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What Is Dissociation?

Dissociation is a big word for spacing out

Dissociation is a big word for spacing out. Dissociation is often used by therapists to refer to a person who is unable to stay present to their emotions. Dissociation is a very complex defense mechanism as it evolves through living with years of chronic painful experiences. For example, when I was a child I grew up with a very angry mother. She was not just angry, she was rageful. She would rage about something every single day.

I learned very quickly in the first 10 years of my life to avoid her rages; Yet sometimes I had to be in the pathway of her rages regardless of what I wanted. In order to feel like I could survive through these rages I would have to look away from her and go some other place in my mind. I would have to be present enough to hear her, in case she asked me a question, but I would also check out enough that I didn’t have to be there with her and feel what was happening because it was so scary. If I could, I would play with a toy while she was so angry. This wasnt a conscious choice, it was a way of getting myself away from the rage.
Attention gets trained positively or negatively by the external environment depending upon what kind of environment we grow up in. unless we recieve some positive attention from friends and family, we will grow up trained to seek negative attention.
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Dissociation is an unconscious defense mechanism

This means that it happens the majority the time without conscious or thoughtful choice. This may seem confusing, but it can be made much more experientially clear to us through understanding the practice of mindfulness. Mindfulness is the opposite of dissociation. Mindfulness is a noncritical, objective state of self observation.

Observing oneself as one is without negative or positive evaluations about what one is observing. In the state of mindfulness one is completely consciously aware of what one is observing. One is so aware that concentration is present in order to maintain awareness.

Dissociation in contrast is to habitually try, at some level to space out and forget what is really going on with oneself.

Often when driving in a car listening to music while stuck in traffic, for example, we may fantasize with the music we are listening to about being some other place other than traffic. There are varying degrees of dissociation. Everyone dissociates to a degree, in other words we all space out now and then. Whether it’s watching TV or sometimes ignoring someone really unpleasant. However with people who have trauma, dissociation can become a debilitating habit. So much so that most people who have some form of complex trauma or long-term PTSD have received diagnosis such as ADD or ADHD. This is common because dissociation looks like ADD. However when a person needs to dissociate just to survive, one learns how to space out to survive not because of a biological malfunction. In fact, we might need to become very focused at work, but when we come home we need to space out in order to survive the attacks that we fear will come.
Anyone who has trauma struggles with some level of dissociation, however the extreme end of this is what is known as a dissociative disorder. Someone who has a dissociative disorder will sometimes experience what is called, dissociative amnesia. Dissociative amnesia refers to periods of memory loss. This is also sometimes experienced as time loss. In other words, later this evening you’re having dinner and you realize that you don’t recall anything at all about what you did before dinner. It’s sort of like a blackout but without drugs or alcohol.

What are the symptoms of dissociative amnesia?

There are three types, or patterns, of dissociative amnesia:
  • Localized: Memory loss affects specific areas of knowledge or parts of a person’s life, such as a certain period during childhood, or anything about a friend or coworker. Often the memory loss focuses on a specific trauma. For example, a crime victim may have no memory of being robbed at gunpoint, but can recall details from the rest of that day.
  • Generalized: Memory loss affects major parts of a person’s life and/or identity, such as a young woman being unable to recognize her name, job, family, and friends.
  • Fugue: With dissociative fugue, the person has generalized amnesia and adopts a new identity. For example, one middle manager was passed over for promotion. He did not come home from work and was reported as missing by his family. He was found a week later, 600 miles away, living under a different name, working as a short-order cook. When found by the police, he could not recognize any family member, friend, or coworker, and he could not say who he was or explain his lack of identification.
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Dissociative amnesia is different from amnesia

Dissociative amnesia is different from amnesia caused by medical problems, such as illnesses, strokes, or brain injuries. In medically caused amnesia, recovering memories is rare and generally a slow and gradual process.

Most cases of dissociative amnesia are relatively short. Often, when memories return, they do so suddenly and completely. Memory recovery may happen on its own, after being triggered by something in the person’s surroundings, or in therapy.

A person who experiences a dissociative fugue often has the most extreme forms of dissociation called dissociative identity disorder. You could read more about this in the section called how we work, under specialties.

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Seattle Trauma Counseling is a collective of licensed somatic trauma therapists co-founded in 2015, with offices in Edmonds and Kirkland, Washington, and telehealth across the state.

We specialize in EMDR, Brainspotting, Sensorimotor Psychotherapy, and Internal Family Systems for trauma, PTSD, complex trauma, religious trauma, sexual trauma, anxiety, and dissociation.
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Edmonds
8923 240th St SW,
Edmonds, WA 98026
United States
Kirkland
10512 NE 68th St #202,
Kirkland, WA 98033
United States
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(206) 552-8207
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1 253-3933251
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