Types Of Dissociation

This information handout offers clinicians and clients a clear and accessible overview of dissociation, distinguishing between everyday dissociation and pathological experiences often linked with trauma.

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Professional version

Offers theory, guidance, and prompts for mental health professionals. Downloads are in Fillable PDF format where appropriate.

Client version

Includes client-friendly guidance. Downloads are in Fillable PDF format where appropriate.

Editable version (PPT)

An editable Microsoft PowerPoint version of the resource.

Overview

Understanding dissociation is crucial for clinicians working with trauma survivors. Dissociation involves a disruption in conscious awareness, where an individual disengages from the present moment. This handout explains both everyday forms of dissociation, such as 'driving on autopilot', and pathological forms of dissociation often rooted in experiences of trauma.

By demystifying dissociation, this resource aims to reduce fear and confusion for clients, while providing clinicians with a clear, structured way to explore dissociative experiences and normalise these reactions within therapy.

Why Use This Resource?

The Types of Dissociation handout supports clinical work by:

  • Clarifying the concept of dissociation in accessible, client-friendly language.
  • Helping differentiate between normal and trauma-related dissociative responses.
  • Providing a foundation for exploring dissociation's functional role during and after trauma.

Key Benefits

Clarity

Simplifies complex concepts for both clients and therapists.

Differentiation

Distinguishes between everyday and pathological dissociation.

Insight

Offers understanding into how dissociation can develop as an adaptive response to trauma.

Who is this for?

Post-Traumatic Stress Disorder (PTSD)

Clients experiencing flashbacks, numbing, or emotional disconnection.

Dissociative Disorders

Individuals who experience frequent zoning out, time loss, or depersonalisation.

Acute Stress Reactions

Clients displaying dissociation as part of immediate trauma responses.

Integrating it into your practice

01

Educate

Introduce dissociation concepts using accessible explanations.

02

Explore

Discuss the client's experiences of zoning out, flashbacks, or memory gaps.

03

Differentiate

Help clients understand the difference between common and problematic dissociation.

04

Normalize

Reassure clients that dissociative responses are understandable in the context of overwhelming events.

05

Support

Begin planning stabilization or grounding strategies where dissociation is impairing function.

Theoretical Background & Therapist Guidance

Dissociation refers to disruptions in the normal integration of consciousness, memory, identity, emotion, and perception (Spiegel et al., 2011). In everyday life, mild dissociative experiences are common - for example, becoming so absorbed in a task that one loses awareness of the surrounding environment.

However, during traumatic events, dissociation can serve as a protective mechanism, helping individuals distance themselves from immediate physical or emotional pain (Schauer & Elbert, 2010). When trauma is severe, prolonged, or inescapable, dissociation may persist after the event, manifesting as flashbacks, emotional numbing, depersonalisation, or derealisation (Kennedy, Kennerley, & Pearson, 2013).

Understanding dissociation is critical because persistent pathological dissociation can interfere with memory processing, emotional regulation, and interpersonal functioning. Psychoeducation that normalises dissociation and frames it as a survival response can help reduce shame and support client engagement.

This handout offers a concise way to introduce these ideas, helping clients recognise dissociative patterns, reflect on their origins, and collaborate in building skills to increase present-moment awareness and emotional safety.

What's inside

  • Explanations distinguishing everyday and trauma-related dissociation.
  • Clear descriptions of dissociation during and after traumatic events.
  • Therapist guidance on discussing dissociation and normalising client experiences.
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FAQs

Dissociation is a mental process where a person disconnects from their present surroundings, sense of self, or consciousness. It can be a normal experience or linked to trauma responses.
Everyday dissociation, like daydreaming, is usually benign. Trauma-related dissociation involves more intense disruptions in consciousness, often triggered by reminders of past trauma.
Introduce grounding techniques, foster a safe therapeutic environment, and explore the client’s triggers in a gradual and supportive manner.
Use it to explain dissociation, validate client experiences, and introduce early stabilisation strategies if needed.

How This Resource Improves Clinical Outcomes

By increasing both client and therapist understanding of dissociation, this resource can:

  • Promote client self-awareness and normalize experiences, reducing shame and confusion.
  • Improve therapeutic engagement by framing dissociation as an adaptive survival strategy.
  • Support accurate formulation and treatment planning by identifying dissociative patterns.
  • Facilitate early stabilization work, paving the way for later trauma processing interventions.

References And Further Reading

  • Kennedy, F., Kennerley, H., & Pearson, D. (Eds.). (2013). Cognitive behavioural approaches to the understanding and treatment of dissociation. Routledge.
  • Schauer, M., & Elbert, T. (2010). Dissociation following traumatic stress: Etiology and treatment. Journal of Psychology, 218, 109-127.
  • Spiegel, D., Loewenstein, R. J., Lewis-Fernández, R., Sar, V., Simeon, D., Vermetten, E., ... & Dell, P. F. (2011). Dissociative disorders in DSM-5. Depression and Anxiety, 28(12), E17–E45.