Zaburzenia dysocjacyjne
Leczenie
Zaburzenia dysocjacyjne charakteryzują się zaburzeniami pamięci, tożsamości, emocji i percepcji, które mogą znacząco zaburzać funkcjonowanie psychiczne pacjenta. Leczenie tych zaburzeń opiera się przede wszystkim na psychoterapii, w tym terapii poznawczo-behawioralnej (CBT), dialektycznej terapii behawioralnej (DBT) oraz terapii EMDR, które pomagają w integracji tożsamości i przetwarzaniu traumatycznych wspomnień. Proces terapeutyczny dzieli się na trzy fazy: stabilizację objawów i poprawę funkcjonowania psychospołecznego, bezpieczne przetwarzanie traumatycznych doświadczeń oraz integrację i rehabilitację. Terapia grupowa i rodzinna, a także techniki uzupełniające, takie jak hipnoterapia, arteterapia i techniki uziemiania, wspierają leczenie. Farmakoterapia nie leczy bezpośrednio dysocjacji, ale stosuje się leki przeciwdepresyjne (w tym SSRI), przeciwlękowe, przeciwpsychotyczne oraz lamotryginę w celu kontroli współwystępujących objawów, np. depresji, lęku i zaburzeń snu.
- Leczenie zaburzeń dysocjacyjnych (Zaburzenia dysocjacyjne)
- Psychoterapia jako podstawa leczenia
- Specjalistyczne podejścia terapeutyczne
- Fazowe podejście do leczenia
- Terapia grupowa i rodzinna
- Techniki uzupełniające
- Farmakoterapia w leczeniu zaburzeń dysocjacyjnych
- Strategie samopomocowe i radzenie sobie z objawami
- Znaczenie kompleksowego podejścia do leczenia
- Skuteczność leczenia zaburzeń dysocjacyjnych
- Znaczenie współpracy i zaangażowania w leczenie
- Podsumowanie leczenia zaburzeń dysocjacyjnych
Leczenie zaburzeń dysocjacyjnych (Zaburzenia dysocjacyjne)
Zaburzenia dysocjacyjne to złożone zaburzenia psychiczne charakteryzujące się problemami z pamięcią, tożsamością, emocjami, percepcją, zachowaniem i poczuciem własnego „ja”. Objawy dysocjacyjne mogą potencjalnie zakłócać każdy obszar funkcjonowania psychicznego. Leczenie tych zaburzeń jest procesem wieloaspektowym, który wymaga specjalistycznej opieki i podejścia dostosowanego do indywidualnych potrzeb pacjenta.12
Chociaż leczenie zaburzeń dysocjacyjnych może być trudne i długotrwałe, wiele osób uczy się nowych sposobów radzenia sobie z objawami, a ich jakość życia ulega znacznej poprawie. Badania pokazują, że pacjenci, którzy otrzymują interwencje terapeutyczne skierowane na ich objawy dysocjacyjne związane z traumą, wykazują lepsze funkcjonowanie i zmniejszenie objawów.34
Psychoterapia jako podstawa leczenia
Psychoterapia stanowi podstawę leczenia zaburzeń dysocjacyjnych. Jest to główna metoda terapeutyczna, która pomaga pacjentom zrozumieć przyczynę ich stanu i rozwinąć nowe sposoby radzenia sobie ze stresującymi sytuacjami.56
Głównym celem psychoterapii w leczeniu zaburzeń dysocjacyjnych jest pomoc pacjentom w uzyskaniu kontroli nad procesem dysocjacyjnym i objawami. Terapeuci dążą do integracji różnych elementów tożsamości oraz pomocy w bezpiecznym przypominaniu i przetwarzaniu bolesnych wspomnień.78
Terapia może być trudna i bolesna, ponieważ wiąże się z przypominaniem i uczeniem się radzenia sobie z przeszłymi traumami. Jednak w dłuższej perspektywie może znacznie złagodzić objawy i poprawić funkcjonowanie pacjenta.9
Specjalistyczne podejścia terapeutyczne
W leczeniu zaburzeń dysocjacyjnych stosuje się różne metody psychoterapeutyczne. Najczęściej wykorzystywane to:1011
- Terapia poznawczo-behawioralna (CBT) – jest to ustrukturyzowany, zorientowany na cel rodzaj psychoterapii. Terapeuta pomaga pacjentowi przyjrzeć się bliżej swoim myślom i emocjom. Poprzez CBT pacjent może oduczyć się negatywnych myśli i zachowań oraz nauczyć się zdrowszych wzorców myślenia i nawyków.1213
- Dialektyczna terapia behawioralna (DBT) – jest specjalnie dostosowana dla osób, które przeżywają emocje bardzo intensywnie. Głównym celem jest znalezienie równowagi między walidacją (akceptacją) tego, kim jesteś i twoich wyzwań, a korzyściami płynącymi ze zmiany. Terapeuta pomoże nauczyć się nowych umiejętności poprawiających regulację emocji.1415
- Terapia EMDR (Eye Movement Desensitization and Reprocessing) – obejmuje poruszanie oczami w określony sposób podczas przetwarzania traumatycznych wspomnień. Celem EMDR jest pomoc w wyleczeniu się z traumy lub innych stresujących doświadczeń życiowych. W porównaniu z innymi metodami terapii, EMDR jest stosunkowo nową metodą.1617
Fazowe podejście do leczenia
Eksperci w dziedzinie zaburzeń dysocjacyjnych zalecają starannie zaplanowane, wieloetapowe podejście do leczenia. Proces terapeutyczny można podzielić na trzy fazy:1819
Pierwsza faza koncentruje się na zapewnieniu bezpieczeństwa, zwiększeniu kontroli nad objawami i poprawie funkcjonowania psychospołecznego. Główne cele tej fazy to:2021
- Stabilizacja objawów dysocjacyjnych i PTSD
- Zapewnienie bezpieczeństwa od zachowań samobójczych i autodestrukcyjnych
- Rozwój umiejętności radzenia sobie ze stresem
- Nauka technik uziemiania (grounding)
- Poprawa regulacji emocjonalnej
Druga faza skupia się na pracy z traumatycznymi wspomnieniami. Celem jest pomoc pacjentowi w bezpiecznym przypominaniu i przetwarzaniu traumatycznych doświadczeń. W tej fazie często stosuje się techniki ekspozycyjne, które stopniowo desensytyzują pacjenta na traumatyczne wspomnienia.2223
Trzecia faza koncentruje się na integracji i rehabilitacji. Objawy dysocjacyjne i PTSD są zazwyczaj znacznie złagodzone, a pacjent może doświadczyć subiektywnej fuzji niektórych lub wszystkich stanów self, z całkowitym połączeniem cech tych subiektywnych tożsamości. To uwalnia energię na koncentrację na lepszym życiu w teraźniejszości.2425
Terapia grupowa i rodzinna
Terapia grupowa może być pomocna w stabilizacji pacjentów z zaburzeniami dysocjacyjnymi, jeśli uczestniczą oni w grupie dedykowanej pacjentom z tą diagnozą, a grupa jest prowadzona przez specjalistów posiadających wiedzę na temat leczenia zaburzeń dysocjacyjnych.2627
Terapia rodzinna, zwykle z małżonkiem pacjenta lub bliską osobą, może być pomocna w edukacji i wspieraniu zarówno pacjenta, jak i rodziny podczas często długiego i trudnego leczenia. Zaangażowanie rodziny w proces terapeutyczny może pomóc w zrozumieniu zaburzenia, poprawie komunikacji i budowaniu zaufania.2829
Techniki uzupełniające
Oprócz głównych form psychoterapii, w leczeniu zaburzeń dysocjacyjnych stosuje się również techniki uzupełniające, które mogą wspierać proces terapeutyczny:3031
- Hipnoterapia – może być pomocna w stabilizacji objawów dysocjacyjnych i PTSD. Jednakże hipnoterapia może być stosowana tylko wtedy, gdy terapeuta posiada certyfikat w zakresie hipnozy i specjalistyczne przeszkolenie w jej stosowaniu w zaburzeniach dysocjacyjnych i innych zaburzeniach pourazowych.3233
- Arteterapia – terapia wykorzystująca twórczy proces artystyczny może pomóc osobom, które mają trudności z wyrażaniem swoich myśli i uczuć. Terapia przez sztukę może pomóc zwiększyć samoświadomość, radzić sobie z objawami i traumatycznymi doświadczeniami oraz sprzyjać pozytywnym zmianom.3435
- Techniki uziemiania (grounding) – pomagają pacjentowi oderwać się od bólu emocjonalnego, odzyskać koncentrację od intensywnych doznań emocjonalnych i pozostać zakotwiczonym w teraźniejszości.3637
Farmakoterapia w leczeniu zaburzeń dysocjacyjnych
Obecnie nie ma leków, które bezpośrednio leczą zaburzenia dysocjacyjne. Jednak lekarz może przepisać leki przeciwdepresyjne, przeciwlękowe lub przeciwpsychotyczne, które pomagają kontrolować objawy zdrowia psychicznego związane z zaburzeniami dysocjacyjnymi.3839
Leki są stosowane głównie w leczeniu współwystępujących objawów i chorób, takich jak depresja, lęk i zaburzenia snu, ale nie leczą bezpośrednio dysocjacji.4041
Badania pokazują, że kombinacja selektywnych inhibitorów wychwytu zwrotnego serotoniny (SSRI), specyficznego rodzaju leków przeciwdepresyjnych, i lamotryginy, leku przeciwdrgawkowego i stabilizatora nastroju, jest skutecznym leczeniem zaburzeń dysocjacyjnych, szczególnie zaburzenia depersonalizacji-derealizacji.42
