Dissociative Disorders

What are dissociative disorders?

Dissociative disorders are mental health conditions that involve disruptions in memory, identity, emotion, perception, behavior, and sense of self. They happen when a person feels disconnected from their thoughts, feelings, memories, or surroundings. This goes beyond normal daydreaming or “zoning out.” 

Dissociative disorders often arise from extreme stress or trauma. Common diagnoses include dissociative amnesia and dissociative identity disorder. Early evaluation and therapeutic intervention can improve coping skills and long-term outcomes.

Signs & symptoms

The presentation of dissociative disorders varies depending on the subtype, but they generally involve a sense of disconnection from reality, self, or memory. Some individuals may experience sudden episodes of memory loss, while others feel detached from their emotions, bodies, or surroundings. Symptoms can worsen during periods of stress or after reminders of past trauma. For many, these symptoms interfere with relationships, work, and the ability to manage daily life.

  • A feeling of detachment from one’s own emotions or body
  • A distorted or blurred sense of identity
  • Feeling as though the world or surroundings are foggy, dreamlike, or unreal
  • Confusion about time, place, or personal history
  • Intrusive thoughts related to traumatic memories
  • Problems coping with stress, relationships, or responsibilities
  • Memory gaps not explained by normal forgetfulness
  • Episodes of wandering or confused travel (in dissociative fugue)
  • Sleep disturbances, fatigue, or frequent physical complaints without clear cause
  • Numbness, dizziness, or disorientation during dissociative episodes
  • Physical changes that accompany identity shifts (in dissociative identity disorder)
  • Symptoms of co-occurring conditions such as depression, anxiety, or physical pain

To make a diagnosis, a clinician evaluates the specific dissociative symptoms, their duration, and their impact on functioning. Assessment tools often include clinical interviews, psychological testing, and a review of medical history to rule out underlying neurological conditions or substance-related causes.

Types of dissociative disorders

Dissociative amnesia involves memory loss that goes beyond ordinary forgetfulness. A person may be unable to recall important information about themselves, including events, people, or periods of life, often linked to trauma or distress. This memory loss typically emerges suddenly and can last minutes to years. In some cases, individuals may wander away from their surroundings in a state of confusion, known as dissociative fugue.

Specific types of amnesia include localized (inability to remember a certain time), selective (difficulty recalling certain aspects of an event), or generalized (loss of personal identity and life history, which is rare).

Formerly called multiple personality disorder, DID involves the presence of two or more distinct identities or personality states that may take control of behavior. Each identity can have its own name, voice, mannerisms, and memories, which often differ dramatically from one another. People with DID frequently experience amnesia between identity shifts, as well as symptoms of trauma, depression, and severe anxiety.

Overwhelming childhood trauma, especially abuse or neglect, strongly contributes to the development of this disorder. More than 70 percent of individuals diagnosed with DID have attempted suicide, highlighting the need for early intervention and comprehensive care.

Depersonalization/derealization disorder is marked by persistent or recurrent feelings of detachment from one’s self (depersonalization) or from one’s surroundings (derealization). A patient may feel as though they are observing their own life from outside their body, or perceive the world around them as foggy, unreal, or dreamlike. While the patient knows the feeling is not real, these episodes are highly distressing and interfere with their ability to function.

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Causes & risks

Dissociative disorders typically develop as a response to severe trauma, often beginning in childhood as a way to cope with overwhelming experiences. Dissociation can serve as a defense mechanism that helps an individual temporarily escape from memories, fear, or pain, but over time it becomes disruptive and pathological.

  • Chronic exposure to trauma or abuse in childhood
  • Experiencing violence, disasters, or combat
  • Lack of supportive relationships during times of distress
  • Living in unsafe or unstable environments
  • Traumatic stress leading to fragmented memory or identity
  • Family history of mental illness or trauma
  • Difficulty managing extreme emotions or stress responses
  • Co-occurring depression, anxiety, or post-traumatic stress disorder (PTSD)
  • High risk of suicidal thoughts or attempts, particularly in dissociative identity disorder

Treatment programs

Capella Recovery Center delivers structured, evidence-based treatment designed to reduce symptoms and restore daily functioning. Our approach combines proven therapeutic methods with supportive environments and individualized care planning. By tailoring treatment plans to each person’s unique needs, we help patients strengthen coping skills, work through trauma safely, and reclaim stability in daily life.

Residential inpatient

In residential treatment, patients receive round-the-clock support in a structured and safe environment. Individual treatment plans may include psychotherapy approaches such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed care, and other clinical methods targeted toward dissociation and trauma recovery. A multidisciplinary team monitors progress regularly and adjusts care plans to ensure effective outcomes.

Aftercare planning

For long-term recovery, patients may step down to a partial hospitalization program (PHP) or intensive outpatient program (IOP). Aftercare may involve ongoing therapy, medication management, group support, and life-skills training to help patients transition back into community living.

Alumni community

Our alumni program provides ongoing connection beyond treatment. Patients have opportunities to attend peer groups, community events, and mentorship activities, fostering meaningful relationships that encourage continued healing and growth.
Residential inpatient

In residential treatment, patients receive round-the-clock support in a structured and safe environment. Individual treatment plans may include psychotherapy approaches such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), trauma-informed care, and other clinical methods targeted toward dissociation and trauma recovery. A multidisciplinary team monitors progress regularly and adjusts care plans to ensure effective outcomes.

For long-term recovery, patients may step down to a partial hospitalization program (PHP) or intensive outpatient program (IOP). Aftercare may involve ongoing therapy, medication management, group support, and life-skills training to help patients transition back into community living.

Our alumni program provides ongoing connection beyond treatment. Patients have opportunities to attend peer groups, community events, and mentorship activities, fostering meaningful relationships that encourage continued healing and growth.

Lifelong management

Healing from dissociative disorders extends well beyond inpatient care. At Capella Recovery Center, patients build resilience by learning practical strategies to reduce dissociation, improve emotional regulation, and integrate traumatic experiences into recovery.

Lasting recovery begins with connection. With long-term guidance, a structured support system, and effective treatment, individuals living with dissociative disorders can reclaim stability and create lives of connection, purpose, and strength.