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Dissociation

Also called: depersonalisation, derealisation

A disconnection from your own thoughts, feelings, body or surroundings — usually a protective mechanism, not a sign of madness.

Dissociation is a break in the normal connection between perception, memory, identity and self-awareness. In mild forms nearly everyone experiences it: you drive thirty kilometres and can't recall the road, you read a page and retain nothing.

In stress- or trauma-related forms it shows up as depersonalisation — the sense of watching yourself from outside, as though watching a film of yourself — or derealisation, the sense that the world around you is unreal, flat, like stage scenery.

Its function is protective. When an experience is too overwhelming to process in real time, the mind lowers the intensity by disconnecting. The problem arises when the mechanism stays on after the danger has passed, or fires at ordinary stress.

What it is confused with

It is most often confused with psychosis, and the difference matters: in dissociation you know the sensation is strange and does not match reality — reality testing stays intact. In psychosis the belief is experienced as real. It is also confused with a panic attack, which can include depersonalisation as a symptom but adds intense physical activation. Persistent dissociation warrants assessment; brief episodes under fatigue or stress are common and benign.

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These definitions are informational. They do not replace an assessment by a professional and are not enough for self-diagnosis.

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