Living with Dissociation: What It’s Like and How It Is Treated

Having lived with various forms of dissociation, I can say from experience that it's far from enjoyable. Unlike some with Dissociative Identity Disorder (DID), I don't believe the diagnosis should be granted based on the authority or approval of a psychiatrist. True, the internal cacophony and chaos can be incredibly challenging, and though I am a multiplicity, I do not see the need to rely on external validation.

Understanding Dissociation

Dissociation is a complex neurological condition that can manifest in various ways, depending on the individual. It can range from minor episodes that last a few minutes to longer periods that affect memory and perception. In essence, it involves a disconnection between thoughts, memories, emotions, or the sense of identity.

According to many experts, dissociation can be seen as a survival mechanism, a way for the mind to cope with overwhelming trauma or stress. However, it can also become a source of confusion and distress, especially when it interferes with daily life.

What Dissociation Feels Like

Imagining what it's like to live with dissociation can be challenging. Think of it as twenty people trying to hide behind one person, constantly trying to speak and be heard. The constant cacophony in the mind can be overwhelming, with each personality competing for attention and control.

Able to manage an isolated episode at home does not mean it should be taken lightly. Dissociation can severely impact one's ability to function in daily life, leading to significant distress and anxiety.

Types of Dissociation

There are several types of dissociation, including:

Dissociative Amnesia: This can involve memory loss related to specific events, interactions, or experiences. Dissociative Identity Disorder (Multiple Personality Disorder): Involves the presence of two or more distinct identity states. Dissociative Fugue: A sudden and unexpected loss of identity, where a person forgets personal history and identity. Depersonalization/Derealization Disorder: Feeling detached from one's thoughts, feelings, body, or surroundings, or a sense that the world is not real.

How Is Dissociation Treated?

The treatment for dissociation involves a range of therapies, including:

Cognitive Behavioral Therapy (CBT): Helps individuals identify and alter negative thought patterns and behaviors. Eye Movement Desensitization and Reprocessing (EMDR): Used to treat trauma and can help individuals process traumatic memories. Dialectical Behavior Therapy (DBT): Teaches individuals how to regulate emotions and improve interpersonal relationships. Psychodynamic Therapy: Focuses on exploring the unconscious mind and past experiences that may be causing dissociation. Medication: In some cases, mood stabilizers or anti-anxiety medications may be prescribed to manage symptoms.

Self-Management and Support

Living with dissociation can be a daunting task, and support from a strong network of friends, family, or professionals is crucial. Creating a self-care routine, such as mindfulness exercises, deep breathing, or journaling, can also be beneficial in managing symptoms.

Additionally, developing a strong sense of self-identity and understanding the triggers that lead to dissociative episodes can help in better coping with the condition.

Conclusion

While dissociation can be a challenging experience, it is possible to manage and even thrive with the right treatment and support. Understanding what dissociation feels like can help reduce stigma and lead to more compassionate and effective treatment.