociate and develop alternative coping mechanisms. It can also help you manage your emotions and your relationships.

What medication is used for dissociative identity disorder?

These medications might include: antidepressants . antipsychotics. mood stabilisers. You will only be given medication for dissociative identity disorder (DID) if most of the different parts of your identity, or at least the dominant part of your identity, experiences the problem you want to treat. < Self-care NEAD >.

What is EMDR for dissociative disorders?

EMDR for dissociative disorders focuses on specific individual memories and usually for shorter time periods.

How to choose a therapist?

It's absolutely fine to meet with as many therapists as you need to find the one you want to work with. The therapist you choose should be: 1 accepting of your experience 2 willing to work with or learn to work with dissociation and trauma 3 be prepared to work with you long-term.

Can you take medication for dissociation?

Medication. There are no drugs that are licensed to treat dissociation. Your doctor might offer you psychiatric medication to treat other symptoms or problems you might experience because of, or as well as, a dissociative disorder.

Can you stop dissociating completely?

Not everyone will stop experiencing dissociative symptoms completely but treatment can help you feel more in control of your life and your identity. Some people find that being able to dissociate is comforting and don't feel ready to stop dissociating completely.

What is the treatment for a person who has dissociated?

Most treatment plans for people with DID focus on talk therapy (aka psychotherapy ). Talk therapy can help you understand why you dissociate and give you the tools to cope. Other treatment options include medication for co-occurring issues and hospital visits.

How to help dissociative disorder?

While more research is needed on complementary treatments for dissociative disorders, a small 2016 study found that some symptoms improved for young participants enrolled in a mindfulness program over the course of 6 weeks. You could start by checking out some meditation apps.

What is dissociation in psychology?

Dissociation — when someone temporarily disconnects from their surroundings or emotions — is more common than many people think. According to a 2004 study, between 26 and 74% of people have symptoms of derealization and depersonalization during their lifetime (two types of dissociation), but only 1–2% meet the criteria for clinically significant ...

What is a DID?

DID is a mental health condition characterized by extreme dissociation involving “switching” between two or more distinct identities. Once known as multiple personality disorder, the causes and treatment options for DID haven’t always been well understood.

What can a therapist do to help you with dissociation?

Besides helping you understand the reasons behind your dissociation, your therapist can help you deal with dissociative states and develop useful coping mechanisms. Your treatment plan will be based on your own unique needs, but may include: education about dissociation and DID.

Can you take medication for DID?

There are no medications recommended to directly treat DID, at least not yet. But there are some options to help with co-existing conditions and symptoms, like anxiety, depression, and substance use. Your doctor may prescribe an antidepressant medication, like a selective serotonin reuptake inhibitor (SSRI).

Does yoga help with trauma?

Yoga has long been studied for its positive effects on mood. Research#N#Trusted Source#N#has shown that a regular yoga practice can help people with trauma increase their emotional regulation, among other mental health benefits.

What is dissociative identity disorder?

Here is more on dissociative identity disorder: who gets it, what causes it, what its symptoms are, and how it’s treated.

How does depersonalization affect people?

People who suffer from depersonalization disorder may feel that the things going on are unreal — almost as if they were in a movie. This unreal feeling affects a person’s feelings, sensations, thoughts, and actions. It may last a few moments and can often reoccur over the years.

What is the goal of therapy?

The goal of therapy is to help integrate the different elements of identity. Therapy may be intense and difficult as it involves remembering and coping with past traumatic experiences. Cognitive behavioral therapy and dialectical behavioral therapy are two commonly used types of therapy. Hypnosis has also been found to be helpful in ...

How effective is EMDR?

The client thinks of a disturbing event. The client is then led through eye-tracking movement or bilateral stimulation. It has proven to be effective according to a study published in the Journal of Psychoactive Drugs.

Does cultural background count as dissociative disorder?

For example, a person from another country who is exposed to another culture may seem to exhibit an alternative personality. Yet, this does not count.

What are the best medications for dissociative identity disorder?

Antidepressant medication has little effect on dissociative identity disorder. However, these medications are commonly used to treat depression, a mental health condition that commonly co-occurs with DID. Whether depression reaches a level requiring clinical diagnosis, treatment with antidepressants may help elevate mood. Some antidepressants that may be prescribed to someone with DID include: 1 Selective serotonin reuptake inhibitors (SSRIs) 2 Tricyclic antidepressants like Doxepin 3 Clonidine 4 Anticonvulsants 5 Benzodiazepines

What is the treatment for DID?

