How to Stop Dissociation

Grounding Yourself in the Present

Describe where you are at this moment. This is a simple way to remind yourself of where you are. Start by stating the location, then try to list as many details about it as you can. By doing this, you’ll be able to come back to the situation you’re in rather than feeling detached. For example, you might say this: “I am at the dinner table. My sister is here eating with me. We are eating cereal. The cereal tastes very sweet and smells fruity. I’m wearing pajamas that feel soft on my skin. My sister is talking to me. She’s asking me if I want something to drink.”

Identify things in the space around you, such as “everything that’s blue.” This helps you engage with the present, which grounds you in the moment. It’s similar to the game “I spy,” in that you’ll pick out certain things in your environment. Here are a few great prompts for doing this grounding activity: How many red items do I see? How many round objects can I count? What kinds of patterns do I see? What can I smell? What do I hear? How are my senses engaged?

Activate 1 or more of your 5 senses. Your senses provide you with the best link to the present because they make you more aware of where you are. When you feel like you’re detached, start by triggering 1 sense. Then, engage each of your senses, if you can. Here are some ways to do it: Rub a piece of ice on your skin, run cold water over your hands, or snap a rubber band on your wrist. Apply a drop of essential oil to your pulse points and sniff. Eat something and focus on the flavors. Listen to the sounds of your environment. Describe what you can see around you. Stand on one foot—trying to balance will force your body to reengage with yourself.

Use mindfulness to stay grounded. Mindfulness is the practice of living in the present. It can be very helpful if you struggle with dissociation. You might want to read books and magazines about mindfulness, or work through a workbook. It’s a skill that takes time to develop, but here are some ways to get started: Do just 1 thing at a time. When you eat, focus on the flavors of your food. Go on a nature walk and focus on what you hear, feel, taste, smell, and see. Focus on your breath. Meditate. You can try using a free meditation app, such as Insight Timer, Calm, or Headspace. Try yoga. Check out magazines like Mindful, Happinez, Breathe, and Flow. Read books like Wherever You Go, There You Are by Jon Kabat-Zinn.

Focus on how your feet feel on the ground. It’s best to do this barefoot. Place your feet on the ground and press them into it. Notice the sensations, such as smooth tile, scratchy carpet, or slick, wet grass. Walk around, concentrating on your feet touching the ground.

Recognizing Dissociation

Watch for common symptoms of dissociation. This will help you recognize when you’re having episodes. Write down the symptoms you experience, as well as what was happening at that time. Keep in mind that dissociation occurs on a spectrum, with daydreaming or zoning out while driving along a familiar road being minor dissociative experiences. On the opposite end of the spectrum is dissociative identity disorder, which is a serious condition. Common symptoms include: Feeling mentally detached, spaced out, or not present Absent-mindedness or mind-wandering Perceiving the world as being unreal (known as derealization) or your sense of self as distorted (known as depersonalization) Observing your body as an "outsider" Emotional numbness and being unable to express how you feel Excessive fatigue or sleepiness Experiencing delayed reactions to life events

Notice how you feel when you dissociate. This will help you identify episodes so that you can try to stop dissociating. Pay attention to your thoughts, sensations, and feelings. You should also notice triggers that occur often, as this will help you identify what is causing your dissociative episodes so that you can overcome them. Ask yourself these questions: How do I feel? For example, you might feel detached, foggy, or like you’re floating above the situation. What am I thinking? You might have trouble forming thoughts or find that your mind has gone blank. What’s happening right now? You might identify what’s stressing you out.

Keep a journal to help work through your experiences. Journaling is a great way to work through your emotions and cope with difficult experiences. Not only can journaling help you keep track of your episodes and learn to process them, it can also help you process your past. Write in your journal every day. Document your everyday life, your feelings about the past, and your dissociative experiences. When you do notice an episode, record what lead up to it and how you felt. In some cases, you might choose to bring your journal with you to your therapy sessions, if you go to therapy.

