


If someone with the disorder is experiencing ongoing trauma, then dissociation can become “ fixed and automatic” outside of one’s control, with some people reporting that they’ve been stuck in a dissociative period for weeks, months, or even years at a time. “ watching yourself, feeling like you’re in the corner of the room totally disconnected from your body or from yourself.” She added that while most people can relate to the feeling of “zoning out,” those who experience more severe dissociation can have instances of memory loss (dissociative amnesia) or feel like they have “multiple traumatized senses of selves” (dissociative identity disorder, which was previously called multiple personality disorder). Patients who would place their hand “behind their head” are in derealization territory, Gutiérrez-Glik said. Holding it an inch closer to your face means, as Gutiérrez-Gilk put it, “I’m present, but maybe I’m thinking about what’s for dinner tonight.” Moving it a bit closer to your face, she said, might signify, “I’m not noticing how my body feels and I’m thinking about what I have to do later.” Placing your hand right up to your face means “you’re not aware of the present moment,” she said. Holding your hand as far as you can from your face indicates that you’re feeling present. To measure it, she applies the “back-of-the-head scale,” a tool that visualizes the extent of a person’s derealization via hand measurements. It’s our brain giving us a break,” Andrea Gutiérrez-Glik, LCSW, told me. “Dissociation is a normal and healthy response to trauma, stress, boredom, or overwhelm. There are monthlong stretches of my life where I question if I was ever really there at all.

Sex is out of the question, because I feel like a shell of a human. I can’t speak to my loved ones or access my emotions. But these flippant references sometimes can feel like they’re betraying the severity of the condition. I’ve noticed a growing tendency for people to mention dissociation on social media in a joking or casual manner, which is certainly a way to cope with not wanting to connect to the reality of the world. Derealization means feeling removed from your environment, like you are living in a dream or a haze, or there’s an imaginary force field separating you from other people.Ībout half of all people experience these feelings at least once in their lifetime, but 2% meet the criteria for depersonalization-derealization disorder, and have repetitive and persistent episodes of dissociation. While dissociation equates to feeling detached, depersonalization is feeling distant from yourself it’s like you are an outside observer of your body or acting as if on autopilot. This is how I experience my depersonalization-derealization disorder, a dissociative disorder that manifests as feeling disconnected from your body, mental processes, and surroundings. Imagine that you’re moving through the world in a fog, able to control your body, but not feeling fully inside it - like you’re playing a video game of your life as a slightly removed spectator.