Treatment for DID will likely consist of therapy and in some cases, medication management. While there are several approaches to treat DID, most treatment methods have the goal of reconnecting the patient’s multiple personalities into one identity.

Why do people with mental health problems have addictions?

People living with mental health conditions are more likely to develop addictions because of neurotransmitters in the brain. If someone has less serotonin or dopamine in their brain, they may turn to abuse substances and develop a mental health disorder like DID or both.

Can antidepressants help with dissociative identity disorder?

Antidepressant medication has little effect on dissociative identity disorder. However, these medications are commonly used to treat depression, a mental health condition that commonly co-occurs with DID. Whether depression reaches a level requiring clinical diagnosis, treatment with antidepressants may help elevate mood. Some antidepressants that may be prescribed to someone with DID include:

Is substance use common in people with a dissociative identity disorder?

Substance use is common in people with a dissociative identity disorder. The difficulties caused by living with DID can be challenging and some people may turn to substance misuse to numb their symptoms.

Can co-occurring disorders be treated at the same time?

When seeking treatment for a co-occurring disorder, it’s important to find a facility that can treat both disorders at the same time. If someone with co-occurring disorders only treats one disorder, they are more likely to experience setbacks with the other disorder or the untreated condition could worsen.

Can dissociative identity disorder cause anxiety?

People living with dissociative identity disorder can also develop anxiety. Once someone is diagnosed and becomes aware of their alternate personalities and dissociations, further anxiety may be experienced about behaviors that can occur when they are not in conscious control.

What is the goal of dissociative identity disorder?

The goals of treatment for dissociative disorders are to help the patient safely recall and process painful memories, develop coping skills, and, in the case of dissociative identity disorder, to integrate the different identities into one functional person.

What is the best treatment for depression?

Some of the more common therapies include: Cognitive behavioral therapy (CBT) helps change the negative thinking and behavior associated with depression. The goal of this therapy is to recognize negative thoughts and to teach coping strategies.

What is DBT in psychology?

Involving individual and group work, DBT encourages practicing mindfulness techniques such as meditation, regulated breathing and self-soothing. Eye movement desensitization and reprocessing (EMDR) is designed to alleviate the distress associated with traumatic memories.

Is there a medication for dissociation?

It is important to note that there is no drug that deals directly with treating dissociation itself. Rather, medications are used to combat additional symptoms that commonly occur with dissociative disorders.

50 Treatment Issues for Dissociative Identity Disorder

As a clinical therapist, I hear that question frequently. It’s a reasonable question. I certainly understand that when dissociative trauma survivors are deeply hurting and struggling in their life, they want to feel better as quickly as possible.

Saddest Little Bear Dissoci-ACTION Story Pack

DID experts with years of work with trauma and dissociation can be extremely helpful for you. Working with someone who actually knows and understands trauma and dissociation can save you oodles of time. We already “get it”.

What is the cornerstone of treatment for dissociative disorders?

Psychotherapy is the cornerstone of treatment for dissociative disorders and hence choosing the right therapist is of paramount importance. The following section enumerates the characteristics of a therapist ideally suited to engage in therapy for dissociative disorders.

What is dissociation in psychology?

Dissociation is a mechanism that allows the mind to compartmentalize certain memories or thoughts from normal consciousness. These split-off mental contents are available and may return to consciousness either by an event or spontaneously. Broadly, dissociative disorders may be viewed as shown in Table 1. Table 1.

What is the process of desensitization?

The process of desensitization involves: Therapist guided lateral eye movements and substitute activities in the patient, in order to process the target picture, emotion, physical symptoms, and cognitions. Once the process of desensitization is achieved a positive/healthier cognition is paired with eye movement.

What are the principles of dissociation?

Three principles for treatment of dissociation in a contextual approach. Psychoanalytical symptoms have a relation with the unconscious conflict. Psychological (learning) Symptoms are learnt in childhood as a means of coping with unpleasant events. Role of trauma and altered information processing.

Can dissociative identity disorder worsen?

In particular, patients with dissociative identity disorder have difficulty in participating in generic therapy groups where participants are encouraged to discuss their traumatic experiences and may even have worsening of symptoms if they are unable to tolerate the distress engendered in the process.

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