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Dissociative Disorders

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People with borderline personality disorder may experience intense mood swings and feel uncertainty about how they see themselves. Their feelings for others can change quickly, and swing from extreme closeness to extreme dislike. These changing feelings can lead to unstable relationships and emotional pain.

People with borderline personality disorder also tend to view things in extremes, such as all good or all bad. Their interests and values can change quickly, and they may act impulsively or recklessly.

What are the signs and symptoms and signs of dissociative disorders?

Symptoms and signs of dissociative disorders include:

  • Significant memory loss of specific times, people and events
  • Out-of-body experiences, such as feeling as though you are watching a movie of yourself
  • Mental health problems such as depression, anxiety and thoughts of suicide
  • A sense of detachment from your emotions, or emotional numbness
  • A lack of a sense of self-identity

The symptoms of dissociative disorders depend on the type of disorder that has been diagnosed. There are three types of dissociative disorders defined in the Diagnostic and Statistical Manual of Mental Disorders (DSM):

  • Dissociative Amnesia. The main symptom is difficulty remembering important information about one’s self. Dissociative amnesia may surround a particular event, such as combat or abuse, or more rarely, information about identity and life history. The onset for an amnesic episode is usually sudden, and an episode can last minutes, hours, days, or, rarely, months or years. There is no average for age onset or percentage, and a person may experience multiple episodes throughout her life.
  • Depersonalization disorder. This disorder involves ongoing feelings of detachment from actions, feelings, thoughts and sensations as if they are watching a movie (depersonalization). Sometimes other people and things may feel like people and things in the world around them are unreal (derealization). A person may experience depersonalization, derealization or both. Symptoms can last just a matter of moments or return at times over the years. The average onset age is 16, although depersonalization episodes can start anywhere from early to mid childhood. Less than 20% of people with this disorder start experiencing episodes after the age of 20.

Dissociative identity disorder. Formerly known as multiple personality disorder, this disorder is characterized by alternating between multiple identities. A person may feel like one or more voices are trying to take control in their head. Often these identities may have unique names, characteristics, mannerisms and voices. People with DID will experience gaps in memory of every day events, personal information and trauma. Women are more likely to be diagnosed, as they more frequently present with acute dissociative symptoms. Men are more likely to deny symptoms and trauma histories, and commonly exhibit more violent behavior, rather than amnesia or fugue states. This can lead to elevated false negative diagnosis.

Areas of interest

Anxiety Disorder

Occasional anxiety is a normal part of life. Many people worry about things such as health, money, or family problems.

Bipolar Disorder

Bipolar I disorder is defined by manic episodes that last for at least 7 days.

Borderline Personality Disorder

People with borderline personality disorder also tend to view things in extremes.

Dissociative Disorders

The symptoms of a dissociative disorder usually first develop as a response to a traumatic event.

Mood Disorder

It causes severe symptoms that affect how a person feels, thinks, and handles daily activities.

PTSD / TRAUMA

PTSD is a disorder that develops in some people who have experienced a shocking, scary, or dangerous event.

Substance Use Disorders

the repeated misuse of alcohol and/or drugs.

Dissociative Disorder Frequently Asked Questions

What are dissociative disorders?

Dissociative disorders are mental health conditions that involve disruptions in memory, identity, consciousness, or perception, often triggered by trauma.

What causes dissociative disorders?

They usually develop as a response to severe trauma, such as abuse or combat, as a way for the mind to protect itself from overwhelming experiences.

What are the types of dissociative disorders?

The main types include dissociative amnesia, dissociative identity disorder (formerly known as multiple personality disorder), and depersonalization/derealization disorder.

What are the symptoms of dissociative disorders?

Symptoms may include memory loss, a sense of detachment from self or surroundings, feeling as if the world isn’t real, or experiencing multiple identities.

How are dissociative disorders diagnosed?

A mental health professional evaluates symptoms, medical history, and possible trauma through clinical assessments to diagnose dissociative disorders.

How are dissociative disorders treated?

Treatment often involves psychotherapy, such as trauma-focused therapy or EMDR, and sometimes medication to manage associated symptoms like depression or anxiety.

Can dissociative disorders be cured?

While there’s no guaranteed cure, therapy can help individuals manage symptoms, process trauma, and improve their quality of life.

What is dissociative amnesia?

Dissociative amnesia involves memory loss related to personal information or events, often linked to traumatic experiences.

What is depersonalization/derealization disorder?

This disorder causes feelings of detachment from oneself (depersonalization) or the surrounding environment (derealization), as if observing life from outside the body.

What is dissociative identity disorder (DID)?

DID involves the presence of two or more distinct identities or personalities, often with memory gaps and a sense of losing time.