Atypowe leki przeciwpsychotyczne, które blokują zarówno receptory dopaminy (D2), jak i serotoniny (5-HT2A), mogą być przydatne w leczeniu złożonych przypadków traumy z cechami psychotycznymi, chociaż należy zachować ostrożność, aby odróżnić halucynacje słuchowe, które pochodzą z zewnętrznego locus, od głosów wewnętrznych.43
Strategie samopomocowe i radzenie sobie z objawami
Oprócz profesjonalnego leczenia, pacjenci z zaburzeniami dysocjacyjnymi mogą nauczyć się zarządzać swoimi objawami poprzez samopomoc i strategie radzenia sobie:4445
- Nauka rozpoznawania wyzwalaczy dysocjacji i unikanie ich lub przygotowanie się na nie
- Stosowanie technik uziemiania, aby pozostać zakotwiczonym w teraźniejszości
- Praktykowanie technik relaksacyjnych i mindfulness
- Dbanie o odpowiednią ilość snu, ponieważ niewystarczający sen może nasilać objawy
- Utrzymywanie zdrowego stylu życia, w tym regularnej aktywności fizycznej i zdrowej diety
- Budowanie sieci wsparcia społecznego
Znaczenie kompleksowego podejścia do leczenia
Skuteczne leczenie zaburzeń dysocjacyjnych wymaga kompleksowego, długoterminowego podejścia, które nie tylko zajmuje się objawami powierzchniowymi, ale również pracuje nad leżącą u ich podstaw traumą. Głównym celem leczenia jest pomoc osobom w odbudowaniu jednolitego poczucia tożsamości, budowaniu odporności emocjonalnej i przyjęciu zdrowszych mechanizmów radzenia sobie.4647
Spersonalizowane plany leczenia często integrują terapię, zmiany stylu życia, leki i silne sieci wsparcia, aby promować trwałe uzdrowienie i stabilność. Ważne jest, aby leczenie było dostosowane do indywidualnych potrzeb, celów i tempa pacjenta.48
Z cierpliwością, konsekwentnym leczeniem i wspierającym środowiskiem, osoby z zaburzeniami dysocjacyjnymi mogą poczynić znaczące postępy w leczeniu i odzyskać bardziej zintegrowane poczucie siebie.49
Skuteczność leczenia zaburzeń dysocjacyjnych
Chociaż leczenie zaburzeń dysocjacyjnych może być długotrwałe i wymagające, badania pokazują, że odpowiednie interwencje terapeutyczne mogą przynieść znaczącą poprawę stanu pacjentów. Przy właściwym leczeniu wiele osób z powodzeniem rozwiązuje główne objawy zaburzenia dysocjacyjnego i poprawia swoją zdolność do funkcjonowania i prowadzenia produktywnego, satysfakcjonującego życia.5051
Według prowadzonych badań, leczenie zaburzeń dysocjacyjnych wiąże się z poprawą objawów dysocjacji, depresji, ogólnego dystresu, lęku i PTSD, a także zmniejszeniem stosowania leków oraz poprawą funkcjonowania w pracy i życiu społecznym.52
Warto podkreślić, że skuteczność leczenia zależy od wielu czynników, w tym od:5354
- Nasilenia objawów i ich wpływu na funkcjonowanie
- Czasu trwania zaburzenia
- Współwystępowania innych zaburzeń psychicznych
- Jakości relacji terapeutycznej
- Zaangażowania pacjenta w proces terapeutyczny
- Dostępności wsparcia społecznego
Wyzwania w leczeniu zaburzeń dysocjacyjnych
Leczenie zaburzeń dysocjacyjnych wiąże się z pewnymi wyzwaniami, które mogą wpływać na jego przebieg i skuteczność:5556
- Długotrwałość leczenia – terapia może trwać kilka lat, co wymaga cierpliwości i zaangażowania zarówno pacjenta, jak i terapeuty
- Złożoność objawów – zaburzenia dysocjacyjne często współwystępują z innymi zaburzeniami psychicznymi, co komplikuje proces diagnostyczny i terapeutyczny
- Trudności w nawiązaniu relacji terapeutycznej – pacjenci z zaburzeniami dysocjacyjnymi mogą mieć problemy z zaufaniem, co utrudnia budowanie relacji terapeutycznej
- Ryzyko retraumatyzacji – praca z traumatycznymi wspomnieniami niesie ryzyko ponownego przeżywania traumy
- Opór przed integracją – niektórzy pacjenci mogą być niechętni do integracji różnych aspektów swojej tożsamości
Pomimo tych wyzwań, z odpowiednim wsparciem terapeutycznym i czasem, wiele osób z zaburzeniami dysocjacyjnymi może osiągnąć znaczącą poprawę w zakresie objawów i funkcjonowania.5758
Znaczenie współpracy i zaangażowania w leczenie
Skuteczne leczenie zaburzeń dysocjacyjnych wymaga aktywnego zaangażowania i współpracy pacjenta w proces terapeutyczny. Pacjenci, którzy są zmotywowani do pracy nad swoimi objawami i gotowi do konfrontacji z trudnymi emocjami i wspomnieniami, mają większe szanse na poprawę.5960
Ważne jest również, aby pacjenci rozumieli, że leczenie zaburzeń dysocjacyjnych jest procesem, który wymaga czasu i cierpliwości. Poprawa może następować stopniowo, a w trakcie terapii mogą pojawić się chwilowe pogorszenia objawów, szczególnie w momencie konfrontacji z traumatycznymi wspomnieniami.61
Wsparcie rodziny i bliskich osób może być również istotnym czynnikiem wpływającym na skuteczność leczenia. Edukacja rodziny na temat zaburzeń dysocjacyjnych, ich przyczyn i przebiegu, może pomóc w budowaniu systemu wsparcia dla pacjenta.6263
Podsumowanie leczenia zaburzeń dysocjacyjnych
Leczenie zaburzeń dysocjacyjnych jest procesem złożonym i wieloaspektowym, który wymaga specjalistycznej wiedzy i doświadczenia ze strony terapeutów. Psychoterapia stanowi podstawę leczenia, a różne podejścia terapeutyczne, takie jak terapia poznawczo-behawioralna, dialektyczna terapia behawioralna i terapia EMDR, mogą być skuteczne w zależności od indywidualnych potrzeb pacjenta.6465
Chociaż nie istnieją leki specyficzne dla zaburzeń dysocjacyjnych, farmakoterapia może być pomocna w leczeniu współwystępujących objawów, takich jak depresja, lęk czy zaburzenia snu.6667
Znaczącą rolę w procesie leczenia odgrywają również techniki uzupełniające, takie jak hipnoterapia, arteterapia czy techniki uziemiania, które mogą wspierać pacjenta w radzeniu sobie z objawami dysocjacyjnymi.6869
Pomimo wyzwań związanych z leczeniem zaburzeń dysocjacyjnych, przy odpowiednim podejściu terapeutycznym, zaangażowaniu pacjenta i wsparciu ze strony bliskich, możliwe jest osiągnięcie znaczącej poprawy objawów i jakości życia. Wiele osób z zaburzeniami dysocjacyjnymi, po odpowiednim leczeniu, jest w stanie prowadzić satysfakcjonujące i produktywne życie.7071
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Materiały źródłowe
- #1 Psychiatry.org – What Are Dissociative Disorders?https://www.psychiatry.org/patients-families/dissociative-disorders/what-are-dissociative-disorders
Dissociative disorders involve problems with memory, identity, emotion, perception, behavior and sense of self. Dissociative symptoms can potentially disrupt every area of mental functioning. […] With appropriate treatment, many people are successful in addressing the major symptoms of dissociative identity disorder and improving their ability to function and live a productive, fulfilling life. […] Treatment typically involves psychotherapy. Therapy can help people gain control over the dissociative process and symptoms. The goal of therapy is to help integrate the different elements of identity. Therapy may be intense and difficult as it involves remembering and coping with past traumatic experiences. Cognitive behavioral therapy and dialectical behavioral therapy are two commonly used types of therapy. Hypnosis has also been found to be helpful in treatment of dissociative identity disorder. […] There are no medications to directly treat the symptoms of dissociative identity disorder. However, medication may be helpful in treating related conditions or symptoms, such as using antidepressants to treat symptoms of depression.
- #2 Dissociative disorders – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dissociative-disorders/symptoms-causes/syc-20355215
Dissociative disorders usually arise as a reaction to shocking, distressing or painful events and help push away difficult memories. […] Treatment for dissociative disorders may include talk therapy, also called psychotherapy, and medicine. Treating dissociative disorders can be difficult, but many people learn new ways of coping and their lives get better. […] If you or your child was abused or went through another shocking, distressing or painful event, see a doctor or other health care professional right away. Your doctor can refer you to a mental health professional who can help you or your child recover and learn healthy coping skills. Or you may be able to contact mental health services directly.
