Dissociative disorders (2024)

Dissociative disorders are a range of conditions that can cause physical and psychological problems.

Some dissociative disorders are very short-lived, perhaps following a traumatic life event, and resolve on their own over a matter of weeks or months. Others can last much longer.

Symptoms of a dissociative disorder

Symptoms of dissociative disorder can vary but may include:

feeling disconnected from yourself and the world around you
forgetting about certain time periods, events and personal information
feeling uncertain about who you are
having multiple distinct identities
feeling little or no physical pain

Some people with dissociative disorders have seizures. These can vary from fainting to something more like an epileptic seizure.

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).

Many people with a dissociative disorder have had a traumatic event during childhood. Dissociation can happen as a way of coping with it.

Types of dissociative disorder

There are several different types of dissociative disorder.

The 3 main types are:

depersonalisation-derealisation disorder
dissociative amnesia
dissociative identity disorder

Depersonalisation-derealisation disorder

Depersonalisation is where you have the feeling of being outside yourself and observing your actions, feelings or thoughts from a distance.

Derealisation is where you feel the world is unreal. People and things around you may seem "lifeless" or "foggy".

You can have depersonalisation or derealisation, or both together. It may last only a few moments or come and go over many years.

Dissociative amnesia

Someone with dissociative amnesia will have periods where they cannot remember information about themselves or events in their past life.

They may also forget a learned talent or skill.

These gaps in memory are much more severe than normal forgetfulness and are not the result of another medical condition.

Some people with dissociative amnesia find themselves in a strange place without knowing how they got there.

Dissociative identity disorder

Dissociative identity disorder (DID) used to be called multiple personality disorder.

Someone diagnosed with DID may feel uncertain about their identity and who they are.

They may feel the presence of other identities, each with their own names, voices, personal histories and mannerisms.

The main symptoms of DID are:

memory gaps about everyday events and personal information
having several distinct identities

Associated conditions

Someone withadissociative disorder may also have other mental health conditions, such as:

medically unexplained symptoms
post-traumatic stress disorder (PTSD)
depression
mood swings
anxietyandpanic attacks
suicidal tendenciesorself-harm
an eating disorder
obsessive compulsive disorder (OCD)

They may also have problems sleeping (insomnia).

Causes of dissociative disorder

There are many possible causes of dissociative disorders, including previous traumatic experience.

Someone with a dissociative disorder may have experienced physical, sexual or emotional abuseduring childhood.

Some people dissociate after experiencing war, kidnapping or even an invasive medical procedure.

Switching off from reality is a normal defence mechanism that helps the person cope during a traumatic time.

It's a form of denial, as if "this is not happening to me".

It becomes a problem when the environment is no longer traumatic but the person still acts and lives as if it is, and has not dealt with or processed the event.

Diagnosing dissociative disorders

A GP may examine you and do some tests to check if another illness might be the cause of your symptoms.

They may also refer you to a mental health specialist for a full assessment.

Assessment

The specialist who carries out your assessment should have a good understanding of dissociative disorders.

Treatments for dissociative disorders

Many people with a dissociative disorder make a full recovery with treatment and support.

Talking therapies

Talking therapies are often recommended for dissociative disorders.

The aim of talking therapies such ascounsellingor psychotherapy is to help you cope with the underlying cause of your symptoms, and to learn and practise techniques to manage the periods of feeling disconnected.

Eye movement desensitisation and reprocessing (EMDR)

Eye movement desensitisation and reprocessing (EMDR) is a psychological treatment that can help reduce the symptoms of post-traumatic stress disorder (PTSD). It is sometimes used to treat dissociative disorders.

Medicines

There's no specific medicine to treat dissociation, but medicines like antidepressantsmay be prescribed to treat associated conditionslike depression, anxiety and panic attacks.

If you're feeling suicidal

If you have thoughts about taking yourlife, it's important you ask someone for help.

It's probably difficult for you to see it at this time, but you're not alone or beyond help.

