Hi! I recently became aware that I probably have a dissociative disorder. I'm normally hesitant about devoting too much time to things I haven't had diagnosed, but like, I've factually had extreme dissociative experiences, and my factual dissociative experiences have factually caused negative effects on my life, so I'm confident that I have some kind of disorder that involves some kind of dissociation. From a
lot of work, I've figured out a lot about what's going on. I've indirectly talked about some of this in mental health posts elsewhere, but I lacked the current framing of dissociation. Here, I'll collate what I've learned into an explanation that also helps myself order my thinking on it.
It's not the types of dissociation people talk about most often, which is part of why it took me this long to realize. There's no information amnesia, I don't have fugue states, and I don't have alters or DID. So what is it?
Part 1: Symptom Breakdown
Here, I take a list of dissociative disorder symptoms from an
online resource. I list ones which have applied to me with noteworthy intensity. I underline those that are or have been especially applicable. I shrink the font size for those that have been rarer. (Note: Many people have dissociative experiences sometimes without the intensity / frequency / negativity to create the psychological harm of a disorder.) This is not meant to be an exhaustive list of possibilities. It is just to get our feet set.
Having difficulty remembering personal information
(Dissociative Amnesia. None apply).
Travelling to a different location or taking on a new identity
(Dissociative Fugue. None apply.)
Feeling like the world around you is unreal
(Derealization. Some apply.)
- Feel detached or separate from the world around you
- See the world as 'lifeless' or 'foggy'
- Feel like you're seeing the world through a pane of glass
A psychiatrist might call these experiences derealisation.
Feeling like you're looking at yourself from the outside
(Depersonalization. Some apply.)
- Feel as though you are watching yourself in a film or looking at yourself from the outside
- Feel disconnected from parts of your body or your emotions
- Feel unsure of the boundaries between yourself and other people
Feeling your identity shift and change / Difficulty defining what kind of person you are
(Identity Alteration and Confusion. All apply.)
- Switch between different parts of your personality
- Speak in a different voice or voices
- Use a different name or names
- Feel as if you are losing control to 'someone else'
- Experience different parts of your identity at different times
- Act like different people, including children
- Find it very difficult to define what kind of person you are
- Feel like your opinions, tastes, thoughts and beliefs change a lot
This exercise provides an implication that comports with my current understanding. As shown, I strongly identify with identity alteration and confusion. It seems that, because I've struggled to understand who or what I am, I've struggled to "connect with myself," connect to the world, and have normal emotional experiences. That explains my existing, but less total, identificaiton with depersonalization and derealization.
That's the big picture. In my efforts to strengthen my identity, I've learned and inferred a lot about what it means to struggle with identity, why I struggle with identity, and what I can do and have done to improve that struggle.
Part 2: What does it mean (for me) to struggle with identity?
I've processed my disordered dissociation in two main ways. First is a chronic dissociation that has been a part of most of my life. Second is an acute dissociation that has flared up at particular points, and is most strongly associated with a certain period of my life.
Chronic:
I rationally understand the information that I exist, that I have a self and a name, that I have preferences, desires, and goals. I rationally understand the information that other people exist, that objects exist, that ideas exist. I know this information both because, that's how sentience and life works, and because in gradual and sudden ways, I can internalize this information in a deeper way than the rational surface. It's almost like, people with psychosis take in stimuli that are not materialistically real, while I am (in my mind, not in my physical senses - though also for sensations like hunger and tiredness) partially numbed and muted to stimuli that are real. I have good information memory, but I struggle to relive and feel memories. Things struggle to bubble up to the surface.
The problem is not that I lack these constructs, or do not care about them, but I struggle to "see" them. Not literally, with my eyes – no hallucinations here – but trying to draw upon the connections and values in my mind is like trying to see through a thick fog. For example, I care about myself a whole lot, but when I look at myself in the mirror, it rarely clicks that this is
me.
Fellow transgender people may relate to this mirror experience, and explain it as their physical appearance not reflecting their internal, gendered, self-perception. I explain my reaction in terms of expecting to look more feminine, and also simultaneously less gendered, and also more insectoid, and also more fairylike, and also more mechanical, and also more visceral, and fat and skinny and average build and tall and short and with short long free-flowing braided black brown red blue blonde green hair, and also completely unchanged from how I look right now in any way, all of that at the same time, or maybe not, with some amorphous weighting from my personal fluctuations of identifications and experience. This is obviously physically impossible. (And that's before you get to the sublayers. Insectoid how? With butterfly dragonfly ladybird moth wings from 8 species and insect spider legs and. You get the point. Many things are always missing.)
For another example, I act on goals that are hard for me and take much effort and strain, because they are important to me, and I complete them, but I often feel nothing for doing so. I had a need for that goal, and it was satisfied, so that need does not hurt me, but I rarely feel pride or joy, even when I've done an excellent job. I don't intuitively "see" the links between my values, my actions, esteem, worth, and emotion, leaving me often feeling disconnected.
Through much effort and learning, I have improved this ability to see, with mixed results. Sometimes, I can see things other people struggle to see, to make challenging patterns and connections. For example, I once, despite not feeling anxious then or recently, suddenly clicked into knowing that I would have an anxiety "character development arc" in some time. And a couple months later, it very explicitly happened as I thought it would. But, on the whole, in dimensions like experiencing emotions, my effortful attempts - while showing clear improvement from before - are still below the average of what most people achieve without effort.
Acute:
Sporadically, and especially often for a ~7 year period, I have sudden experiences where I strongly identify with something, which I call
shocks. This description on its own is normal, and a super-category of the normal experience of empathy. There's a few differences between my experiences and empathy.
- My experiences identify with many things, including people (real or fictional), non-human living things, non-living things, and abstract ideas. Empathy is generally about people (real or fictional) and entities that the mind can see as human-like (like pets).
- My experiences are often (not always) defined by raw intensity. Empathy generally directs that intensity into a specific emotional channel, like sadness or joy or anger. I generally feel the intensity without that qualification. It is like an extreme focus state.
- Possibly resulting from the above, my experiences are very intense, often immobilzing (locking me down for a half hour or so, with variation) and very painful, much more on average than normal empathy. The suite of metaphors I've naturally cultivated reflects this – searing burning fire, electrocuting energy, surgery without anesthesia, bloody torture, annihilating death, and so on. They can be very intense and positive, but this is rarer.
- The more general nature of my experience offers a ton of internal variation, with different experiences allowing very different mental processes, which I often am unable to replicate. Once, I felt extremely control of my own emotions, that I chose to feel an emotion, and then just did like magic. Once, I wanted to remember something I had forgotten, so I just
did remember it, much how one
does move their limbs. For a couple days, I could "parallel process" my thoughts and operate them independently. A couple times, I was much more talkative and much less inconvenienced by talking.
I'm going to split this one up into two. The next half will talk about why I might struggle with identity, and what I've done and will do to improve it.