- #3 Dissociative disorders – Symptoms and causes – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dissociative-disorders/symptoms-causes/syc-20355215
Dissociative disorders usually arise as a reaction to shocking, distressing or painful events and help push away difficult memories. […] Treatment for dissociative disorders may include talk therapy, also called psychotherapy, and medicine. Treating dissociative disorders can be difficult, but many people learn new ways of coping and their lives get better. […] If you or your child was abused or went through another shocking, distressing or painful event, see a doctor or other health care professional right away. Your doctor can refer you to a mental health professional who can help you or your child recover and learn healthy coping skills. Or you may be able to contact mental health services directly.
- #4 Psychotherapy and Pharmacotherapy for Patients with Dissociative Identity Disorderhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3615506/
There is a wide variety of what have been called dissociative disorders, including dissociative amnesia, dissociative fugue, depersonalization disorder, dissociative identity disorder, and forms of dissociative disorder not otherwise specified. […] This paper reviews clinical, phenomenological, and epidemiological data regarding diagnosis in general, and illustrates possible treatment interventions for dissociative identity disorder, with a focus on psychotherapy interventions and a review of current psychopharmacology recommendations as part of a comprehensive multidisciplinary treatment plan. […] Patients who receive treatment interventions that address their trauma-based dissociative symptoms show improved functioning and reduced symptoms. […] The treatment plan designed for patients with dissociative disorders (DD) is vital since this patient population is a financial burden as utilizers of the highest number of psychotherapy sessions compared to those with all other psychiatric disorders. […] A report of 36 international DD experts advised a carefully staged multilateral treatment structure. The first stage emphasized emotion regulation, impulse control, interpersonal effectiveness, grounding, and containment of intrusive material. In the second stage of treatment, the experts recommended the use of exposure/abreaction techniques (though modified to avoid overwhelming the patients) balanced with core interventions. The last stage of treatment was less specific and individualized according to the patients symptoms and specific needs.
- #5 Dissociative disorders – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dissociative-disorders/diagnosis-treatment/drc-20355221
Dissociative disorders treatment may vary based on the type of disorder you have. Generally, treatment includes talk therapy and medicine. […] Also called psychotherapy, talk therapy is the main treatment for dissociative disorders. This form of therapy involves talking about your disorder and related issues with a mental health professional. […] Your therapist works with you to help you understand the cause of your condition. Your therapist also can help you develop new ways of coping with stressful situations. […] Although there are no medicines that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medicines or antipsychotic medicines. These may help with mental health symptoms that are part of dissociative disorders.
- #6 Dissociation and dissociative disorders | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/dissociation-and-dissociative-disorders
Treatment for dissociative disorders may vary based on the type of disorder you have and your individual needs, but generally include psychotherapy and medication. Treatment must occur in a safe and relaxed environment. […] Psychotherapy also known as talk therapy or counselling, which is usually needed for the long term. Examples include cognitive therapy and psychoanalysis. […] Medication Although there are no medications that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medications or antipsychotic medications to help control the mental health symptoms associated with dissociative disorders.
- #7 Psychiatry.org – What Are Dissociative Disorders?https://www.psychiatry.org/patients-families/dissociative-disorders/what-are-dissociative-disorders
Dissociative disorders involve problems with memory, identity, emotion, perception, behavior and sense of self. Dissociative symptoms can potentially disrupt every area of mental functioning. […] With appropriate treatment, many people are successful in addressing the major symptoms of dissociative identity disorder and improving their ability to function and live a productive, fulfilling life. […] Treatment typically involves psychotherapy. Therapy can help people gain control over the dissociative process and symptoms. The goal of therapy is to help integrate the different elements of identity. Therapy may be intense and difficult as it involves remembering and coping with past traumatic experiences. Cognitive behavioral therapy and dialectical behavioral therapy are two commonly used types of therapy. Hypnosis has also been found to be helpful in treatment of dissociative identity disorder. […] There are no medications to directly treat the symptoms of dissociative identity disorder. However, medication may be helpful in treating related conditions or symptoms, such as using antidepressants to treat symptoms of depression.
- #8 Psychological Interventions for Dissociative disordershttps://pmc.ncbi.nlm.nih.gov/articles/PMC7001344/
Psychotherapy is the cornerstone of treatment for dissociative disorders and hence choosing the right therapist is of paramount importance. […] The aim of therapy should be immediate alleviation of symptoms as the patients ego state is not available for any other exploration. […] For chronic cases, exploratory insight oriented therapy is suggested. […] The goal of therapy is to reduce dissociation and integrate the functioning of the mind. […] Therapy in the outpatient setting is vulnerable to disruption due to external factors like influence of family or significant others and stressors in the social context, in the acute stage or imminent threat of harm to self or others. […] The role of traditional group therapy in the treatment of dissociative disorders is limited. […] Psychoeducation is an inevitable aspect in the management of dissociative disorder.
- #9 Dissociative Identity Disorder (Multiple Personality Disorder): Signs, Symptoms, Treatmenthttps://www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personality-disorder
Treatment for DID is available. […] Though there’s no cure for dissociative identity disorder, long-term treatment can be helpful if the patient stays committed. Effective treatment includes: Psychotherapy: Also called talk therapy, this is designed to help you work through your DID triggers. The goal is to help fuse your separate personality traits into one consolidated personality who can control your triggers. This therapy often includes participation of your family members. […] Cognitive behavioral therapy (CBT). This is a structured, goal-oriented type of psychotherapy. CBT helps you unlearn negative thoughts and behaviors and adopt healthier thinking patterns and habits. […] Dialectical behavior therapy (DBT). This works well if you experience emotions intensely. The goal is a balance between validation (acceptance) of who you are, your challenges, and the benefits of change. Your therapist will help you learn skills for emotion regulation.
- #10 Dissociative Disorders: Causes, Symptoms, Types & Treatmenthttps://my.clevelandclinic.org/health/diseases/17749-dissociative-disorders
Treatment of dissociative disorders usually consists of psychotherapy (talk therapy) to help you gain control over the dissociative process and symptoms. […] Psychotherapy takes place with a trained, licensed mental health professional, such as a psychologist or psychiatrist. It can provide support, education and guidance to you and/or your family to help you function better and increase your well-being. […] Specific types of psychotherapy commonly used for dissociative disorders include: Cognitive behavioral therapy (CBT): This is a structured, goal-oriented type of psychotherapy. Your therapist or psychologist helps you take a close look at your thoughts and emotions. Through CBT, you can unlearn negative thoughts and behaviors and learn to adopt healthier thinking patterns and habits.
- #11 Dissociative Disorders – National Alliance on Mental Illness of New York City , Inc.https://naminycmetro.org/diagnoses-mental-health/dissociative-disorders/
Different psychotherapies are used to treat dissociative episodes to decrease symptom frequency and improve coping strategies for the experience of dissociation. Some of the more common therapies include: […] Cognitive behavioral therapy (CBT) helps change the negative thinking and behavior associated with depression. The goal of this therapy is to recognize negative thoughts and to teach coping strategies. […] Dialectical behavioral therapy (DBT) focuses on teaching coping skills to combat destructive urges, regulate emotions and improve relationships while adding validation. Involving individual and group work, DBT encourages practicing mindfulness techniques such as meditation, regulated breathing and self-soothing. […] Eye movement desensitization and reprocessing (EMDR) is designed to alleviate the distress associated with traumatic memories. It combines the CBT techniques of re-learning thought patterns with visual stimulation exercises to access traumatic memories and replace the associated negative beliefs with positive ones.
- #12 Dissociative Disorders: Causes, Symptoms, Types & Treatmenthttps://my.clevelandclinic.org/health/diseases/17749-dissociative-disorders
Treatment of dissociative disorders usually consists of psychotherapy (talk therapy) to help you gain control over the dissociative process and symptoms. […] Psychotherapy takes place with a trained, licensed mental health professional, such as a psychologist or psychiatrist. It can provide support, education and guidance to you and/or your family to help you function better and increase your well-being. […] Specific types of psychotherapy commonly used for dissociative disorders include: Cognitive behavioral therapy (CBT): This is a structured, goal-oriented type of psychotherapy. Your therapist or psychologist helps you take a close look at your thoughts and emotions. Through CBT, you can unlearn negative thoughts and behaviors and learn to adopt healthier thinking patterns and habits.
- #13 Dissociative Identity Disorder (Multiple Personality Disorder): Signs, Symptoms, Treatmenthttps://www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personality-disorder
Treatment for DID is available. […] Though there’s no cure for dissociative identity disorder, long-term treatment can be helpful if the patient stays committed. Effective treatment includes: Psychotherapy: Also called talk therapy, this is designed to help you work through your DID triggers. The goal is to help fuse your separate personality traits into one consolidated personality who can control your triggers. This therapy often includes participation of your family members. […] Cognitive behavioral therapy (CBT). This is a structured, goal-oriented type of psychotherapy. CBT helps you unlearn negative thoughts and behaviors and adopt healthier thinking patterns and habits. […] Dialectical behavior therapy (DBT). This works well if you experience emotions intensely. The goal is a balance between validation (acceptance) of who you are, your challenges, and the benefits of change. Your therapist will help you learn skills for emotion regulation.
