Healing After Trauma

Stopping the Cycle of Pain

How To Identify Severe Dissociative Disorders After Trauma

Tom (not his real name) was stunned. The last he remembered he was at home enjoying a cold Sunday winter morning with his family. And now… well, he found himself at a biker’s bar. Instead of his fashionable trousers and shirt, he was wearing leather chaps and jacket. To his shock, he was holding a cigarette in one hand and a beer in the other. He hated both.

A woman whom he didn’t recognize, called to him, addressing him as John. She wanted to know if he wanted to join everyone for a ride on the bikes to the mountains. Tom did not know how to answer. John, whoever he was, certainly was not him! Tom had no interests in bikes nor had he ever rode one; he liked driving his BMW if he wanted to go into the mountains with wine, not beer, in the trunk. Something was terribly wrong and he was terrified.

Tom’s experience is not uncommon for those who experience severe dissociative disorders- those experiences, which are not induced by use of drugs, that severely disrupt our memory, identity, perceptions and our ability to function in our daily lives.

Dissociation: From Mild to Severe

In a previous article entitled, ” Has Dissociation After a Trauma Left You Feeling Spacey?”, I described how dissociation helps us cope with overwhelming threats. Dissociation- the experience of feeling spacey, having time go in slow motion, or a sense of floating outside of your body- can range from mild to severe. In mild cases, the symptoms are transient; after the threat passes, we return to feeling and acting like ourselves.

Some people, however, live their lives in a dissociated state long after the threatening events, which are usually related to prolonged and severe childhood abuse, have passed. By knowing what to look for to help identify severe dissociation, you can better choose the care you need to recover from severe trauma.

5 Questions To Ask To Help You Identify Severe Dissociation

1. Do you experience severe memory loss?

As in the example above, you cannot remember significant things about yourself. These can include: how you arrived at a strange place, your address or other important identifying information, skills you learned as a child or what season it is.

2. Does your physical body or emotions seem unfamiliar?

When this happens, you may feel invisible to others or as though you are viewing yourself as someone in a strange movie. Your mind can become cloudy so that you lose the ability to respond to danger appropriately.

3. Does your environment and all that is happening around you become unreal?

What should be familiar appears very foreign. Even people who are close to you appear as strangers. Objects appear distorted and may change shape or color.

4. Do you feel as though you are split into several different people?

Rather than having beliefs, goals and ideals that are fairly consistent throughout your adult life, you have ongoing intense daily struggles as to who you are and what you think. At times, you may even wonder if you are male or female.

5. Have others commented about how your personality changes significantly?

Those close to you notice how you will act, think and feel a certain way then shift to another and very different way of looking and acting. You may use different names, change your penmanship dramatically, speak other languages or perform certain tasks even though you don’t remember learning how to do them. John, in the story above, had very different tastes in dress and habits than the family man named Tom.

How Are Dissociative Disorders Diagnosed?

There are several forms of dissociative disorders with the most serious being Dissociative Identity Disorder, formerly known as Multiple Personality Disorder. Completing a special psychological test that is administered by a person trained in psychological testing usually provides a formal diagnosis. One such test is called the “Steinberg Clinical Interview for DSM-IV Dissociative Disorders” or SCID-D. A sample of this test is in an easy-to-read book entitled The Stranger in the Mirror: Dissociation: The Hidden Epidemic by Marlene Steinberg, MD and Maxine Schnall, © 2001 by Harper Collins Publishers. By completing this sample test, you will know if you should pursue formal testing and work with a therapist trained specifically in dissociative disorders.

But Wait…..

I’m afraid, if I talk to someone about these weird symptoms, I will start to think I am crazy, never mind what others will think!

Having things like severe memory loss and confusion about whether you are male or female combined with feeling like you are living in someone else’s body can be alarming, to say the least. Working with a therapist, who is trained in identifying dissociative disorders, can actually be huge relief.

For example, by having a correct diagnosis, you can avoid the ineffectual medical and therapy treatments that come with being mistakenly diagnosed with other conditions such as schizophrenia or bipolar. In addition, a trained therapist will help you see how being able to dissociate saved your life and kept you from actually going crazy!

I saw a therapist who said that there is no such thing as multiple personality disorder and that I was making it all up. Should I believe him?

Fortunately, more therapists are accepting the reality that severe abuse can lead to severe dissociative disorders and they are getting training in how to work with them. While some clients may try to fake the symptoms of dissociative disorders, psychological tests combined with clinical interviews are very good tools for identifying who actually has dissociative identity disorder, formerly known as multiple personality disorder. You can find a list of professionals who know about dissociation through the International Society for the Study of Trauma and Dissociation (http://www.isst-d.org/).

I heard that someone with severe dissociative disorders really couldn’t be healed. It’s something you just have to live with. If that’s the case, why should I even try to find a therapist?

