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Psychology In Seattle Podcast

Dissociation, Sociopaths, and Histrionic

Psychology In Seattle Podcast

Kirk Honda

Health & Fitness, Mental Health

4.51.3K Ratings

🗓️ 9 January 2026

⏱️ 84 minutes

🧾️ Download transcript

Summary

Dr Kirk answers patron emails. January 9, 2026

This episode is sponsored by BetterHelp. Give online therapy a try at betterhelp.com/KIRK to get 10% off your first month.

00:00 Is this dissociation?
23:50 Is my friend a sociopath? 
1:00:07 What type of trauma might lead to Kendra's behavior? 
1:08:42 What diagnostic path might Dr. Honda pursue with Kendra? 
1:15:27 Does Dr. Honda use schema therapy?

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Trigger Warning: This episode may include topics such as assault, trauma, and discrimination. If necessary, listeners are encouraged to refrain from listening and care for their safety and well-being.

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Transcript

Click on a timestamp to play from that location

0:00.0

Hey, Deserving listeners, I thought I would answer patron emails. I feel like it's been a while

0:04.3

since I've done this, and I'm looking forward to it. This first email is from super long-term patron,

0:12.4

middle-tier patron, annual patron, Alex from Toronto. She says, hi, Dr. Kirk. I sometimes experience

0:18.9

a psychological state. I wondered if you could help me put a name to.

0:24.6

So Alex from Toronto has a psychological state that they would like a name to. Now, of course, I can't

0:30.9

diagnose from afar, but we can hypothesize here. I described it to a friend who witnessed it as a power saving mode, and that seemed

0:39.6

accurate to her as an astute observer who knows me well. I should chime in right now and say that

0:48.7

there's a chance I already answered this email in a previous episode, but I don't think I have. I think I answered a similar email,

0:56.9

but we'll answer it again. How about that? All right, so I described this psychological state to a

1:03.0

friend who witnessed it as a power-saving mode. I'm not outside of my body, but it feels heavy, and I'm very inside my body with the world seemingly separated from me by a glass wall.

1:18.9

Yeah, I'm pretty sure I answered another email that was similar in terms of it seemingly like a dissociative state.

1:28.3

But let's highlight some of these details.

1:33.3

I'm not outside my body, so Alex is saying it's not experienced as being outside my body.

1:39.3

So that's a key element of this experience that can help us zero in on a possible hypothesis.

1:48.3

And then she says it feels heavy.

1:51.5

By the way, right off the bat, it sounds like a possible candidate for dissociation in that

1:57.7

the way that people will describe it is often filled with these kinds of descriptors

2:07.2

where it's described as like it feels heavy, but it's not heavy. It feels like I'm in the back

2:14.0

of my head, but I'm not in the back of my head. It feels like I'm there, but I'm not there.

2:19.7

And if you've never experienced association or you don't study or treat it, it can sound bizarre,

2:25.5

or it can maybe even sound mundane, right? Because in a certain way, we've always had

2:31.7

moments where we don't really feel exactly connected to the room around us, you know, that kind of thing, or we're daydreaming or where we kind of zone out.

...

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