- #14 Dissociative Disorders: Causes, Symptoms, Types & Treatmenthttps://my.clevelandclinic.org/health/diseases/17749-dissociative-disorders
Dialectical behavior therapy (DBT): DBT is specially adapted for people who experience emotions very intensely. The main goal is to strike a balance between validation (acceptance) of who you are and your challenges and the benefits of change. Your therapist will help you learn new skills to improve emotion regulation. […] Therapy can be difficult, as it involves remembering and learning to deal with past trauma. But it can significantly help your symptoms in the long term. […] Other therapies that can help include: Hypnosis: Hypnosis (hypnotherapy) is a state of deep relaxation and focused concentration. When you’re under hypnosis, this intense level of concentration and focus allows you to ignore ordinary distractions and be more open to guided suggestions to make changes to improve your health.
- #15 Dissociative Disorders – National Alliance on Mental Illness of New York City , Inc.https://naminycmetro.org/diagnoses-mental-health/dissociative-disorders/
Different psychotherapies are used to treat dissociative episodes to decrease symptom frequency and improve coping strategies for the experience of dissociation. Some of the more common therapies include: […] Cognitive behavioral therapy (CBT) helps change the negative thinking and behavior associated with depression. The goal of this therapy is to recognize negative thoughts and to teach coping strategies. […] Dialectical behavioral therapy (DBT) focuses on teaching coping skills to combat destructive urges, regulate emotions and improve relationships while adding validation. Involving individual and group work, DBT encourages practicing mindfulness techniques such as meditation, regulated breathing and self-soothing. […] Eye movement desensitization and reprocessing (EMDR) is designed to alleviate the distress associated with traumatic memories. It combines the CBT techniques of re-learning thought patterns with visual stimulation exercises to access traumatic memories and replace the associated negative beliefs with positive ones.
- #16 Dissociative Disorders: Causes, Symptoms, Types & Treatmenthttps://my.clevelandclinic.org/health/diseases/17749-dissociative-disorders
EMDR therapy: Eye movement desensitization and reprocessing (EMDR) therapy involves moving your eyes a specific way while you process traumatic memories. EMDR’s goal is to help you heal from trauma or other distressing life experiences. Compared to other therapy methods, EMDR is relatively new. […] No specific medications treat dissociative disorders. But your provider may recommend certain medications, such as antidepressants, to treat co-occurring mental health conditions.
- #17 Psychological Interventions for Dissociative disordershttps://pmc.ncbi.nlm.nih.gov/articles/PMC7001344/
Eye Movement Desensitization and Reprocessing is a form of psychotherapy that helps people address and process traumatic life experiences and systematically facilitate adaptive responses to the conflicts created. […] Once the patient has stabilized and the therapist based on her/his judgment of the patient’s ego strength may want to attempt CBT or other cognitively oriented therapies.
- #18 Psychotherapy and Pharmacotherapy for Patients with Dissociative Identity Disorderhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3615506/
There is a wide variety of what have been called dissociative disorders, including dissociative amnesia, dissociative fugue, depersonalization disorder, dissociative identity disorder, and forms of dissociative disorder not otherwise specified. […] This paper reviews clinical, phenomenological, and epidemiological data regarding diagnosis in general, and illustrates possible treatment interventions for dissociative identity disorder, with a focus on psychotherapy interventions and a review of current psychopharmacology recommendations as part of a comprehensive multidisciplinary treatment plan. […] Patients who receive treatment interventions that address their trauma-based dissociative symptoms show improved functioning and reduced symptoms. […] The treatment plan designed for patients with dissociative disorders (DD) is vital since this patient population is a financial burden as utilizers of the highest number of psychotherapy sessions compared to those with all other psychiatric disorders. […] A report of 36 international DD experts advised a carefully staged multilateral treatment structure. The first stage emphasized emotion regulation, impulse control, interpersonal effectiveness, grounding, and containment of intrusive material. In the second stage of treatment, the experts recommended the use of exposure/abreaction techniques (though modified to avoid overwhelming the patients) balanced with core interventions. The last stage of treatment was less specific and individualized according to the patients symptoms and specific needs.
- #19 Group treatment for complex dissociative disorders: a randomized clinical trial | BMC Psychiatry | Full Texthttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-022-03970-8
The guidelines recommend a phased-based approach, with three stages. The first stabilization phase is focused on establishing safety, increasing control over symptoms, and improving psychosocial functioning. […] Skills training is recommended as an essential part of this treatment-phase, to facilitate the patients ability to increase safety, regulate emotions, tolerate distress, and improve interpersonal functioning. […] Although individual therapy is recommended as the primary treatment modality, the guidelines recommend group treatment as a valuable adjunct treatment to facilitate skills training and counter a sense of isolation. […] The experimental treatment studied consisted of twenty 90-minutes sessions of psychoeducational group therapy, offered adjunct to the participants conventional individual treatment.
- #20 Group treatment for complex dissociative disorders: a randomized clinical trial | BMC Psychiatry | Full Texthttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-022-03970-8
The guidelines recommend a phased-based approach, with three stages. The first stabilization phase is focused on establishing safety, increasing control over symptoms, and improving psychosocial functioning. […] Skills training is recommended as an essential part of this treatment-phase, to facilitate the patients ability to increase safety, regulate emotions, tolerate distress, and improve interpersonal functioning. […] Although individual therapy is recommended as the primary treatment modality, the guidelines recommend group treatment as a valuable adjunct treatment to facilitate skills training and counter a sense of isolation. […] The experimental treatment studied consisted of twenty 90-minutes sessions of psychoeducational group therapy, offered adjunct to the participants conventional individual treatment.
- #21 Dissociative Identity Disorder (DID) | Knowledge Center | Sheppard Pratthttps://www.sheppardpratt.org/knowledge-center/condition/dissociative-identity-disorder-did/
DID is a treatable disorder once it is properly diagnosed. Clinicians who understand DID symptoms can diagnose DID in the clinical interview. There are also paper and pencil tests that can help clinicians diagnose DID and other dissociative disorders. […] Studies show that DID symptoms improve over time when treated using Phasic Trauma Treatment. […] Phasic trauma treatment is a psychotherapeutic treatment that has three phases: Safety and stability, Work on traumatic memories, Re-integration into life. […] In DID treatment, working directly with the DID identities is crucial to diminish symptoms and to maximize the resilience found in most people with DID. The first phase, safety and stability, is the most important. During this phase, individuals learn how to stabilize symptoms of DID and PTSD, using a variety of psychotherapeutic techniques and sometimes adjunctive/add-on medications.
- #22 Dissociative Identity Disorder (DID) | Knowledge Center | Sheppard Pratthttps://www.sheppardpratt.org/knowledge-center/condition/dissociative-identity-disorder-did/
It is critical for the individual with DID to develop safety from suicidal and self-destructive behaviors, substance abuse, eating disorders, high risk behaviors, unsafe people, and other dangerous behaviors and situations. […] Without development of safety, DID treatment will not progress. […] Not all individuals with DID wish to address his/her traumatic experiences in depth. However, if the individual with DID agrees, and has achieved safety and stability, Phase 2 is focused more on carefully and slowly recalling the life history which is often experienced as PTSD flashbacks. […] In Phase 3, the individuals DID and PTSD symptoms have usually substantially moderated, and the individual with DID may even experience subjective fusion of some or all self states, with complete merging of the characteristics of these subjective identities. This frees up energy for a focus on living better in the present.
- #23 Dissociative Identity Disorder – Psychiatric Disorders – Merck Manual Professional Editionhttps://www.merckmanuals.com/professional/psychiatric-disorders/dissociative-disorders/dissociative-identity-disorder
Hypnosis may help with accessing the identities, facilitating communication among them, and stabilizing and interpreting them. […] Modified exposure techniques can be used to gradually desensitize patients to traumatic memories, which are sometimes tolerated only in small fragments. […] As the reasons for dissociations are addressed and worked through, therapy can move toward reconnecting, integrating, and rehabilitating the patients alternate selves, relationships, and social functioning. […] Discussing these understandable feelings is an important component of effective psychotherapy.
- #24 Dissociative Identity Disorder (DID) | Knowledge Center | Sheppard Pratthttps://www.sheppardpratt.org/knowledge-center/condition/dissociative-identity-disorder-did/
It is critical for the individual with DID to develop safety from suicidal and self-destructive behaviors, substance abuse, eating disorders, high risk behaviors, unsafe people, and other dangerous behaviors and situations. […] Without development of safety, DID treatment will not progress. […] Not all individuals with DID wish to address his/her traumatic experiences in depth. However, if the individual with DID agrees, and has achieved safety and stability, Phase 2 is focused more on carefully and slowly recalling the life history which is often experienced as PTSD flashbacks. […] In Phase 3, the individuals DID and PTSD symptoms have usually substantially moderated, and the individual with DID may even experience subjective fusion of some or all self states, with complete merging of the characteristics of these subjective identities. This frees up energy for a focus on living better in the present.
- #25 Dissociative Disorder Treatment Beverly Hills – Bridges to Recoveryhttps://www.bridgestorecovery.com/dissociative-disorders/
Eye Movement Desensitization Therapy, or EMDT, is another unique therapy that is focused on trauma. It involves moving the eyes back and forth, guided by the therapist, while facing traumatic memories and feelings. How it works is not well understood, but something about the eye movement stimulates the brain and helps an individual process trauma and move past it. […] Treatment for dissociative disorders can take time, several weeks at least. For some people it can take much longer to restore memories or to eliminate additional identities. The process can be slow, and patience and commitment are required. For those patients who do stick with treatment, the outlook is largely positive. Therapy can help individuals learn to prevent dissociative episodes, use better coping mechanisms, and most importantly face trauma head on and learn to deal with it in a healthful way that reduces stress and restores normal functioning.
