Savvy Psychologist

7 ways to cope with dissociation

Episode Summary

Do you have moments where you feel out of touch with yourself, feel detached, or like time is passing too slowly or quickly?

Episode Notes

There are 5 types of dissociation, and they all manifest in different ways. Here are 7 techniques for coping.

Savvy Psychologist is hosted by Dr. Monica Johnson. A transcript is available at Simplecast.

Have a mental health question? Email us at psychologist@quickanddirtytips.com or leave a voicemail at 929-256-2191. 

Find Savvy Psychologist on Facebook and Twitter, or subscribe to the newsletter for more psychology tips.

Savvy Psychologist is a part of Quick and Dirty Tips.

Links: 
https://quickanddirtytips.com/savvy-psychologist
https://www.facebook.com/savvypsychologist
https://twitter.com/qdtsavvypsych
https://www.kindmindpsych.com/ 

Episode Transcription

Have you ever wondered if you dissociate? Do you have moments where you feel out of touch with yourself, feel detached, or like time is passing too slowly or quickly? These are just a few of the signs of dissociation. If you want to know more about what it is and how to cope with it, I’m here to help!

Welcome back to Savvy Psychologist. I'm your host, Dr. Monica Johnson. Every week on this show, I'll help you face life's challenges with evidence-based approaches, a sympathetic ear, and zero judgment.

What is dissociation?

Dissociation is a mental process that can occur in response to trauma, stress, or overwhelming situations. It involves a temporary disconnection between a person's thoughts, feelings, memories, and sense of identity or reality. Dissociation can be a survival coping mechanism that allows individuals to detach from distressing or traumatic experiences and protect themselves from the overwhelming emotions or memories associated with them. As such, dissociation can also be a symptom of various mental health conditions such as PTSD or BPD.

Some common symptoms of dissociation include:

Dissociation can occur in different degrees of severity and may manifest in a variety of ways. Here are five types of dissociation:

Depersonalization

Depersonalization is a type of dissociation where an individual experiences a sense of detachment from their own thoughts, feelings, and physical sensations. They may feel as if they are observing themselves from a distance or that their body is not their own. Individuals experiencing depersonalization may feel as if they are in a dreamlike state or that the world around them is unreal or distorted.

Derealization

Derealization is a type of dissociation where an individual experiences a sense of detachment from their surroundings. They may feel as if the world around them is not real, or that they are living in a dreamlike state. Individuals experiencing derealization may perceive their surroundings as distorted or unfamiliar, and may feel as if they are disconnected from the people and objects around them.

Dissociative amnesia

Dissociative amnesia is a type of dissociation where an individual experiences a loss of memory for a specific period of time. This can occur in response to traumatic experiences, such as physical or sexual abuse, or as a coping mechanism for dealing with stress. Individuals experiencing dissociative amnesia may have difficulty recalling important events or personal information, and may feel as if they are missing a part of their life.

Dissociative fugue

Dissociative fugue is a type of dissociation where an individual experiences a sudden and unexpected change in their identity, location, and behavior. They may travel to a new location and assume a new identity, often with no memory of their previous life. Individuals experiencing dissociative fugue may feel as if they are living in a dreamlike state, and may have difficulty remembering their previous identity or life experiences.

Dissociative identity disorder

Dissociative identity disorder (DID), formerly known as multiple personality disorder, is a type of dissociation where an individual experiences the presence of two or more distinct identities or personalities within themselves often referred to as alters. These identities may have different names, ages, genders, and personal characteristics. Individuals with DID may experience memory lapses or blackout periods, and may have difficulty remembering personal information or events.

How to cope with dissociation

Grounding techniques can be helpful for individuals experiencing dissociation by helping them feel more present in their bodies and connected to their surroundings. Here are some grounding techniques for dissociation.

Focus on the senses: Engage your senses by noticing what you see, hear, smell, taste, and touch in your surroundings. Name the objects or sensations that you notice, and focus on them one at a time. For example, you could focus on the feeling of your feet on the ground, the sound of birds outside, or the smell of fresh coffee.

Body scan: Starting at your toes and working your way up to the top of your head, focus on each part of your body and notice any sensations that you feel. You can tense and relax each muscle group as you go, or simply focus on the sensation of each body part.

Deep breathing: Practice deep breathing by inhaling slowly through your nose and exhaling slowly through your mouth. As you breathe, focus on the sensation of air moving in and out of your body.

Progressive muscle relaxation: Starting with your toes and working your way up to the top of your head, tense each muscle group for a few seconds and then release the tension. Focus on the sensation of tension and release in each muscle group.

Visualization: Close your eyes and imagine yourself in a calm, safe place. Focus on the details of the place, such as the colors, textures, and sounds. You can also visualize yourself completing a task or activity that you enjoy, such as walking on a beach or reading a book.

Grounding objects: Carry a small object with you, such as a rock or a piece of jewelry, and focus on the texture and weight of the object when you feel dissociated. You can also use a stress ball or other object that you can manipulate with your hands.

Mindfulness: Practice mindfulness by focusing on the present moment without judgment. You can focus on your breath, your thoughts and emotions, or your surroundings. As you practice mindfulness, try to stay present in the moment and avoid getting caught up in past or future thoughts.

It can be helpful to practice grounding techniques regularly, even when not experiencing dissociation, to build a sense of familiarity and comfort with them. Additionally, working with a therapist who specializes in dissociative disorders can help you develop personalized grounding strategies that are tailored to their specific needs and experiences.

What’s your favorite grounding technique for dissociation? Let me know on Instagram @kindmindpsych. You can also reach out to me via my email at psychologist@quickanddirtytips.com, or leave a voicemail at (929) 256-2191‬.