You might experience dissociation as a symptom of a mental health problem, for example post-traumatic stress disorder, depression, anxiety, schizophrenia, bipolar disorder or borderline personality disorder. Some people may dissociate as part of certain cultural or religious practices.
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. Many people with a dissociative disorder have had a traumatic event during childhood.
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.
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.
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.
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.
“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.
Trauma-Related Dissociation is sometimes described as a 'mental escape' when physical escape is not possible, or when a person is so emotionally overwhelmed that they cannot cope any longer. Sometimes dissociation is like 'switching off'. Some survivors describe it as a way of saying 'this isn't happening to me'.
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.
Passing feelings of depersonalization or derealization are common and aren't necessarily a cause for concern. But ongoing or severe feelings of detachment and distortion of your surroundings can be a sign of depersonalization-derealization disorder or another physical or mental health disorder.
Dissociative identity disorder
Previously called multiple personality disorder, this is the most severe kind of dissociative disorder. The condition typically involves the coexistence of two or more personality states within the same person.
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.
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.
Some signs your therapist can sense if you're dissociating:
They feel confused. They feel numb. They feel like you've gone somewhere else. Things don't add up.
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.
There are many life experiences that may be associated with intense dissociation, such as psychological trauma, substance use, head injuries, and/or experiencing intense emotions like overwhelming fear or anger 1. Dissociation may also be experienced in relation to a number of mental health diagnoses.
Feeling your identity shift and change
Speak in a different voice or voices. Use a different name or names. Feel as if you are losing control to 'someone else' Experience different parts of your identity at different times.
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.
Dissociation involves disruptions of usually integrated functions of consciousness, perception, memory, identity, and affect (e.g., depersonalization, derealization, numbing, amnesia, and analgesia).
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.
Those with BPD experiencing dissociation often feel lost, scared, and detached from reality. While dissociation is not the primary symptom of BPD, it is one of the symptoms that make getting treatment for BPD all the more urgent.
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.