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Dissociative disorders - what are they and how to treat them?10 września 2025 |
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.
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.
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.
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.
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.