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Dissociative Disorders

Dissociative disorders are a form of mental health issue that causes patients to feel disconnected from their thoughts, feelings, memories, and even their surroundings. This condition can also impact someone’s sense of identity and their conception of time. Dissociative disorders will often vary over time, getting worse and improving. This condition can also be linked to other mental health challenges that impact someone’s ability to perceive reality.

Symptoms

The symptoms of dissociative disorders can vary in severity from patient to patient. There are some common symptoms that all dissociative patients experience:

  • Feeling like you are someone else
  • Being light-headed
  • Feeling your heart pounding
  • Feeling numb
  • Feeling no physical pain
  • Feeling emotionally numb or disconnected
  • Having tunnel vision
  • Hearing voices in your head
  • Not remembering how you got somewhere
  • Having a confused sense of the passing of time
  • Having intense flashbacks that seem real
  • Becoming immobile
  • Getting absorbed into a fantasy world that might seem real
  • Out of body experiences

Causes & Risk Factors

This mental health condition has a variety of causes. The most common cause of this mental health condition is trauma. The trauma might be an event that frightened a patient or caused them to think that they were going to die. Dissociative disorder might also be triggered by trauma that is related to sexual assault, childhood abuse, or combat.  Often referred to as peritraumatic dissociation. Some types of dissociation can resolve on their own over time, while other patients will suffer for years with unresolved symptoms.

The risk factors for experiencing dissociative disorders are:

  • Past Sexual or physical assault
  • Childhood abuse
  • Having experienced combat
  • Being tortured or captured
  • Being in a motor vehicle accident
  • Experiencing a natural disaster
  • Believing that you were going to die

Drug use can also lead to this mental health condition, and some people experience these symptoms after undergoing hypnosis.

Diagnosis

A physical exam is always a good starting point for those looking to be diagnosed with dissociative disorders. A family history will be taken, and your doctor will inquire about drug use and past experiences that might have caused trauma. A patient will typically then be referred to a psychologist, a psychiatrist, or even a psychiatric social worker. There are various mental health tests that can be provided to rank a patient’s dissociative condition on the Dissociative Experience Scale or DES.

Treatment & Prevention

Treatment of this condition is often multi-faceted. You might need the support of psychotherapy, cognitive behavioural therapy, or even hypnotherapy. Family treatment can also be helpful, as can phasic trauma treatment. Medications can be used to support serotonin levels and other symptoms associated with this condition.

If you have complications such as another mental health condition, you might need to work with a team of care providers to create a management protocol to help you feel better and be able to engage in daily activities again.

This condition cannot typically be prevented. Dissociative disorders often take place after traumatic experiences, which usually cannot be avoided. While some people might never experience symptoms like these after a trauma, many others will experience some version of an ongoing dissociative condition related to this type of negative experience.

 
 
 

The content appearing on this site is not intended to treat, diagnose, or provide health care advice. The articles you read here are meant for informational purposes only. Please review additional information to learn more.