Home » Ohio Mental Health Advice – Dissociative Disorders, What is Dissociation?

Dissociative experiences are more common than some people think. Many people will at some point in their life experience a dissociative episode. These are often described as an out-of-body experience or memory loss event such as driving someplace and not remembering how they got there.

Feelings of mild dissociation are common, with occurrences of daydreaming being a nearly universal experience. Yet, researchers have found that dissociative experiences actually exist on a spectrum. This means that feelings of dissociation can range from mild and fleeting to dysfunctional and traumatic.

However, more severe cases of dissociation go beyond simple daydreaming. These cases are more complicated, with people experiencing a profound disconnect from their environment. When people experience longer episodes of dissociative feelings, this is likely the sign of a more severe mental illness. If individuals are experiencing persistent dissociative episodes, they should seek help from a behavioral health professional.

Dissociative disorders are mental health conditions where people experience a disconnection from their memories, surroundings and actions. These out-of-body experiences are involuntary and are damaging to a person’s day-to-day life.

Studies suggest that dissociative mental health disorders tend to occur as a protective response by a person’s brain. It is a reaction to traumatic events that allow the brain to suppress painful memories. During periods of stress, people may experience an increased amount of dissociative-type symptoms.

Dissociation Symptoms:

Overall, there are five main indicators that could suggest the existence of dissociation as a mental health condition. Again, people should visit an experienced psychiatrists in order to receive a proper diagnosis. The five symptoms are:

  1. Identity Alteration: This is where people feel different or distance from another aspect of their personal identity.
  2. Amnesia: Best described as missing periods of memory which can range from minutes to (in rare cases) years.
  3. Identity Confusion: A feeling of confusion that a person experiences in regard to their personal identity.
  4. Depersonalization: A pronounced feeling of disconnect that people may experience from their own body.
  5. Derealization: A disconnected or unreal feeling that people have with the world around them.

Note, people can display dissociation-type symptoms but not have a dissociative disorder. Instead, these symptoms of dissociation are likely generated from another mental health condition such as anxiety or depression.

Types of Dissociative Disorders:

Mild feelings of occasional dissociation are common, but the more severe cases of dissociative disorders are less common. According to the American Psychiatric Association and the DSM-5, there are three main dissociative disorders. As a reminder, the DSM stands for Diagnostic and Statistical Manual of Mental Disorders.

Dissociative Identity Disorder:

In the past, this mental illness was labeled with a more well-known term multiple personality disorder. This illness has been correctly and incorrectly portrayed in a variety of news stories and movies. Dissociative identity disorder is usually characterized by an individual switching between multiple personal identities. Each of these personal identities could have a unique voice, name, history, characteristics, etc.

People have described this disorder as having the feeling of two or more people living inside of their head. Individuals with this condition usually also have dissociative amnesia as well as dissociative fugue. Fugue is a mental state where a loss of awareness of an individual’s identity occurs.

Dissociative Amnesia:

This is a rare form of memory loss that is not easily diagnosed. Individuals experiencing this condition have trouble trying to remember details from specific periods of their life. This may include information about themselves, events or other people.

Often, the missing periods of memory are from times of intense stress and/or traumatic events. The occurrence of amnesia may appear abruptly and last anywhere from a few minutes or hours. However, there are extremely rare instances where amnesia episodes can last for many months or more. These cases are rare and somewhat controversial.

Depersonalization-Derealization Disorder:

As a disorder, people often describe this as viewing yourself in a movie. There is a detached feeling with a person’s actions and behaviors. Other descriptions describe experiencing the world as if in a dreamlike state, with a feeling that time has either slowed down or accelerated.

All of these descriptions give a person’s observed world an unreal (derealization) and depersonalized experience. Again, this is a rare disorder, but the symptoms can create considerable distress and may intermediately start and stop over a number of years.

Treatments for dissociative disorders includes prescription medication and psychotherapy. Overtime, people learn new behaviors and ways of coping in order to experience a healthier lifestyle.

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Prospective patients can email them or call directly at (614) 580-6917.

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Contributor:  ABCS RCM