• We are a multilingual website again. Read the notice about this.
  • Understand AI use at MyPTSD: all AI use is explained in our AI help page. AI use is by choice here. It exists if you want it, but does nothing unless you choose to use it.

Dissociation during Therapy, how does T react.

Status
Not open for further replies.

loui50

Gold Member
I just recently started dissociating in therapy. How does your T address this? My T said we will have to address it as it happens but did not elaborate. Curious what to expect.

Dissociation for me is that I feel like I'm floating, get tunnel vision and cant process auditory input. I can hear her talking, but it makes no sense.
 
I would not know how your therapist may dealt with this because I would think it will depend on you and the energy and the connection you both have.

From my experience, dissociation during therapy was the hardest, most gut wrenching, depression like, regression like and yet the most and the fastest path to healing because it worked sort of opposite to resistance. I cannot understate that I felt safe and trust in my therapist but I also had my husband to bounce off reality checks outside of therapy.

I had exactly same thing, auditory barriers and some visual barriers too - funny you put it that way for me it was like I cannot remember anything my T-said cause I went away in my mind but weirdly and speaking from experience and memory here, my body stayed in the room. So in essence, I felt my body stayed last time I dissociated as an infant (obviously no cognition then) and same thing this time, so no wonder I suffered both times similar ways BUT the difference this time was, when I woke up, I used my cognition - what also got me through as an adult to heal.
I told my therapist what I was learning but I also told my body until this feeling is in my body, I am not healed. intelligence does not heal body pain, only body relief relieves it for me. So what I can recall must be acknowledged, processed and go back to sub-conscious to become useful and healing. I felt if I only use my intelligence, it is no different where I was before that is how I survived for so long, using the brain to move the body mechanically - too much energy to do that...no wonder I was still dissociating.

I hope I am articulating my experience in a way that makes sense.

I woke up feeling a lot of crazy feelings that I honestly did not know what they were or what to call them. I termed them META FEELINGS. Cause it felt like waking up to 2 years worth of memories in my body that I should not be able to recall. How do you put into words an experience from the body when you are like 6 months and you are picking them consciously in adult form? It is crazy, science fiction talk.

I will just give you an example - one that I dissected well. There are still many many feelings I am going through...I also wrote all feelings in my journal - these are feelings toward the therapist. and they were murderous and treacherous. and I know now these are based on my baby instinct toward my mother who was not giving me love or attention as I wanted and also who abused me. This is my story...not sure how yours may play out.

So this is one experience that I that I digested and took what I needed:
I started to experience a lot of hunger in my transference while in dissociation. It was a weird feeling. I even voiced during therapy that I felt I was fed at the wrong time, like when I was not hungry or beyond hungry. I was not fed appropriately as a child.
the weird thing is, I always had a weird thing about eating - I must eat just in case I may not have time later on. or when there is a long weekend, I would have a little panic that I must buy food cause everything will be closed today - extremely irrational behaviour but never knew where it came from. I made the connection of my feeling in therapy and my actual experience as an adult and realized boom I have touched a real core issue.

Nowadays, I actually stopped eating for tomorrow or for later anymore. and gosh, I have not been happier! I was over eating. BTW, I just want to mention so this is clear, I do not have eating disorder or obesity. I am 5'10 and 150lbs so never had weight issue but had food panicky issues. this is just one I can see clearly how therapy helped me - making why was I always looking for or thinking of lack of food. Where did that come from? Now I know it was a body memory.

Another one quickly, when I feel now falling into dissociation, I find myself fantasizing about those days in the dark during therapy...because I also felt safe - even though also depression. so now when I feel dissociation coming on I know because I would feel like as if I want to be back in therapy and just dissociate and then I acknowledge the craving of that safety and give it to myself as a soothing. As a result, i have not been dissociating unconsciously anymore since few months now but felt it coming just did not give in - because know now - I can see dissociation dripping down. it hides tiredness or extreme need for a nap at the most inopportune moments...probably when I am triggered.

My point is prepare yourself for tsunami, to see the seeds grow as a result.

all the best to you. Also read a book called the Haunted Self. It helped me intellectually to understand. So I was not giving my body as a lamb to my therapist. I ended up almost hurting my therapy with the intensity of rage and hatred that came out from my mother in the therapy room.

Also, have a great person you can trust to keep you here and now outside of therapy.

I would not be able to allow or do this without my supportive husband. there were many times, I could not sleep or was so confused that I would ask my husband what is real and what is not. Also my work and school suffered but I did not even know it during and could only see it in retrospect. I wish I knew what I know now or someone told me but ...I digress. You may have stronger self than me or more experience with therapy in general. All these help.

Prepare yourself. You cannot do dissociation one place and have it not show other areas of your life...until you are out of the fog so to speak. Be good to yourself. All the best in this journey. It is lonely but worth it.

My humble opinion. others may have it differently.
 
My previous T tried hard but struggled to keep me in the room - dissociation for me is quick as in I can’t hear, speak, move or feel in nanoseconds. Sometimes it’s just empty space in time that I’m aware of and others it’s a blank of missing time. I was having flashbacks at the drop of a hat - mostly without remembering the flashback but with an overwhelming physiological response.