Understand that there are different kinds of dissociation. Although mild detachment is generally a normal psychological response to stressful situations, some people can experience this condition chronically and for a longer period of time. Severe and prolonged dissociative episodes can be symptomatic of mental illness; thus, you should consider talking to a mental health professional if you are genuinely struggling with your experiences. According to the Diagnostic and Statistical Manual of Mental Disorders (5th edition), conditions in which dissociation is a prominent symptom include: Depersonalization disorder occurs when you feel detached from your life or yourself. Dissociative amnesia occurs when you forget parts of your life, often to mask a trauma. Dissociative fugues occur when you forget who you are and also travel to a new, unfamiliar location. Dissociative identity disorder (DID) occurs when your mind splits into separate, individual personalities as a response to extreme trauma. Dissociative Disorder Not Otherwise Specified (DDNOS) is diagnosed when you experience symptoms of dissociation but don’t meet the requirements for diagnosis for any particular disorder.

Ask for help identifying when you dissociate, if necessary. It’s normal to not realize when you're dissociating. Luckily, it’s easy for the people who care about you to notice, as you’ll likely appear as though you’re in a daze. Ask them to help you recognize when this happens. You could say, “I know that I tend to dissociate when things get rough, but it’s hard for me to notice when I’m doing it. Can you tell me if I look spaced out?”

Going to Therapy

Meet with a therapist who specializes in trauma. Dissociation most often results from trauma, so it’s important that your therapist have experience working with trauma victims. Ask your potential therapists about their experiences. You may also choose to look at their website or advertisements to see if they list trauma among their specialties. You can ask your doctor for a recommendation or find a therapist online. Since a safe environment is essential for your recovery, ask to visit the office ahead of time. You need to feel completely comfortable in order to work through the underlying trauma that triggered your use of dissociation as a coping skill.

Undergo talk therapy to work through your underlying trauma. Talk therapy is the most recommended treatment for dissociative disorders. Your therapist will help you work through your past trauma and learn how to stop dissociative episodes when they start. They will likely help you work through the grounding process provided above. They’ll also help you talk through your trauma without dissociating.

Develop new coping strategies. Dissociation is a coping strategy, so you’ll need alternative strategies to help you overcome it. Your therapist will help you identify options for you. For example, you might learn to call a friend when you feel stressed, use deep breathing, or engage in daily self care. Strategies like this require a lot of daily practice to be effective, so don't worry if your progress seems to be slow at first. Find practices that help lower your overall stress and anxiety levels, like grounding exercises, breathing exercises, or progressive muscle relaxation. You could create a self-care box to pull out in your time of need. You might include a comforting book, essential oils, a soft sweater or blanket, a CD with relaxing music, hard candies, or tools for a hobby. You can pull out your box to help you ground yourself and cope with what’s happening.

Consider antidepressants if you have depression or anxiety. There’s no medication for dissociation. However, you may experience feelings of depression and anxiety along with your dissociative disorder. This is normal and treatable. Your doctor can determine if antidepressants are right for you. Antidepressants can cause side effects. Common side effects include dry mouth, nausea, blurred vision, constipation, increased appetite, weight gain, fatigue, dizziness, restlessness, agitation, insomnia, and sexual issues. Similarly, medications aren't intended to fully solve your problems. Instead, they can help manage your symptoms while you work through them in therapy.

Join a support group for trauma survivors. A support group allows you to share your experiences with people who can relate because they have had similar experiences. You can also learn from others who’ve been through a similar situation. This can provide much needed emotional support to help you on your road to recovery. Ask your doctor about groups that meet in your area. You can also ask local treatment centers or look online.

Go to physical therapy if you experience physical symptoms. In rare cases, people with dissociative disorders have physical symptoms, like paralysis, loss of speech, or trouble walking. Luckily, physical therapy can help! Your therapist and doctor can help you get a referral to someone who can help you manage or overcome these symptoms, if you have them. You may also try Sensorimotor Psychotherapy to help you overcome past trauma and dissociation. This will help you overcome somatic symptoms that your issues may cause by helping you reconnect with physical sensations and your body. Most people who have dissociative disorders won’t need physical therapy, but it’s a helpful resource for those who need it.