For many years, this was the case; clinicians misdiagnosed individuals and they did not have specialized skills to address the needs of these clients. As we better understand the physiology of what happens in trauma through the work of such people as Dr. Peter Levine, PhD along with how trauma distorts our thinking and emotional development, therapy is much more effective in diminishing the body’s need to dissociate. Length of treatment will depend on how often and to what degree you dissociate.

A Case Study to Illustrate Severe Dissociation

Several years ago, a colleague consulted with me about a client she suspected had a dissociative disorder. At her request, I met with Michael (not his real name) for therapy for several years.

Michael worked for the military in a high security position. He was very bright and earned praise and recognition from his superiors. In my office, however, Michael showed different parts of himself quite different than the hard working computer wiz. Sometimes, he spoke with a little boy’s voice; other times, he talked and took on the body gestures of Mr. Tough Guy who knew how to have a good time at the bars.

Michael was very conscientious about keeping his appointments, until one day when another part of him took him miles away from his home and my office. When he called to let me know where he was, he sounded scared and said he had no idea what route he had taken to get there. While there, he realized that he had made some purchases of furniture for which he had no need. He was quite confused as to what to do next.

I spoke to Michael, asking all of his parts to listen in. I explained that it was important for Michael to arrive safely home and asked that the other parts rest while he drove home. In addition, I asked one of his nurturing parts, who went by the name of Steve, to comfort the younger parts, who could be frightened by this unexpected trip. Steve, in his baritone voice, reassured me he would do this.

Over time, Michael found ways to communicate with his different parts. The parts began to work more as a team; he began to feel safer as different parts took charge at more appropriate times and when they were more willing to consult with each other in making decisions.

Summing It All Up

Dissociative symptoms can range from mild to severe. Formal diagnosis of the exact nature of the dissociation is made through the use of special tests. It is possible to significantly reduce the amount and number of times you dissociate by working with a therapist specially trained in dissociation. Severe dissociative symptoms are most often the result of prolonged and intense childhood abuse. As a result you may experience:

1. Severe memory loss

2. Feeling as though you are a stranger to yourself

3. Having your environment seem unfamiliar

4. Feeling as though you are split into different people

5. Having others close to you comment that you seem to have very different personalities.

Next Step?

If you would like to learn more about the effects of trauma, subscribe below to my newsletter Healing Trauma. In future articles, I will talk about caring for yourself after a traumatic event and how to offer first aid to others who have been traumatized.

~Maggie

Free
Healing After Trauma
Newsletter


Get a FREE report when you subscribe:

Seven Important Steps to Keeping Trauma From Sneaking Up On You

Testimonials

"Blending her experience as a massage therapist with a keen eye for tracking the body and her genuine warmth and empathy, Maggie helped clients resolve their pain. They became more confident that their trauma could be addressed without feeling overwhelmed."

Diane Poole Heller, PhD
Trauma Resolution Specialist and Trainer
Trauma Solutions President



"Out of the depth and breadth of her training, steady presence and commitment, she has knit together a therapeutic process that is a gift to those in her care.” "

Linda Q. Kerr, MS, LMFT
Psychotherapist



"...thank you for your help and work this spring regarding my anxiety over test taking. The work we did allowed me to take the exam Monday and pass with the least amount of anxiety during the test."

N.R.

"Maggie Kerrigan is a loving and sweet human being. She radiates kindness, and can address deep felt need with compassion, insight and gentleness. Her desire to help others is palpable and sincere. I recommend spending time with her when your heart needs to be heard."

Aprylisa Snyder,
BodytalkHealingArts.com, BodyTalk CBP.


"Maggie Kerrigan has a passion and natural talent for Somatic Experiencing as she draws upon her years of bodywork and psychotherapy training. She is compassionate, sensitive, and highly attuned to the nuances of what her clients are communicating emotionally and physically, supporting the reemergence of their bodies underlying wisdom, health, and wholeness."

Sara Swift, M.A.
Somatic Experiencing Practitioner



"Maggie has a gentleness of spirit and love of healing work which comes through powerfully in her practice. Her patience and skill combines with the love and gentleness to offer a real space for healing."

Eva Fajardo LMHC, CAP
Psychotherapist and Teacher



"I respect greatly Maggie's calm, thoughtful, and exploring mind. In the 37 years that I have known her, she has been both centered and adventuresome, and always growing personally and professionally."

Diane Heller
Cornell University l980





"Maggie was a crucial helping presence during a very difficult life passage. Her skill in keeping me in present time, connected to my body, and able to calm down and access my deeper wisdom while I was experiencing a deep loss helped me more than words can convey. And she did this long distance! She gave me her time and gifted presence, working with me over the phone, guiding me back to myself, as if she was right there in the room with me. Maggie is a treasure."

Katryn L.