My T referred me to a psydoc who is now my primary T. It is early days but her focus is to make me feel safe in the room. Limit disclosure, carefully monitor hyper and hypo arousal, rolls with it if I’m uncomfortable or desperately trying to avoid - because if I’m pushed then I automatically dissociate. She is extremely astute at picking up when I start to dissociate and is also empowering. She asks me to think about what I need in the moment. Very big on not telling me to do anything but offers different ideas. Encourages me to assure myself that I’m safe now. Reminds me that flashbacks are memories. Ugh. That bit sucks because I don’t want them to be true. She stands up for me when I can’t.
 
My current T doesn’t. It’s up to me to bring myself back.

A T I had very briefly encouraged it. Motherf*cker. He’s also one of those “name your parts” and strongly encourages DID diagnoses. :wtf: Kicked that guy to the curb right quick.

One of my fav T’s usually snapped me out of it, was working on my noticing and snapping myself out, and very briefly explored where I go with me.
 
I am not an expert but if I had a magic wand over therapists about how to deal with dissociation, I would say do not ever let your client do free associations. Keep them focused in the here and now! so every time you see them slipping, nudge them back here. This way I think at least for me, I would be able to see how fast I go from yesterday's pain to beautiful today instantly and I could be more motivated.

But I find therapists like complete dissociation or honestly they cannot tell when one is out. For me I was out and still able to talk but have no memory! but if I was being asked pointed, factual and here and now questions, I think I would not suffer so long or struggle so hard.
just my opinion.
PS. Dissociation is a fact. Animals do it and babies do it but for an adult, IMHO< it is equal to having a controlled psychosis.
 
Dissociation totally f'ed up therapy for me for 15 odd years but then it was f ing up my life regardless so its no real surprise. I know it is a symptom of other stuff but it truth I suspect it was a bigger longer existing issue for me than ptsd. All that time I didn't know to question what happened to me. Its not as if I had a time when it started that I remember. It just was. And unfortunately none of those t's seemed to know what was happening or what to do about it. Just as in my outside life I was often seen as purposely obstructive when I just wasn't there in some way or other and didn't know it. At school they tested my hearing apparently. At college they thought I was on drugs. I wasn't. When I did see a trauma therapist for the first time I had started to learn a little about dissociation and started to try to help myself stay present. Tried really hard. Really struggled unfortunately. She did help ground me which is just as well as I otherwise wouldn't have vacated the room for her next client. ;) and probably the next and the next. I have worked extrmely hard on managing dissociation and you really can learn skills that help so hopefully your t will discuss those with you. If you look there is a lot of info on here. Mindfulness helped me too. Another form of "grounding".
 
Last edited:
Mine says -- "Hey Freida, you're dissociating."
And then we work a couple grounding exercises to get me back.

It's really kind of a non event - so you might ask your T what she means when she says "we will address it when it happens"

Yeah see that response would totally freak me out as being dismissive because I don’t understand WHY I dissociate, it happens so quickly that I can’t control it and it pisses me off no end. All I have are flashbacks to go on. Totally get that it is appropriate for you though. I just think it is interesting how we all need different approaches. Thanks for sharing @Freida xxx
 
so you might ask your T what she means when she says "we will address it when it happens"
Yes I definitely intend to. We are going to talk about it next week. She didnt have time this week. I'm just super stressed right now with other things and thought maybe I could get some onsite here. I cant hear when I dissociate so I dont know.
 
Yes I definitely intend to. We are going to talk about it next week. She didnt have time this week. I'm just super stressed right now with other things and thought maybe I could get some onsite here. I cant hear when I dissociate so I dont know.

I know most of us kept saying we cannt hear it during dissociation but actually I think we do but not paying attention or not registering information, feelings and such other stimuli consciously. I only think this way because I did gain a lot of insight during it from my therapist so the question is how did the information got into me then? I think the senses got blunted but active. Hope this makes sense. I am sort of dissociating as I talk about dissociation often.
 
I just recently started dissociating in therapy. How does your T address this? My T said we will have to address it as it happens but did not elaborate. Curious what to expect.

Dissociation for me is that I feel like I'm floating, get tunnel vision and cant process auditory input. I can hear her talking, but it makes no sense.
Whatever reaction you get is normal . You need to communicate the fact. The therapist should be able over time when trust is established talk to your alters and discover who they are why they are there and what stories they have to tell . A lady i supported had 20 they all gradually disappeared . The children were the historians and told me the hosts secrets, fears and past trauma. I encouraged them to talk to each other by creating a diary and leaving notes inviting communication . This helped reduce trauma and conflict . Hope this helped
 
My first few months I was a wreck with dissociation. My T and I just tried out different grounding and DBT emotional regulation techniques until we found what worked. I also tried things outside of therapy. If she notices I'm off or dissociating, she'll make a comment about how I appear or ask if I am dissociating. Then asks what I need. Not a big ordeal or anything, though it can feel like it. Early on because I was dissociating badly every single session, we set up everything ahead of time that helped which was a comfort in itself. I use things like music, ice pack, water, plush toy, stress ball, standing, that find 5 things you see grounding technique, even walking outside. It's routine now so when it happens we just roll with it.

During session my ability to process sound or remember plumets. Still does. I record all my sessions as I can listen to what I missed and I can relax a bit more knowing it's okay if I can't hear.
 
Status
Not open for further replies.

Donation drives

2026 Donation Goal

Goal
$1,800.00
Earned
$910.00
This donation drive ends in
0 hours, 0 minutes, 0 seconds
  50.6%

Trending content

Featured content

Back
Top Bottom