- #26 Dissociative Identity Disorder (DID) | Knowledge Center | Sheppard Pratthttps://www.sheppardpratt.org/knowledge-center/condition/dissociative-identity-disorder-did/
Hypnotherapy can be helpful in stabilizing DID and PTSD symptoms. However, hypnotherapy can only be used if the therapist has received certification in using hypnosis and has specialized training in its use in DID and other posttraumatic disorders. […] Medications are adjunctive (add-on) treatments in DID treatment and do not directly affect the basic symptoms of DID. […] Other forms of psychotherapy such as dialectical behavioral therapy (DBT) and cognitive behavioral therapy (CBT) that is focused on trauma-related cognitive distortions can be helpful as adjunctive/add-on to the phasic psychotherapy for DID. […] EMDR can significantly worsen the symptoms of DID, especially if used before the DID patient is stabilized in treatment. […] Group therapy can be helpful for the stabilization of individuals with DID if they are in a group dedicated to patients with this diagnosis, and the group is facilitated by practitioners that are knowledgeable about DID treatment.
- #27 Group treatment for complex dissociative disorders: a randomized clinical trial | BMC Psychiatry | Full Texthttps://bmcpsychiatry.biomedcentral.com/articles/10.1186/s12888-022-03970-8
The guidelines recommend a phased-based approach, with three stages. The first stabilization phase is focused on establishing safety, increasing control over symptoms, and improving psychosocial functioning. […] Skills training is recommended as an essential part of this treatment-phase, to facilitate the patients ability to increase safety, regulate emotions, tolerate distress, and improve interpersonal functioning. […] Although individual therapy is recommended as the primary treatment modality, the guidelines recommend group treatment as a valuable adjunct treatment to facilitate skills training and counter a sense of isolation. […] The experimental treatment studied consisted of twenty 90-minutes sessions of psychoeducational group therapy, offered adjunct to the participants conventional individual treatment.
- #28 Dissociative Identity Disorder (DID) | Knowledge Center | Sheppard Pratthttps://www.sheppardpratt.org/knowledge-center/condition/dissociative-identity-disorder-did/
Family treatment, usually with the patients spouse, or significant other can be helpful, for education and to help support both the patient and the family during an often long and difficult treatment. […] Adjunctive/add-on rehabilitation therapies like art therapy and occupational therapy can be helpful if the therapist has training in the use of these modalities in the treatment of complex posttraumatic disorders like DID.
- #29 Dissociative Identity Disorder – Orlando Treatment Solutionshttps://orlandotreatmentsolutions.com/programs/dissociative-identity-disorder/
Family therapy is an important component of the treatment in patients with DID. This therapy involves the family members of the patient to help them understand the disorder, improve communication, and build trust. […] For patients with DID mindfulness is useful for reducing dissociative experiences, enhancing their identity, and controlling their emotions. It means that they can be aware of the thoughts, and do not have to become their slaves. […] Treatment at our Orlando Treatment Solutions is tailored for the individual and a plan is made for each person. The treatment process typically involves: Initial Assessment: Detailed assessments to establish the presence of DID and to identify the clients presenting symptoms, past trauma, and treatment plan. […] Each patient receives a tailored plan that integrates ACT, CBT, group therapy, family therapy, and mindfulness practices based on their unique needs.
- #30 Types, Causes, and Treatment of Dissociative disorders | Psychlinks Forum — Archive Only (2004-2022)https://forum.psychlinks.ca/threads/types-causes-and-treatment-of-dissociative-disorders.12556/
Other dissociative disorder treatment may include: Creative art therapy. This type of therapy uses the creative process to help people who might have difficulty expressing their thoughts and feelings. Creative arts can help you increase self-awareness, cope with symptoms and traumatic experiences, and foster positive changes. Creative art therapy includes art, dance and movement, drama, music, and poetry. […] Cognitive therapy. This type of talk therapy helps you identify unhealthy, negative beliefs and behaviors and replace them with healthy, positive ones. It’s based on the idea that your own thoughts ? not other people or situations ? determine how you behave. Even if an unwanted situation has not changed, you can change the way you think and behave in a positive way. […] Medication. Although there are no medications that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medications or tranquilizers to help control the mental health symptoms associated with dissociative disorders.
- #31 Dissociative Disorders in Franklin, Morgan City, New Iberia, Prairieville, LA & Ocean Springs, MS | Gulf Coast Integrative Healthhttps://gulfcoastih.com/dissociative-disorders/
Once a patient is diagnosed as suffering from a dissociative disorder, several treatment options are available, both to alleviate distressing symptoms and to undercover the causative trauma. These treatments include: […] Psychotherapy […] Cognitive therapy […] Hypnosis […] Art therapy […] Medications for symptom relief, such as tranquilizers or antidepressants […] Early intervention involving counseling or psychotherapy after a traumatic event can sometimes help to prevent the formation of a dissociative disorder. It is considered healthy for the patient to deal with the trauma as soon after its occurrence as possible. In children, this can be achieved through play therapy or art therapy, rather than explicit discussion. For adults, too, it may be best for therapists to help the patient confront the trauma indirectly through hypnosis or art therapy in order to avoid retraumatization.
- #32 Dissociative Identity Disorder (DID) | Knowledge Center | Sheppard Pratthttps://www.sheppardpratt.org/knowledge-center/condition/dissociative-identity-disorder-did/
Hypnotherapy can be helpful in stabilizing DID and PTSD symptoms. However, hypnotherapy can only be used if the therapist has received certification in using hypnosis and has specialized training in its use in DID and other posttraumatic disorders. […] Medications are adjunctive (add-on) treatments in DID treatment and do not directly affect the basic symptoms of DID. […] Other forms of psychotherapy such as dialectical behavioral therapy (DBT) and cognitive behavioral therapy (CBT) that is focused on trauma-related cognitive distortions can be helpful as adjunctive/add-on to the phasic psychotherapy for DID. […] EMDR can significantly worsen the symptoms of DID, especially if used before the DID patient is stabilized in treatment. […] Group therapy can be helpful for the stabilization of individuals with DID if they are in a group dedicated to patients with this diagnosis, and the group is facilitated by practitioners that are knowledgeable about DID treatment.
- #33 Dissociative Identity Disorder (Multiple Personality Disorder): Signs, Symptoms, Treatmenthttps://www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personality-disorder
Hypnotherapy. Used in conjunction with psychotherapy, clinical hypnosis can be used to help access repressed memories, control some of the problematic behaviors that accompany DID, as well as help integrate the personalities into one. […] Adjunctive therapy. Therapies such as art or movement therapy have been shown to help people connect with parts of their mind that they have shut off to cope with trauma. […] EMDR therapy. Eye movement desensitization and reprocessing (EMDR) therapy involves moving your eyes in a certain way while you process traumatic memories. EMDR helps you heal from trauma. Compared to other therapy methods, EMDR is newer. […] There are no established medication treatments for dissociative identity disorder, making psychologically-based approaches the mainstay of therapy. Treatment of co-occurring disorders, such as depression or substance use disorders, is fundamental to overall improvement. […] Therapy can be difficult and painful, but it can significantly help your symptoms in the long term. […] There’s no cure for DID. You have to manage it for the rest of your life. But treatments can reduce your symptoms and help you function better at work, home, and your community.
- #34 Types, Causes, and Treatment of Dissociative disorders | Psychlinks Forum — Archive Only (2004-2022)https://forum.psychlinks.ca/threads/types-causes-and-treatment-of-dissociative-disorders.12556/
Other dissociative disorder treatment may include: Creative art therapy. This type of therapy uses the creative process to help people who might have difficulty expressing their thoughts and feelings. Creative arts can help you increase self-awareness, cope with symptoms and traumatic experiences, and foster positive changes. Creative art therapy includes art, dance and movement, drama, music, and poetry. […] Cognitive therapy. This type of talk therapy helps you identify unhealthy, negative beliefs and behaviors and replace them with healthy, positive ones. It’s based on the idea that your own thoughts ? not other people or situations ? determine how you behave. Even if an unwanted situation has not changed, you can change the way you think and behave in a positive way. […] Medication. Although there are no medications that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medications or tranquilizers to help control the mental health symptoms associated with dissociative disorders.
- #35 Understanding Dissociative Disorder Treatment | The Phoenix RChttps://thephoenixrc.com/blog/mental-health/understanding-dissociative-disorder-treatment/
In addition, experiential therapies are highly effective in helping people who struggle with dissociation communicate their feelings. This is especially true for those individuals who have trouble communicating verbally. Examples of experiential therapies include art, drama, and dance therapy. […] Another highly effective experiential therapy is nature immersion therapy. This can help individuals reattach to their surroundings and reestablish their identity.
- #36 Psychological Interventions for Dissociative disordershttps://pmc.ncbi.nlm.nih.gov/articles/PMC7001344/
Grounding helps the patient detach from emotional pain, regain focus from the intense emotional sensation. […] Distress Tolerance skills teaches the patients to tolerate painful emotions and uncomfortable feelings without resorting to impulsive and unhealthy behavior like substance abuse, self-harm, dissociation etc. […] The process of dealing with intense emotions involves the following steps: Reduce emotional vulnerability, Identify whether these emotions are primary or secondary, Identify the function emotions serve. […] Emotional regulation is a term that is often used to understand how people manage and respond to their internal emotional experiences. […] These are particularly required in cases where interpersonal conflicts exacerbate dissociative experiences and also the goal is to improve the overall health of the relationship.
