Dissociative Disorders
Dissociative Disorders
Dissociative disorders are a range of conditions that can cause physical and
psychological problems. Some dissociative disorders are very short-lived, perhaps
following a traumatic life event, and resolve on their own over a matter of weeks or
months. Others can last much longer. Dissociative disorders are mental disorders that
involve experiencing a disconnection and lack of continuity between thoughts,
memories, surroundings, actions, and identity. People with dissociative disorders escape
reality in ways that are involuntary and unhealthy and cause problems with functioning
in everyday life.
Dissociation is a way the mind copes with too much stress. Periods of dissociation can last
for a relatively short time (hours or days) or for much longer (weeks or months). It can
sometimes last for years, but usually if a person has other dissociative disorders. Many people
with a dissociative disorder have had a traumatic event during childhood. They may
dissociate and avoid dealing with it as a way of coping with it. The trauma often involves
severe emotional, physical, and/or sexual abuse. It might also be linked to accidents, natural
disasters, and war.
Someone with a dissociative disorder may also have other mental health conditions,
such as:
Dissociative Amnesia – When there are periods where they cannot remember
information about themselves or events in their past life. They may also forget a learned
talent or skill. Some people with dissociative amnesia find themselves in a strange place
without knowing how they got there. These blank episodes may last minutes, hours or days.
In rare cases, they can last months or years.
While trauma is associated with both disorders, with schizophrenia the trauma tends to follow
the disease. It is a consequence of the illness; it is not causative – it is a reaction to the
trauma. Schizophrenia is classified as a psychotic disorder and managed primarily through
drugs, whereas DID is considered a developmental disorder that is more responsive to
psychotherapy and behavioural modifications. This may happen if voices of alternate
personalities in a case of DID "leak through" and comment on events, or talk directly to the
core, central personality, without completely taking it over.