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Dissociative disorders

Perturbationes dissociativae · Disociativní poruchy

What it is

The mind detaches from memory, identity or the body — depersonalisation, memory gaps, rarely separate identities — usually after trauma.

Symptoms & signs

  • Feeling unreal or detached from the body
  • memory gaps
  • the world feeling unreal
  • distinct identity states (rare)
  • functional seizures or paralysis

🚩 Get help if…

  • call 112 / 911 now Thoughts of self-harm or ending your life
  • call 112 / 911 now Found somewhere with no memory of getting there, unsafe
  • see a doctor soon Memory gaps that are growing
  • see a doctor soon Sudden loss of feeling, sight or movement — rule out other causes

Where it strikes

Medical treatment

  • Careful assessment
  • trauma-focused psychotherapy
  • grounding skills
  • treat depression and PTSD

Natural & lifestyle

  • Grounding techniques (senses, breath)
  • regular sleep
  • no cannabis

Emerging & experimental

  • Lamotrigine for depersonalisation (small trials)
  • transcranial stimulation

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Mindfulness and yoga — small studies, for grounding early / small studies
  • Cannabis — worsens depersonalisation not confirmed in trials
  • EMDR — trials in PTSD support it early / small studies

ICD codes