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Therapy in a Nutshell

Dissociation, Depersonalisation, and Derealization - How to come back when you dissociate.

Therapy in a Nutshell

Therapy in a Nutshell -Emma McAdam

Mental Health, Education, Health & Fitness:mental Health, Self-improvement, Health & Fitness

4.8658 Ratings

🗓️ 13 April 2023

⏱️ 14 minutes

🧾️ Download transcript

Summary

FREE Grounding Skills Course here: https://courses.therapyinanutshell.com/grounding-skills-for-anxiety-stress-and-ptsd Do you ever feel numb? Detached? Like you’re completely separate from your body or like you’re floating above it, watching yourself like you aren’t even real? Or does the world around you sometimes feel foggy? Dreamlike? Or like time is moving super fast or super slowly? These are all signs of dissociation, derealization, or depersonalization. These three terms all have some overlap in symptoms.  In this podcast, you’ll learn to identify the triggers and internal signs leading up to dissociation and when you have a framework to understand why dissociation happens, then you can be more gentle with yourself and learn skills to manage overwhelming situations more adaptively and flexibly and be more resilient. I have worked with many clients who’ve experienced dissociation or depersonalization. Looking for affordable online counseling? My sponsor, BetterHelp, connects you to a licensed professional from the comfort of your own home. Try it now for 10% off your first month: https://betterhelp.com/therapyinanutshell Learn more in one of my in-depth mental health courses: https://courses.therapyinanutshell.co... Support my mission on Patreon: https://www.patreon.com/therapyinanut... Sign up for my newsletter: https://www.therapyinanutshell.com?utm_medium=YTDescription&utm_source=YouTube Check out my favorite self-help books: https://kit.co/TherapyinaNutshell/bes...  Therapy in a Nutshell and the information provided by Emma McAdam are solely intended for informational and entertainment purposes and are not a substitute for advice, diagnosis, or treatment regarding medical or mental health conditions. Although Emma McAdam is a licensed marriage and family therapist, the views expressed on this site or any related content should not be taken for medical or psychiatric advice. Always consult your physician before making any decisions related to your physical or mental health. In therapy I use a combination of Acceptance and Commitment Therapy, Systems Theory, positive psychology, and a bio-psycho-social approach to treating mental illness and other challenges we all face in life. The ideas from my videos are frequently adapted from multiple sources. Many of them come from Acceptance and Commitment Therapy, especially the work of Steven Hayes, Jason Luoma, and Russ Harris. The sections on stress and the mind-body connection derive from the work of Stephen Porges (the Polyvagal theory), Peter Levine (Somatic Experiencing) Francine Shapiro (EMDR), and Bessel Van Der Kolk. I also rely heavily on the work of the Arbinger institute for my overall understanding of our ability to choose our life's direction. And deeper than all of that, the Gospel of Jesus Christ orients my personal worldview and sense of security, peace, hope, and love https://www.churchofjesuschrist.org/c... If you are in crisis, please contact the National Suicide Prevention Hotline at https://suicidepreventionlifeline.org/ or 1-800-273-TALK (8255) or your local emergency services. Copyright Therapy in a Nutshell, LLC

Transcript

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0:00.0

Hi and welcome to the Therapy in Nutschell podcast. I'm Emma McAdam, a licensed marriage and family therapist,

0:06.0

and it's my mission to create easy to understand educational content about therapeutic skills and topics that anyone can use in their daily life.

0:14.0

Stay tuned to till the end of the video to learn more about my mental health courses, discounts, and other news related to therapy in a nutshell.

0:21.8

I hope you enjoy the episode. Each podcast episode comes from a corresponding video you can

0:27.3

find on the Therapy in a Nutshell YouTube channel. Also, these podcasts are educational and don't

0:33.3

replace the advice or direction you may be receiving from a therapist or other health

0:37.6

professional.

0:38.6

Alright, let's jump in.

0:40.7

Do you ever feel numb, detached, or like you're completely separate from your body, like

0:46.0

you're floating above it or watching yourself like you aren't even real?

0:50.6

Or does the world around you sometimes feel boggy or dreamlike or like time is moving super fast or super slowly?

0:59.0

These are all signs of dissociation, also called de-realization or depersonalization.

1:05.0

Now these three terms all have some overlap in symptoms. Dissociation is a common response to trauma and other overwhelming experiences,

1:12.8

but it can also become a chronic state or a learned response to emotions. So in this video,

1:18.5

you'll learn to identify the triggers and internal signs leading up to dissociation, and when you

1:24.0

have a framework to understand why dissociation happens, then you can be more

1:27.7

gentle with yourself and learn skills to manage overwhelming situations more adaptively and

1:32.4

flexibly and be more resilient.

1:34.8

So let's get better at feeling.

1:36.5

I have worked with many clients who have experienced dissociation or depersonalization,

1:41.3

and often they have a history of trauma.

1:43.8

I can remember one time a young woman who I've

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