- #37 Dissociative Disorders: Symptoms, Causes, and Treatmenthttps://www.rethink.org/advice-and-information/about-mental-illness/mental-health-conditions/dissociation-and-dissociative-identity-disorder-did/
You can learn to manage your symptoms by looking after yourself at home. You will learn how to notice when you are becoming unwell and know what your triggers are. […] Grounding techniques can be helpful for people who have been through trauma or who regularly dissociate. They can help to ground you in the here and now. […] There are lots of different ways to relax. The important thing is to find something you enjoy doing. […] If you dont sleep enough your symptoms might feel worse. […] Some people with a dissociative disorder may also have another mental health condition, such as anxiety or depression. This is called a comorbid condition.
- #38 Dissociative disorders – Diagnosis and treatment – Mayo Clinichttps://www.mayoclinic.org/diseases-conditions/dissociative-disorders/diagnosis-treatment/drc-20355221
Dissociative disorders treatment may vary based on the type of disorder you have. Generally, treatment includes talk therapy and medicine. […] Also called psychotherapy, talk therapy is the main treatment for dissociative disorders. This form of therapy involves talking about your disorder and related issues with a mental health professional. […] Your therapist works with you to help you understand the cause of your condition. Your therapist also can help you develop new ways of coping with stressful situations. […] Although there are no medicines that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medicines or antipsychotic medicines. These may help with mental health symptoms that are part of dissociative disorders.
- #39 Dissociation and dissociative disorders | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/dissociation-and-dissociative-disorders
Treatment for dissociative disorders may vary based on the type of disorder you have and your individual needs, but generally include psychotherapy and medication. Treatment must occur in a safe and relaxed environment. […] Psychotherapy also known as talk therapy or counselling, which is usually needed for the long term. Examples include cognitive therapy and psychoanalysis. […] Medication Although there are no medications that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medications or antipsychotic medications to help control the mental health symptoms associated with dissociative disorders.
- #40 Dissociative Disorders: Causes, Symptoms, Types & Treatmenthttps://my.clevelandclinic.org/health/diseases/17749-dissociative-disorders
EMDR therapy: Eye movement desensitization and reprocessing (EMDR) therapy involves moving your eyes a specific way while you process traumatic memories. EMDR’s goal is to help you heal from trauma or other distressing life experiences. Compared to other therapy methods, EMDR is relatively new. […] No specific medications treat dissociative disorders. But your provider may recommend certain medications, such as antidepressants, to treat co-occurring mental health conditions.
- #41 Psychotherapy and Pharmacotherapy for Patients with Dissociative Identity Disorderhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3615506/
Brand et al reports that atypical (or second generation) antipsychotic drugs that block both dopamine (D2) and serotonin (5-HT2A) receptors may be of use in treating complex trauma cases with psychotic features, although care should be taken to distinguish auditory hallucinations, which originate from an external locus, versus internal voices. […] Most medications (e.g., antidepressants, anxiolytics) are prescribed for comorbid anxiety and mood symptoms, but these medications do not specifically treat the dissociation. Presently, no pharmacological treatment has been found to reduce dissociation. […] A wide variety of dissociative disorders including DID occur in the psychiatric population and may be misdiagnosed or underdiagnosed for a variety of reasons. […] More research is needed, but these disorders may be more common than previously thought.
- #42 Treatment for Dissociative Disorders: Medication & Therapy Optionshttps://www.therecoveryvillage.com/mental-health/dissociative-disorders/treatment/
Ongoing research is revealing that specific combinations of medications can effectively treat dissociative disorders, especially when they are comorbid with other psychiatric disorders. […] However, this is beginning to change. As mental health professionals develop a better understanding of the effects of trauma on the brain, they gain insight into the psychiatric conditions linked to it. […] No psychiatric medications directly treat the symptoms of dissociative disorders. However, ongoing research is revealing that specific combinations of medications can effectively treat dissociative conditions, especially when they are comorbid with other psychiatric disorders. […] Antidepressants can stabilize mood and reduce intrusive symptoms that trigger dissociation. […] Studies show that a combination of selective serotonin reuptake inhibitors (SSRI), a specific kind of antidepressant medication, and lamotrigine, an anticonvulsant and mood stabilizer, is an effective treatment for dissociative disorders, especially depersonalization-derealization disorder.
- #43 Psychotherapy and Pharmacotherapy for Patients with Dissociative Identity Disorderhttps://pmc.ncbi.nlm.nih.gov/articles/PMC3615506/
Brand et al reports that atypical (or second generation) antipsychotic drugs that block both dopamine (D2) and serotonin (5-HT2A) receptors may be of use in treating complex trauma cases with psychotic features, although care should be taken to distinguish auditory hallucinations, which originate from an external locus, versus internal voices. […] Most medications (e.g., antidepressants, anxiolytics) are prescribed for comorbid anxiety and mood symptoms, but these medications do not specifically treat the dissociation. Presently, no pharmacological treatment has been found to reduce dissociation. […] A wide variety of dissociative disorders including DID occur in the psychiatric population and may be misdiagnosed or underdiagnosed for a variety of reasons. […] More research is needed, but these disorders may be more common than previously thought.
- #44 Dissociative Disorders: Symptoms, Causes, and Treatmenthttps://www.rethink.org/advice-and-information/about-mental-illness/mental-health-conditions/dissociation-and-dissociative-identity-disorder-did/
You can learn to manage your symptoms by looking after yourself at home. You will learn how to notice when you are becoming unwell and know what your triggers are. […] Grounding techniques can be helpful for people who have been through trauma or who regularly dissociate. They can help to ground you in the here and now. […] There are lots of different ways to relax. The important thing is to find something you enjoy doing. […] If you dont sleep enough your symptoms might feel worse. […] Some people with a dissociative disorder may also have another mental health condition, such as anxiety or depression. This is called a comorbid condition.
- #45 How to Treat Dissociative Disorderhttps://www.verywellhealth.com/how-to-treat-dissociative-disorder-5211865
Clinical hypnotherapy is another treatment modality used to treat dissociative identity disorder. […] Research shows people with dissociative disorders are more susceptible to hypnotic suggestions, but the degree of success varies. […] There’s no specific medication for treatment of dissociative identity disorder. However, medications can be effective for treating depression and anxiety that often occur with this condition. […] A variety of coping strategies can be helpful for managing life with dissociative identity disorder. […] Dissociative identity disorder treatment focuses on working through past trauma, managing emotions, and ultimately, integrating multiple identities into one functioning person. […] Psychotherapy techniques that are helpful for DID include prolonged exposure, cognitive processing therapy, dialectical behavioral therapy, psychodynamic psychotherapy, eye movement desensitization and reprocessing (EMDR) therapy, and schema therapy. […] In some cases, medications might be used to treat anxiety and/or depression that often occur with DID. Positive coping strategies can also improve daily life.
- #46 Dissociative Disorder Treatment In Massachusetts | Meta Addiction TreatmentVisit our FacebookVisit our InstagramVisit our LinkedInVisit our YouTube channelth-listclosearrow-circle-o-downcaret-downellipsis-vlinkedinfacebookpinterestyoutubersstwitterinstagrhttps://metaaddictiontreatment.com/treatment/dissociative-disorder-treatment/
Dissociative disorders are complex psychological conditions marked by a disruption in oneâs thoughts, identity, awareness, and memory. […] At Meta Addiction Treatment, we offer compassionate dissociative disorder treatment. Our aim is to care for individuals living with dissociative disorders. Through our dedicated treatment programs, we support each person on their journey toward healing and recovery. […] With effective, trauma-informed treatments such as cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), and dialectical behavior therapy (DBT), individuals can work through trauma, reduce dissociative symptoms, and begin to rebuild a unified sense of self. […] Effectively treating dissociative disorders requires a holistic, long-term approach that not only addresses surface-level symptoms but also works through the underlying trauma. The core aim of treatment is to help individuals reestablish a unified sense of identity, build emotional resilience, and adopt healthier coping mechanisms. Personalized treatment plans often integrate therapy, lifestyle adjustments, medication, and strong support networks to promote lasting healing and stability.
- #47 Dissociative Disorders Treatment in Tewksbury, MA | Keys Behavioral HealthVisit our Facebookphonelinkedinfacebookpinterestyoutubersstwitterinstagramfacebook-blankrss-blanklinkedin-blankpinterestyoutubetwitterinstagramhttps://keysbh.com/treatment/dissociative-disorders/
At Keys Behavioral Health, we provide comprehensive support for substance abuse and mental health challenges, helping individuals unlock their potential for a healthier, more fulfilling life. […] At Keys Behavioral Health, we are dedicated to providing specialized, compassionate care for individuals living with dissociative disorders, guiding them towards healing and recovery with our dissociative disorders treatment programs. […] With proper treatmentâoften involving trauma-focused therapy, such as cognitive-behavioral therapy (CBT), eye movement desensitization and reprocessing (EMDR), or dialectical behavior therapy (DBT)âmany individuals can begin to process their trauma, reduce dissociation, and build a more cohesive sense of self. […] Treating dissociative disorders often requires a comprehensive and long-term approach that addresses both the symptoms and the underlying trauma. The primary goal of treatment is to help individuals regain a cohesive sense of identity, improve emotional regulation, and develop healthier coping strategies. Treatment plans are typically personalized, combining therapy, self-care, and support systems to foster healing and stability.
