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think about your feet when you're all about what’s going on inside your head…

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Trauma, an experience that overwhelms an individual's ability to cope, can leave lasting psychological impacts. One common consequence is dissociation, a mental process where a person disconnects from their thoughts, feelings, memories, or sense of identity. This disconnection often serves as a defense mechanism, helping the person manage the intensity of the trauma. However, it can also lead to significant challenges in staying present and engaged in daily life.


What is Dissociation? Dissociation can manifest in various forms, from mild daydreaming to severe depersonalization and derealization. Depersonalization involves feeling detached from oneself, as if observing one's actions from outside the body. Derealization, on the other hand, makes the external world feel unreal or distorted. These experiences can be unsettling and disorienting, making it difficult to stay connected with the present moment. Dissociation is often linked to trauma because the brain, in an attempt to protect itself, may create a psychological distance from the traumatic event. This can be beneficial in the short term, allowing the person to survive the immediate aftermath. However, if dissociation becomes a habitual response, it can interfere with everyday functioning and relationships.


According to the International Society for the Study of Trauma and Dissociation (ISSTD), dissociation can range from normal, everyday experiences to severe disorders like Dissociative Identity Disorder (DID). The severity often correlates with the extent and duration of the traumatic experiences . Research also shows that individuals who experience chronic or repeated trauma are more likely to develop dissociative symptoms as a coping mechanism .


One technique that therapists may help their clients to master? The use of grounding. And a fan favorite? Try what's called the "5-4-3-2-1 exercise". For those struggling with dissociation or daydreaming, a grounding techniques such as this can be an invaluable tool to reconnect with the present moment. This sensory-based mindfulness practice helps anchor attention in the here and now.


It goes something like this:

1. Name Five things you can see: Look around and identify five different objects. Take your time to notice the details—colors, shapes, and textures.

2. Name Four things you can touch: Focus on four things you can physically feel. This could be the texture of your clothing, the warmth of a mug, or the sensation of your feet on the floor.

3. Name Three things you can hear: Listen for three distinct sounds. They can be close or far away, loud or subtle. Try to notice sounds you might usually ignore.

4. Name Two things you can smell: Identify two smells in your environment. If you can’t find any, think about your favorite scents and recall how they smell.

5. Name One thing you can taste: Pay attention to one thing you can taste. It might be the lingering taste of a meal, a sip of water, or simply the neutral taste of your mouth. This exercise can be done anywhere and anytime you feel disconnected or overwhelmed. It helps to interrupt the dissociative process by actively engaging your senses and drawing your mind back to the present moment. ### Conclusion Trauma-induced dissociation can make it challenging to stay present, impacting various aspects of life. Understanding dissociation and employing grounding techniques like the 5-4-3-2-1 exercise can help individuals manage these symptoms and improve their ability to engage with the world around them. By cultivating awareness and mindfulness, it is possible to regain a sense of control and presence, fostering healing and resilience.


Sources:

1. International Society for the Study of Trauma and Dissociation (ISSTD). "What is Dissociation?". Retrieved from [ISSTD](https://www.isst-d.org/education/faq-dissociation-and-dissociative-disorders/what-is-dissociation/)

2. Dell, P. F., & O’Neil, J. A. (2009). "Dissociation and the Dissociative Disorders: DSM-V and Beyond". Routledge.

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© 2024 by Lisa Pedersen.

10 people some in foreground some in background on a sunny day wanting to heal_edited_edit
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