By Jennifer Buffalo, LPC-S, LMFT, EMDR Certified, EMDRIA Consultant-in-Training.
Dissociative disorders are often misunderstood and misrepresented in popular media. As an EMDR therapist specializing in trauma, I’ve had the privilege of working with many individuals who experience dissociation. Their stories are powerful testaments to the human spirit’s resilience and adaptability in the face of overwhelming experiences.
What Are Dissociative Disorders?
Dissociative disorders are complex mental health conditions characterized by a disconnection between thoughts, memories, feelings, actions, or sense of identity. This disconnection is not just absent-mindedness or daydreaming; it’s a sophisticated protective mechanism of our central nervous system, working tirelessly to keep us safe in the face of overwhelming stress or trauma.
The Prevalence of Dissociative Disorders
Contrary to popular belief, dissociative disorders are not as rare as once thought. Recent studies estimate that about 1-2% of the general population experiences dissociative identity disorder (DID), the most complex form of dissociative disorders. This prevalence is comparable to that of other well-known conditions like bipolar disorder or schizophrenia.
While it’s crucial to remember that dissociative disorders should only be diagnosed by qualified mental health professionals, here are some anonymized examples from my practice over the years that illustrate how these conditions can manifest. **All names and relevant history have been changed and any similarities are purely coincidental**
Sarah, a 32-year-old artist, often found herself “losing time.” She would suddenly realize she was in a different location with no memory of how she got there. Through therapy, we discovered that Sarah had developed this coping mechanism in response to childhood trauma. With EMDR therapy and other trauma-focused interventions, Sarah gradually learned to stay present and integrate her experiences.
Michael, a 45-year-old executive, struggled with what he called “different versions” of himself. At work, he was confident and assertive, but at home, he became timid and anxious. In therapy, we explored how these distinct “parts” of Michael developed to help him navigate different aspects of his life. Through internal family systems work and EMDR, Michael began to understand and integrate these parts, leading to a more cohesive sense of self.
Evan, a 28-year-old medical resident, often felt detached from their surroundings, as if they were watching their life through a foggy window. This depersonalization made it difficult for them to connect with others and enjoy their passions. Through our work together, Evan learned grounding techniques and processed the underlying trauma that contributed to their dissociative symptoms.
The Role of Trauma and the Nervous System
It’s important to understand that dissociation is not a choice or a character flaw. It’s a sophisticated adaptation of our nervous system in response to overwhelming experiences. When faced with extreme stress or trauma, especially during childhood, the brain may use dissociation as a protective mechanism.
Treatment and Hope
While dissociative disorders can be challenging, there is hope. Evidence-based treatments like EMDR (Eye Movement Desensitization and Reprocessing), trauma-focused cognitive-behavioral therapy, and internal family systems therapy have shown promising results. These approaches help individuals process traumatic memories, develop coping skills, and integrate dissociated aspects of their experience.
Words to the Wise
While this information may resonate with some readers, it’s crucial to emphasize that dissociative disorders are complex conditions that require professional diagnosis and treatment. If you suspect you might be experiencing dissociative symptoms, please reach out to a qualified mental health professional for a proper assessment.
Remember, dissociation exists on a spectrum, and many people experience mild forms of dissociation in their daily lives. What matters is how these experiences impact your daily functioning and well-being.
In my years of practice, I’ve witnessed the incredible strength and resilience of individuals living with dissociative disorders. With proper support and treatment, many have gone on to lead fulfilling lives, demonstrating that healing and integration are possible. My work now as a supervisor, trainer and consultant allows me the opportunity to coach other practitioners and support them in identifying and working with traumatic and dissociative symptoms.
If you’re struggling with dissociative symptoms, know that you’re not alone, and help is available. Your experiences are valid, and with the right support, you can move towards a more integrated and empowered sense of self. Reach out today to be matched with one of our clinicians for a complimentary 30-minute consultation!
