Five phenomena constitute the primary clinical components of dissociative psychopathology: amnesia, depersonalisation, derealisation, identity confusion, and identity alteration.
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.
When a person experiences dissociation, it may look like: Daydreaming, spacing out, or eyes glazed over. Acting different, or using a different tone of voice or different gestures. Suddenly switching between emotions or reactions to an event, such as appearing frightened and timid, then becoming bombastic and violent.
Zoning out is considered a type of dissociation, which is a feeling of being disconnected from the world around you. Some people experience severe dissociation, but "zoning out" is considered a much milder form. Daydreaming is the most common kind of zoning or spacing out.
Many times, people who are dissociating are not even aware that it is happening, other people notice it. Just like other types of avoidance, dissociation can interfere with facing up and getting over a trauma or an unrealistic fear.
Mild dissociation would be like daydreaming, getting “lost” in a book, or when you are driving down a familiar stretch of road and realize that you do not remember the last several miles.
“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.
A trigger is a reminder of something traumatic from the past, which can cause you to experience dissociation or other reactions. It could be something you hear, see, taste, smell or touch. It could also be a specific situation or way of moving your body.
Because dissociative disorders appear on the trauma spectrum, many people with a dissociative disorder may have co-occurring trauma-related mental health conditions, such as: Post-traumatic stress disorder (PTSD). Borderline personality disorder (BPD). Substance use disorders.
Dissociation exists on a spectrum that ranges from mild everyday experiences to disorders that interfere with daily functioning. Nearly everyone experiences mild dissociation from time to time. In fact, daydreaming is a prime and common example of mild dissociation.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
While dissociation is not a symptom of ADHD, the two are closely related because they are often comorbid. 123 People with dissociative disorders may also show symptoms of ADHD and vice versa.
Shutdown dissociation simulates central nervous system neuropathy. Peripheral neuropathy describes the damage to the peripheral nervous system. Peripheral damage affects one or more dermatomes and thus produces symptoms for specific areas of the body.
Some grounding exercises that we find most helpful include giving the person in a dissociative state something to taste or feel. Ways you can do this is by giving them a candy and asking them to describe the taste and sensation.
Awareness of yourself and what's going on around you can be compromised during dissociation, which might feel like an unwelcome and frightening intrusion into your mind. On a psychological level, dissociating can be an involuntary means of coping with acute stress, such as physical abuse.
Dissociative disorders usually result from trauma and stress in childhood, not adulthood. They stem from chronic trauma (for example, repeated episodes of physical, emotional, or sexual abuse).
Evidence suggests that dissociation is associated with psychotic experiences, particularly hallucinations, but also other symptoms. However, until now, symptom-specific relationships with dissociation have not been comprehensively synthesized.
When you experience dissociation caused by anxiety, you may feel detached and disconnected from yourself. Your perceptions may change and time may seem to go faster or slower. You may feel emotionally numb, and the experience may seem unreal, flat, or dull.
Dissociation and depersonalization disorders
Dissociative amnesia: People forget information about themselves or things that have happened to them. Depersonalization-derealization disorder: This can involve out-of-body experiences, a feeling of being unreal, and an inability to recognize one's image in a mirror.
Dissociation during times of stress is one of the main symptoms of BPD. It's also associated with acute stress disorder and post-traumatic stress disorder (PTSD), both of which can co-occur with BPD. It's important to note that not everyone with BPD experiences dissociation.