Dissociation is one of the most misunderstood responses to trauma. You might experience it as spaciness, brain fog, or feeling checked out. You might feel detached from your own body, as if watching yourself from a distance. You might notice gaps in your memory, or feel like the world around you isn't quite real. In more complex forms, you may recognize distinct identity states or personalities inside yourself.
All of these are forms of dissociation — and all of them make sense as responses to overwhelming experience. Dissociation is the nervous system's way of protecting you from what was too much to fully process at the time. It worked. But if it's still happening now, it's getting in the way of your life.
Common forms of dissociation include:
Dissociative Identity Disorder (DID) — the presence of two or more distinct identity states, each with their own characteristics, memories, and behaviors. Formerly known as multiple personality disorder.
Depersonalization — feeling detached from your own body or emotions, as if observing yourself from a distance or living in a dream.
Derealization — a sense of detachment from your surroundings, where the external world feels unreal, distorted, or unfamiliar.
Amnesia — difficulty remembering significant periods of your life or specific events.
Brain fog — a milder form where experiences feel unclear, like looking through a steamed mirror. Present-moment awareness feels hazy or muted.
Dissociation is rooted in trauma — and that's where the work begins. Rather than focusing solely on managing symptoms, I work with you to gently process the underlying experiences that caused the dissociation in the first place. This is done at a pace that feels safe for you.
I often start by asking: is there one moment where you first remember checking out? If so, we typically begin there — using somatic tapping or brainspotting to process that experience. If that memory feels too overwhelming to start with, we begin with something less activating and work our way toward it.
Somatic tapping and brainspotting work directly with the body and nervous system — where dissociative responses are stored — rather than relying solely on verbal processing. This makes them particularly well suited for dissociation work.
This varies significantly depending on the complexity of your history. Milder forms of dissociation stemming from a single incident may resolve in as few as one to eight sessions.
More complex dissociation, including DID, typically requires longer-term work — often one to two years or more. Each client is different, and you will always guide the pace and focus of your sessions.

Diana Sturm, Licensed Professional Counselor
Alabama #4426; Florida TPMC 1055
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