Conditions /

Dissociative Disorders

Dissociative Disorders (DSM-5-TR)

Disruptions in consciousness, memory, identity, or perception. Includes DID, depersonalization/derealization, and dissociative amnesia. Often co-occurs with complex trauma histories. Phase-oriented treatment is standard.

Prevalence: ~2% for pathological dissociation; higher in trauma populations

10 Therapeutic Approaches

Sorted by evidence tier: guideline-recommended first, then RCT-supported, then emerging/limited evidence.

● Guideline-Recommended (1)
Trauma-Focused
Structural Dissociation
Onno van der Hart, Ellert Nijenhuis, Kathy Steele · 2006
ISSTD (International Society for the Study of Trauma and Dissociation): treatment guidelines based o…
◐ RCT-Supported (3)
Somatic
Advanced Integrative Therapy
Asha Clinton · 2002
Family Systems
IFS
Richard Schwartz · 1995
Somatic
Trauma-Sensitive Yoga
David Emerson / van der Kolk · 2005
○ Emerging / Limited Evidence (6)
Expressive
Art Therapy
Naumburg / Kramer · 1940
Trauma-Focused
Attachment-Focused EMDR
Laurel Parnell · 2013
Psychoanalytic
Ego State Therapy
John & Helen Watkins · 1997
Trauma-Focused
Lifespan Integration
Peggy Pace · 2003
Psychedelic
PSIP
Saj Razvi · 2016
Somatic
Sensorimotor Psychotherapy
Pat Ogden · 1981

Related Clinical Vignettes

Panic & Avoidance
Maya, 29, marketing manager
10 formulations
Men's Masked Depression
Marcus, 36, firefighter
8 formulations
Complex Relational Trauma
Darius, 34, veteran, currently unemployed
11 formulations
Dissociation & Fragmented Self
Lena, 41, social worker
6 formulations
Personality & Long-Standing Patterns
Reese, 31, non-binary, barista and part-time artist
8 formulations
Suicide Loss & Traumatic Bereavement
Elliot, 37, software engineer
7 formulations