Clients who dissociate might have difficulty with sensory awareness, or their perceptions of senses might change. Familiar things might start to feel unfamiliar, or the client may experience an altered sense of reality (derealisation).
If someone is experiencing dissociation during a therapy session, it may show up through a certain eye expression or through shallow breathing. Or when the attention fades or there is agitation, or other behaviors.
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. In some cases, dissociation can be marked by an altering of your: personality. identity.
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.
Dissociation can be a withdrawal inside or a complete withdrawal somewhere else. Clients who dissociate might have difficulty with sensory awareness, or their perceptions of senses might change. Familiar things might start to feel unfamiliar, or the client may experience an altered sense of reality (derealisation).
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.
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.
Trina was demonstrating a “dissociative shutdown,” a symptom often found in children faced with a repeated, frightening event, such as being raped by a caregiver, for which there's no escape. Over time, this response may generalize to associated thoughts or emotions that can trigger the reaction.
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.
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.
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.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
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.
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.
If your loved one has been triggered, focus on being a safe, kind, compassionate presence, and help your loved one to ground back into the present. Give your loved one space when they ask for it, and nurturing when they ask for it, and ask them what they want and need.
Tell them that they are dissociating. People often don't notice. If they get a hint, they might be able to help themselves. Change the topic, what they were doing or focusing on and distract them by engaging them in conversation, asking them questions or showing them something.
Zoning out is considered a form of dissociation, but it typically falls at the mild end of the spectrum.