- #48 Dissociative Identity Disorder Treatment – Good Health Psychhttps://goodhealthpsych.com/disorders/dissociative-identity-disorder-treatment/
Our multidisciplinary team of therapists, psychiatrists, and support staff work collaboratively to develop individualized treatment plans. […] Additionally, Good Health offers ongoing support and resources for clients and their families, helping them navigate the complexities of DID and build a strong foundation for recovery.
- #49 Dissociative Disorders Treatment in Tewksbury, MA | Keys Behavioral HealthVisit our Facebookphonelinkedinfacebookpinterestyoutubersstwitterinstagramfacebook-blankrss-blanklinkedin-blankpinterestyoutubetwitterinstagramhttps://keysbh.com/treatment/dissociative-disorders/
Complementary therapies can be helpful in managing symptoms and promoting a sense of connection between the mind and body. These therapies should be used alongside, not in place of, traditional treatment. […] With patience, consistent treatment, and a supportive environment, individuals with dissociative disorders can make meaningful progress in healing and regaining a more connected sense of self. […] Contact us today to schedule an appointment or to learn more about our treatment programs for dissociative disorders.
- #50 Psychiatry.org – What Are Dissociative Disorders?https://www.psychiatry.org/patients-families/dissociative-disorders/what-are-dissociative-disorders
Dissociative disorders involve problems with memory, identity, emotion, perception, behavior and sense of self. Dissociative symptoms can potentially disrupt every area of mental functioning. […] With appropriate treatment, many people are successful in addressing the major symptoms of dissociative identity disorder and improving their ability to function and live a productive, fulfilling life. […] Treatment typically involves psychotherapy. Therapy can help people gain control over the dissociative process and symptoms. The goal of therapy is to help integrate the different elements of identity. Therapy may be intense and difficult as it involves remembering and coping with past traumatic experiences. Cognitive behavioral therapy and dialectical behavioral therapy are two commonly used types of therapy. Hypnosis has also been found to be helpful in treatment of dissociative identity disorder. […] There are no medications to directly treat the symptoms of dissociative identity disorder. However, medication may be helpful in treating related conditions or symptoms, such as using antidepressants to treat symptoms of depression.
- #51 Dissociative disorders – NHShttps://www.nhs.uk/mental-health/conditions/dissociative-disorders/
Many people with a dissociative disorder make a full recovery with treatment and support. […] Talking therapies are often recommended for dissociative disorders. […] The aim of talking therapies such as counselling or psychotherapy is to help you cope with the underlying cause of your symptoms, and to learn and practise techniques to manage the periods of feeling disconnected. […] Eye movement desensitisation and reprocessing (EMDR) is a psychological treatment that can help reduce the symptoms of post-traumatic stress disorder (PTSD). It is sometimes used to treat dissociative disorders. […] There’s no specific medicine to treat dissociation, but medicines like antidepressants may be prescribed to treat associated conditions like depression, anxiety and panic attacks.
- #52 Treating Dissociative Disorders and Somatic Symptom Disorders | Abnormal Psychologyhttps://courses.lumenlearning.com/wm-abnormalpsych/chapter/treating-dissociative-disorders-and-somatic-symptom-disorders/
Therapists may prescribe different types of treatment for patients with dissociative disorders or somatic symptom disorders based on their viewpoints on the disability and various theories or frameworks. […] Dissociative disorders are generally treated with long-term psychotherapy. Common treatment methods include an eclectic mix of psychotherapy techniques, including cognitive-behavioral therapy (CBT), insight-oriented therapies, dialectical behavioral therapy (DBT), hypnotherapy, and eye movement desensitization and reprocessing (EMDR). […] Although there are multiple approaches for treating dissociative disorders, the common element of these treatments addresses the dissociative pathology and exploring prior traumatic events. Treatment of dissociative disorders is associated with improvements in symptoms of dissociation, depression, general distress, anxiety, and PTSD, as well as decreased use of medications and improved work and social functioning (Brand et al. 2009).
- #53 Dissociative Disorders â BrightQuest Treatment Centershttps://www.brightquest.com/dissociative-disorders/
The prognosis for dissociative disorders depends on the individual, the severity of symptoms, how long a person has been repressing traumatic experiences, and other factors. In general, patients who can commit time and energy to long-term care can expect to be able to manage and minimize symptoms and to be able to return to normal life after residential treatment.
- #54 Dissociative Identity Disorder Treatment | Dr. David Hustedhttps://www.psychiatryofthepalmbeaches.com/dissociative-identity
While some people may begin therapy during inpatient or intensive outpatient care, ongoing individual therapy sessions often continue for months or even years after completing the initial rehabilitation process. […] Reaching the final fusion of personalities significantly decreases the risk of accidental injuries or self-inflicted harm. […] Additionally, learning healthy coping mechanisms to address stressors and past traumas fosters self-confidence and a sense of self-efficacy, enhancing the overall well-being of the individual.
- #55 A brief guide to working with dissociative identity disorderhttps://www.carolynspring.com/blog/a-brief-guide-to-working-with-dissociative-identity-disorder/
There has been much debate and controversy about whether engaging with alternate personalities is therapeutic or not, but the ISSTD guidelines do advise engaging with all parts of a persons personality in a non-prejudicial, affirming way. […] The therapeutic goal should be to foster integration between disconnected emotions, memories, behaviours and sense of identity. Total fusion of the alternate personalities into one whole may not always be possible, and stable multiplicity may be a more realistic treatment outcome for some, but this should not distract from the goal of increased associative functioning. […] Working with dissociative identity disorder clients is demanding and often long-term. There are a number of pitfalls and issues that will arise for the therapist engaged in this work. However, it can also be some of the most rewarding psychotherapeutic work to engage in and good, effective therapy can lead to a very positive prognosis for dissociative identity disorder clients.
- #56 Dissociative Identity Disorder Treatment | Sandstone Carehttps://www.sandstonecare.com/young-adults/mental-health/dissociative-identity-disorder-treatment/
EMDR is a therapeutic approach designed for people who have experienced traumatic life events, including childhood trauma. […] The goal of EMDR is to reprocess traumatic memories. […] As far as dissociative disorders, there is no cure; however, there are a variety of different treatments and therapies available to help individuals manage their symptoms. […] Treatment can help manage the symptoms of DID and make it easier to live a normal life. […] The length of treatment is different from person to person. […] Many individuals who receive treatment for DID attend therapy for years, as it is a complex disorder and can take time for therapists and patients to navigate. […] One important part of treatment is learning how to identify triggers so that a person can avoid or cope with them.
- #57 Dissociative Disorder Treatment Beverly Hills – Bridges to Recoveryhttps://www.bridgestorecovery.com/dissociative-disorders/
Eye Movement Desensitization Therapy, or EMDT, is another unique therapy that is focused on trauma. It involves moving the eyes back and forth, guided by the therapist, while facing traumatic memories and feelings. How it works is not well understood, but something about the eye movement stimulates the brain and helps an individual process trauma and move past it. […] Treatment for dissociative disorders can take time, several weeks at least. For some people it can take much longer to restore memories or to eliminate additional identities. The process can be slow, and patience and commitment are required. For those patients who do stick with treatment, the outlook is largely positive. Therapy can help individuals learn to prevent dissociative episodes, use better coping mechanisms, and most importantly face trauma head on and learn to deal with it in a healthful way that reduces stress and restores normal functioning.
- #58 Dissociative Identity Disorder (Multiple Personality Disorder): Signs, Symptoms, Treatmenthttps://www.webmd.com/mental-health/dissociative-identity-disorder-multiple-personality-disorder
Hypnotherapy. Used in conjunction with psychotherapy, clinical hypnosis can be used to help access repressed memories, control some of the problematic behaviors that accompany DID, as well as help integrate the personalities into one. […] Adjunctive therapy. Therapies such as art or movement therapy have been shown to help people connect with parts of their mind that they have shut off to cope with trauma. […] EMDR therapy. Eye movement desensitization and reprocessing (EMDR) therapy involves moving your eyes in a certain way while you process traumatic memories. EMDR helps you heal from trauma. Compared to other therapy methods, EMDR is newer. […] There are no established medication treatments for dissociative identity disorder, making psychologically-based approaches the mainstay of therapy. Treatment of co-occurring disorders, such as depression or substance use disorders, is fundamental to overall improvement. […] Therapy can be difficult and painful, but it can significantly help your symptoms in the long term. […] There’s no cure for DID. You have to manage it for the rest of your life. But treatments can reduce your symptoms and help you function better at work, home, and your community.
- #59 Dissociative Identity Disorder Treatment – Good Health Psychhttps://goodhealthpsych.com/disorders/dissociative-identity-disorder-treatment/
Dissociative identity disorder treatment aims to help individuals affected by DID integrate their various identities, improve coping mechanisms, and enhance overall functioning. […] A combination of psychotherapy, counseling, and medication is usually employed to achieve these goals, with treatment often being long-term and requiring patience and commitment from both the individual and their support system. […] The primary focus of treatment is to address the underlying trauma, strengthen communication between identities, and improve emotional regulation. […] Dissociative identity disorder treatment typically involves a combination of psychotherapy, counseling, and medication. […] Therapy sessions focus on helping individuals understand the origins of their DID, process and heal from past traumas, and build coping skills to manage stress and triggers.