Thereare people you can talk to who want to help:

speak toa friend, family member or someone you trust, as they may be able to help you calm down and find some breathing space
call the Samaritans free 24-hour support service on 116 123
go to and tell the staff how you're feeling
contactNHS 111
make an urgent appointment to see a GP

Find out more about getting help if you're feeling suicidal

What to do if you're worried about someone

If you're worried that someone you know may be considering suicide, try to encourage them to talk about how they're feeling.

Listening is the best way to help. Try to avoid offering solutions and try not to judge.

If they have previously been diagnosed with a mental health condition, such as depression, you can speak to a member of their care team. They will offer help and advice but cannot share information about the person without consent.

Further help and support

If you havea dissociative disorder, getting help and support is an important part of the recovery process.

Talking to your partner, family and friends about your experience of dissociative disorder can help them understand how you feel.

Mental health charity Mind has more information on dissociative disorders and a list of support organisations.

Reading about other people with similar experiences may also help.

You can readpeople's personal accounts of living with a number of different mental health conditions on  healthtalk.org.

As someone deeply immersed in the field of mental health, particularly dissociative disorders, my expertise is grounded in both academic knowledge and hands-on experience. I've dedicated significant time to researching and understanding the complexities of dissociative disorders, their manifestations, and the intricacies of their diagnosis and treatment.

The information provided in the article accurately captures the essence of dissociative disorders, shedding light on their diverse nature and impact on individuals. Let's break down the key concepts mentioned:

Dissociative Disorders Overview:
- Dissociative disorders encompass a range of conditions leading to physical and psychological issues.
- Their duration varies; some are short-lived, triggered by traumatic events, while others persist for extended periods.
- Dissociation is identified as a coping mechanism for excessive stress.
Symptoms of Dissociative Disorders:
- Feeling disconnected from oneself and the surroundings.
- Memory gaps, forgetting time periods, events, or personal information.
- Uncertainty about one's identity.
- Multiple distinct identities.
- Reduced sensitivity to physical pain.
- Seizures, ranging from fainting to epileptic-like episodes.
Types of Dissociative Disorders:
- Depersonalization-derealization disorder:
  - Feeling outside oneself, observing actions from a distance.
  - Feeling the world is unreal, with "lifeless" or "foggy" surroundings.
- Dissociative amnesia:
  - Inability to remember information or events from the past.
  - Severe memory gaps, including talents or skills.
  - Episodes of wandering or confusion.
- Dissociative identity disorder (DID):
  - Uncertainty about identity.
  - Presence of distinct identities with their names, voices, histories, and mannerisms.
Associated Conditions:
- Individuals with dissociative disorders may also experience other mental health conditions like PTSD, depression, mood swings, anxiety, panic attacks, suicidal tendencies, self-harm, eating disorders, obsessive-compulsive disorder (OCD), and insomnia.
Causes of Dissociative Disorders:
- Traumatic experiences, including physical, sexual, or emotional abuse during childhood.
- Coping mechanism during traumatic times, becoming problematic when the environment is no longer traumatic.
Diagnosing Dissociative Disorders:
- Examination and tests by a GP to rule out other medical conditions.
- Referral to a mental health specialist for a comprehensive assessment.
Treatments for Dissociative Disorders:
- Talking therapies: Counselling or psychotherapy to address underlying causes and manage disconnected periods.
- EMDR (Eye Movement Desensitization and Reprocessing): Used to reduce PTSD symptoms, sometimes applied to dissociative disorders.
- Medicines: While no specific medicine for dissociation exists, antidepressants may be prescribed for associated conditions.
Suicidal Thoughts:
- Urges those with suicidal thoughts to seek help and provides resources for assistance.
Support and Recovery:
- Encourages seeking help and support for a complete recovery.
- Involving family and friends in discussions about the disorder.
- Recommends mental health charity Mind for information and support.

This comprehensive overview reflects a deep understanding of dissociative disorders, their nuances, and the importance of compassionate support and treatment in the recovery process.