Tag Archives: dissociation

Trauma-Related Dissociation (TRD), what is it:

Trauma-related dissociation, what is it:

Trauma-related dissociation refers to a coping mechanism that some individuals develop in response to experiencing traumatic events. Dissociation is a psychological process where a person’s thoughts, feelings, and sense of identity become disconnected or separated from their conscious awareness. This can serve as a defense mechanism to cope with overwhelming stress or trauma.

In the context of trauma-related dissociation, individuals may disconnect from their thoughts, emotions, or memories as a way to distance themselves from the distressing or traumatic experiences. This can manifest in various ways, such as feeling detached from one’s own body, experiencing memory gaps, or having an altered sense of reality.

It’s important to note that trauma-related dissociation exists on a spectrum, ranging from mild and temporary experiences to more severe and chronic dissociative disorders. Professional mental health support is often recommended for individuals experiencing significant trauma-related dissociation to help them process and cope with the effects of the traumatic experiences.

Shervan K Shahhian

Assessment of Dissociative Clients in mental health:

Assessment of Dissociative Clients in mental health:

Assessment of Dissociative Clients in mental health Must be done by a Qualified Mental Health Professional.

Assessing and working with clients who experience dissociation can be a complex and sensitive task in mental health. Dissociation is a defense mechanism that involves a disconnection between thoughts, identity, consciousness, and memory. Here are some key considerations for assessing dissociative clients:

Establishing Trust and Rapport:

  • Building a strong therapeutic alliance is crucial. Dissociative clients may have trust issues, so creating a safe and supportive environment is essential.

Screening and Assessment Tools:

  • Use validated screening tools to assess the presence and severity of dissociation. The Dissociative Experiences Scale (DES) is commonly used in clinical settings.

Comprehensive Clinical Interview:

  • Conduct a thorough clinical interview to gather information about the client’s symptoms, history, and triggers for dissociation. Explore the frequency, duration, and intensity of dissociative experiences.

Understanding Triggers:

  • Identify specific triggers that lead to dissociation. Traumatic events or stressors may be linked to dissociative symptoms, and understanding these triggers is essential for treatment planning.

Assessing Functionality:

  • Evaluate the impact of dissociation on the client’s daily functioning, relationships, and overall quality of life. Assess both the subjective experience of dissociation and its observable effects.

Assessment of Co-occurring Disorders:

  • Screen for and assess any co-occurring mental health disorders, such as PTSD, anxiety, depression, or personality disorders. Dissociation often coexists with other conditions.

Observation of Dissociative States:

  • Observe and document the client’s behavior during dissociative episodes. Note any changes in affect, consciousness, or identity. This information can be valuable for treatment planning.

Collaboration with Other Professionals:

  • Work collaboratively with other mental health professionals, such as psychiatrists or neurologists, to rule out any medical conditions that may contribute to dissociative symptoms.

Psychoeducation:

  • Provide psychoeducation to the client about dissociation, helping them understand their experiences and coping mechanisms. Normalize their feelings and experiences within the therapeutic context.

Safety Planning:

  • Develop a safety plan with the client, especially if dissociation is linked to self-harm or suicidal ideation. Identify strategies and resources to manage crises.

Trauma-Informed Approaches:

  • Use trauma-informed therapeutic approaches that recognize and address the impact of past trauma on dissociative symptoms. Trauma-focused therapies like EMDR or DBT may be beneficial.

Remember that working with dissociative clients requires specialized training and expertise. Referral to a mental health professional with experience in trauma and dissociation may be appropriate if needed.

Shervan K Shahhian