- #60 Dissociative Identity Disorder Treatment & Management: Approach Considerations, Medical Care, Consultationshttps://emedicine.medscape.com/article/916186-treatment
Until the patient can learn healthy alternatives to tolerate feelings and control behaviors, he or she cannot adequately or safely undertake the exploratory work involved in uncovering and processing memories of abuse. […] Control is a major issue for survivors of abuse, and by learning new ways to control and contain their symptoms, patients no longer view themselves as victims of the past. […] The emphasis is to have patients reconnect with their sense of power. Encouraging patients to design and choose which technique to use and when to use it contributes to their sense of being in charge of themselves; patients can begin to deal correctly with feelings of helplessness. […] A carefully staged trauma-focused psychotherapy for dissociative identity disorder may result in improvement of symptoms.
- #61 Dissociative Disorder Treatment Beverly Hills – Bridges to Recoveryhttps://www.bridgestorecovery.com/dissociative-disorders/
Eye Movement Desensitization Therapy, or EMDT, is another unique therapy that is focused on trauma. It involves moving the eyes back and forth, guided by the therapist, while facing traumatic memories and feelings. How it works is not well understood, but something about the eye movement stimulates the brain and helps an individual process trauma and move past it. […] Treatment for dissociative disorders can take time, several weeks at least. For some people it can take much longer to restore memories or to eliminate additional identities. The process can be slow, and patience and commitment are required. For those patients who do stick with treatment, the outlook is largely positive. Therapy can help individuals learn to prevent dissociative episodes, use better coping mechanisms, and most importantly face trauma head on and learn to deal with it in a healthful way that reduces stress and restores normal functioning.
- #62 Dissociative Identity Disorder (DID) | Knowledge Center | Sheppard Pratthttps://www.sheppardpratt.org/knowledge-center/condition/dissociative-identity-disorder-did/
Family treatment, usually with the patients spouse, or significant other can be helpful, for education and to help support both the patient and the family during an often long and difficult treatment. […] Adjunctive/add-on rehabilitation therapies like art therapy and occupational therapy can be helpful if the therapist has training in the use of these modalities in the treatment of complex posttraumatic disorders like DID.
- #63 Dissociative Identity Disorder – Orlando Treatment Solutionshttps://orlandotreatmentsolutions.com/programs/dissociative-identity-disorder/
Family therapy is an important component of the treatment in patients with DID. This therapy involves the family members of the patient to help them understand the disorder, improve communication, and build trust. […] For patients with DID mindfulness is useful for reducing dissociative experiences, enhancing their identity, and controlling their emotions. It means that they can be aware of the thoughts, and do not have to become their slaves. […] Treatment at our Orlando Treatment Solutions is tailored for the individual and a plan is made for each person. The treatment process typically involves: Initial Assessment: Detailed assessments to establish the presence of DID and to identify the clients presenting symptoms, past trauma, and treatment plan. […] Each patient receives a tailored plan that integrates ACT, CBT, group therapy, family therapy, and mindfulness practices based on their unique needs.
- #64 Dissociative Disorders: Causes, Symptoms, Types & Treatmenthttps://my.clevelandclinic.org/health/diseases/17749-dissociative-disorders
Treatment of dissociative disorders usually consists of psychotherapy (talk therapy) to help you gain control over the dissociative process and symptoms. […] Psychotherapy takes place with a trained, licensed mental health professional, such as a psychologist or psychiatrist. It can provide support, education and guidance to you and/or your family to help you function better and increase your well-being. […] Specific types of psychotherapy commonly used for dissociative disorders include: Cognitive behavioral therapy (CBT): This is a structured, goal-oriented type of psychotherapy. Your therapist or psychologist helps you take a close look at your thoughts and emotions. Through CBT, you can unlearn negative thoughts and behaviors and learn to adopt healthier thinking patterns and habits.
- #65 How to Treat Dissociative Disorderhttps://www.verywellhealth.com/how-to-treat-dissociative-disorder-5211865
Dissociative identity disorder (DID) treatment involves a combination of different therapies, psychiatric medications, and coping strategies. […] While there’s no specific cure for DID, a person can learn to integrate multiple identities with consistent treatment. […] Psychotherapy, or talk therapy, is the most effective treatment for dissociative identity disorder. […] For this reason, the goals of psychotherapy may include processing painful memories, managing sudden changes in behavior, learning new coping skills, and bringing multiple identities back into one functional person. […] This form of treatment may use several different types of therapeutic approaches, including cognitive behavioral therapy, dialectical behavioral therapy, psychodynamic psychotherapy, eye movement desensitization and reprocessing (EMDR) therapy, and schema therapy.
- #66 Dissociative Disorders: Causes, Symptoms, Types & Treatmenthttps://my.clevelandclinic.org/health/diseases/17749-dissociative-disorders
EMDR therapy: Eye movement desensitization and reprocessing (EMDR) therapy involves moving your eyes a specific way while you process traumatic memories. EMDR’s goal is to help you heal from trauma or other distressing life experiences. Compared to other therapy methods, EMDR is relatively new. […] No specific medications treat dissociative disorders. But your provider may recommend certain medications, such as antidepressants, to treat co-occurring mental health conditions.
- #67 Dissociation and dissociative disorders | Better Health Channelhttps://www.betterhealth.vic.gov.au/health/conditionsandtreatments/dissociation-and-dissociative-disorders
Treatment for dissociative disorders may vary based on the type of disorder you have and your individual needs, but generally include psychotherapy and medication. Treatment must occur in a safe and relaxed environment. […] Psychotherapy also known as talk therapy or counselling, which is usually needed for the long term. Examples include cognitive therapy and psychoanalysis. […] Medication Although there are no medications that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medications or antipsychotic medications to help control the mental health symptoms associated with dissociative disorders.
- #68 Types, Causes, and Treatment of Dissociative disorders | Psychlinks Forum — Archive Only (2004-2022)https://forum.psychlinks.ca/threads/types-causes-and-treatment-of-dissociative-disorders.12556/
Other dissociative disorder treatment may include: Creative art therapy. This type of therapy uses the creative process to help people who might have difficulty expressing their thoughts and feelings. Creative arts can help you increase self-awareness, cope with symptoms and traumatic experiences, and foster positive changes. Creative art therapy includes art, dance and movement, drama, music, and poetry. […] Cognitive therapy. This type of talk therapy helps you identify unhealthy, negative beliefs and behaviors and replace them with healthy, positive ones. It’s based on the idea that your own thoughts ? not other people or situations ? determine how you behave. Even if an unwanted situation has not changed, you can change the way you think and behave in a positive way. […] Medication. Although there are no medications that specifically treat dissociative disorders, your doctor may prescribe antidepressants, anti-anxiety medications or tranquilizers to help control the mental health symptoms associated with dissociative disorders.
- #69 Understanding Dissociative Disorder Treatment | The Phoenix RChttps://thephoenixrc.com/blog/mental-health/understanding-dissociative-disorder-treatment/
In addition, experiential therapies are highly effective in helping people who struggle with dissociation communicate their feelings. This is especially true for those individuals who have trouble communicating verbally. Examples of experiential therapies include art, drama, and dance therapy. […] Another highly effective experiential therapy is nature immersion therapy. This can help individuals reattach to their surroundings and reestablish their identity.
- #70 Psychiatry.org – What Are Dissociative Disorders?https://www.psychiatry.org/patients-families/dissociative-disorders/what-are-dissociative-disorders
Dissociative disorders involve problems with memory, identity, emotion, perception, behavior and sense of self. Dissociative symptoms can potentially disrupt every area of mental functioning. […] With appropriate treatment, many people are successful in addressing the major symptoms of dissociative identity disorder and improving their ability to function and live a productive, fulfilling life. […] Treatment typically involves psychotherapy. Therapy can help people gain control over the dissociative process and symptoms. The goal of therapy is to help integrate the different elements of identity. Therapy may be intense and difficult as it involves remembering and coping with past traumatic experiences. Cognitive behavioral therapy and dialectical behavioral therapy are two commonly used types of therapy. Hypnosis has also been found to be helpful in treatment of dissociative identity disorder. […] There are no medications to directly treat the symptoms of dissociative identity disorder. However, medication may be helpful in treating related conditions or symptoms, such as using antidepressants to treat symptoms of depression.
- #71 Dissociative disorders – NHShttps://www.nhs.uk/mental-health/conditions/dissociative-disorders/
Many people with a dissociative disorder make a full recovery with treatment and support. […] Talking therapies are often recommended for dissociative disorders. […] The aim of talking therapies such as counselling or psychotherapy is to help you cope with the underlying cause of your symptoms, and to learn and practise techniques to manage the periods of feeling disconnected. […] Eye movement desensitisation and reprocessing (EMDR) is a psychological treatment that can help reduce the symptoms of post-traumatic stress disorder (PTSD). It is sometimes used to treat dissociative disorders. […] There’s no specific medicine to treat dissociation, but medicines like antidepressants may be prescribed to treat associated conditions like depression, anxiety and panic attacks.