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Dissociative disorders - what are they and how to treat them?

10 września 2025
Dissociative disorders, the topic of today’s discussion, are a complex group of mental disorders that affect both the psyche and the physical functioning of a person. They can sometimes manifest as a feeling of detachment from one’s own body, as well as memory loss or a breakdown in identity coherence. Patients sometimes describe it as the experience of living outside themselves. For many people, dissociative disorders are extremely challenging. It is also a disorienting experience that, without proper psychological diagnosis, is often mistaken for other conditions.

According to Mateusz Nesterok, a psychologist at the ONSEN® brand, the issue of dissociative disorders is still insufficiently discussed in public discourse. This results from their rarity and complex nature, which requires specialized diagnostic knowledge. Many people struggling with dissociative disorders remain without help for years.

What are dissociative disorders?

In principle, dissociative disorders involve rather specific states in which there is a disruption in the integration of thoughts, emotions, memories, and the sense of identity. The most commonly cited condition is dissociative amnesia, which is one of the most frequent disorders of this kind. Other conditions include dissociative amnesia, dissociative fugue, depersonalization, and derealization. This group also includes the rare multiple personality disorder, also known as dissociative identity disorder. The symptoms of these mental disorders may be episodic or chronic, which significantly impairs daily functioning.

A patient with dissociative amnesia experiences memory gaps that are not caused by neurological issues. In cases of depersonalization, there is a sense of watching oneself from the outside, while derealization brings a feeling that the world around is unreal. According to Mateusz Nesterok, such experiences can be deeply unsettling and often lead to a sense of alienation.

Dissociative disorders are a defense mechanism of the body, most often a response to trauma or prolonged stress. The psyche simply blocks out certain content to protect the individual from its destructive impact. However, this leads to a loss of coherence in one’s experiences, which generates new emotional challenges.

What causes dissociative disorders?

The symptoms of dissociative disorders described in the literature are varied. Typically, dissociative disorders involve memory disturbances, a sense of losing control over one’s actions, and difficulties in maintaining a stable identity. There may be sudden mood swings associated with the feeling of another person being present within oneself, as well as issues with concentration.

The development of dissociative disorders is usually linked to traumatic experiences. Most often, these include traumas such as physical, emotional, or sexual abuse, particularly in early childhood. Severe and chronic stress can also lead to dissociation. Nesterok emphasizes that it is important to remember that dissociative disorders are not a sign of personal weakness but rather a result of the body’s natural defense response functioning as it should.

Dissociation may take a mild form, such as zoning out during stressful situations, but it can also become severe enough to significantly disrupt daily life. This broad spectrum means that a proper diagnosis of dissociative disorders requires close attention from a specialist.

How to treat dissociative disorders?

It is important to note that the treatment of dissociative disorders requires an individual approach, as symptoms and their intensity vary. The most commonly used method is psychotherapy, particularly cognitive-behavioral therapy and psychodynamic therapy. EMDR therapy (Eye Movement Desensitization and Reprocessing) is also applied.

The primary goal of dissociative disorder therapy is to integrate experiences and regain a sense of control over one's life. Learning new strategies for coping with emotions is crucial. In some cases, doctors may introduce pharmacotherapy to support the therapeutic process.

Mateusz Nesterok emphasizes that establishing a safe therapeutic relationship is key to the treatment of dissociative disorders. It enables patients to gradually confront traumatic experiences and build healthy coping mechanisms.

What are the prognoses for dissociation?

Prognosis in the case of dissociative disorders varies and depends on many factors, typically the duration of the condition, but also on access to therapy and social support. For many people, with appropriate help, a return to full functioning is possible.

Psychoeducation plays an important role in helping patients understand that their symptoms stem from trauma, not imagination. This awareness reduces feelings of guilt and makes cooperation in the treatment process easier. Supportive elements in recovery include therapy, good sleep hygiene, physical activity, and stress reduction, as well as adherence to therapeutic recommendations.

As Mateusz Nesterok points out, acceptance and patience are also essential – both from the patient and their loved ones. These enable an effective treatment process and offer the possibility of restoring internal coherence, ultimately leading to a better quality of life.

We also encourage you to explore other articles on the best sleep and health blog, as well as the Encyclopedia of Healthy Sleep prepared by the ONSEN® team of specialists. For those who care about spine health, we recommend a set of spine exercises prepared by our physiotherapist.

FAQ: Dissociative disorders

What are dissociative disorders?

Dissociative disorders are a group of mental health conditions involving disruptions in the integration of thoughts, emotions, memories, and identity. They can manifest as dissociative amnesia, depersonalization, derealization, or, more rarely, dissociative identity disorder. Symptoms may be temporary but can also persist, significantly impairing daily functioning.

How does a person with dissociation behave?

Someone experiencing dissociation may have memory gaps not related to neurological issues. They may feel like they?re observing themselves from the outside or that the world around them isn?t real. They often report losing control over their actions, struggling to concentrate, or feeling like someone else. These experiences can be confusing and cause a strong sense of disorientation.

How are dissociative disorders diagnosed?

Diagnosis is based on key symptoms such as depersonalization, derealization, memory loss, or identity changes. Since these symptoms can also occur in other mental or physical conditions, it?s crucial to rule out neurological and medical causes first. A psychiatrist or psychologist makes the final diagnosis based on clinical interviews, life history, and symptom patterns.

Are dissociative disorders mental illnesses?

Yes, dissociative disorders are classified as mental illnesses, but it's important to understand they often act as the mind?s defense mechanism. Dissociation typically arises in response to traumatic events or severe, ongoing stress, serving to shield the person from emotional overload. It?s not a sign of weakness, but a psychological coping strategy.

Can dissociative disorders be treated?

Yes, dissociative disorders are treatable and, in many cases, fully reversible with the right support. Psychotherapy is the main form of treatment, helping patients understand the root causes and restore psychological integration. Medication may be used as a supportive measure. Equally important are psychoeducation, stress reduction, good sleep hygiene, and stable, safe relationships. Treatment takes patience, but the outlook is often very promising.

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