Experiences of dissociation can last for a short time (hours or days) or for much longer (weeks or months). Dissociation may be something that you experience for a short time while something traumatic is happening. But you also may have learned to dissociate as a way of coping with stressful experiences.
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.
While you may not be able to control dissociation, you can reduce the likelihood of it happening and also try to learn to ignore it when it does happen rather than letting your anxiety make it spiral out of control. In other words, the dissociation will stop when your brain no longer feels the need to protect you.
Ever since people's responses to overwhelming experiences have been systematically explored, researchers have noted that a trauma is stored in somatic memory and expressed as changes in the biological stress response.
Outlook / Prognosis
For most people with dissociative amnesia, memory eventually returns, sometimes slowly and sometimes suddenly, which makes the overall outlook very good. In some cases, however, the person is never able to fully recover their lost memories.
Dissociation is a mental process where a person disconnects from their thoughts, feelings, memories or sense of identity. Dissociative disorders include dissociative amnesia, depersonalisation disorder and dissociative identity disorder.
If someone with the disorder is experiencing ongoing trauma, then dissociation can become “fixed and automatic” outside of one's control, with some people reporting that they've been stuck in a dissociative period for weeks, months, or even years at a time.
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.
Depersonalization, derealization, amnesia and identity confusion can all be thought of as efforts at self-regulation when affect regulation fails.
Talking therapy. Talking therapies are the recommended treatment for dissociative disorders. Counselling or psychotherapy can help you to feel safer in yourself. A therapist can help you to explore and process traumatic events from the past, which can help you understand why you dissociate.
People with dissociative disorders are at increased risk of complications and associated disorders, such as: Self-harm or mutilation. Suicidal thoughts and behavior. Sexual dysfunction.
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.
Use trauma-focused talk therapy to help recover repressed memories. It's a slow process, but talking out your experiences and feelings can help you slowly unravel memories that are hidden in your mind. Your therapist will listen as you talk about your current issues, as well as your past.
Treatment for trauma
By concentrating on what's happening in your body, you can release pent-up trauma-related energy through shaking, crying, and other forms of physical release.
Seek safety. The first step in addressing trauma is to create safety, on multiple levels. Physically, find a place to ground yourself and feel protected from harm. Then look for ways to actively nurture yourself.
The normal healing and recovery process involves the body coming down out of heightened arousal. The internal alarms can turn off, the high levels of energy subside, and the body can re-set itself to a normal state of balance and equilibrium. Typically, this should occur within approximately one month of the event.