Crawly wrote:Oh okay, I think I thought depersonalization was dissociation. Can the words go hand in hand? I look at "dissociation" meaning you are dissociating, disconnecting, from yourself. Sometimes with another personality and sometimes not.
"dissociation" is a family of conditions. The more you pile up dissociative symptoms, the more intense the condition and the name of the diagnosis changes. To dumb it down a bit, dissociation is the fuse of the brain. It can either be a fuse that is off most of the time, or a fuse that was never actually put in place so there is a "gap" in the circuit.
Depersonnalization/derealization are fuses that can function on/off, though when it's "off" most of the time to the point it has a negative effect on your life, it's called "depersonnalization/derealization disorder" (because of the negative impact on your life).
Trauma-related dissociation (PTSD, c-PTSD, ATDS, TDNS, p-DID, DID, some forms of borderline personality disorders) is when at least one fuse was not yet put in place in your brain so there is a structural "gap" in the circuit. This is why alters can feel like they are independant from each-other: there is a "gap" in the circuit so they are unable to see they are part of the same circuit. Therapy helps progressively bridge the gaps which heals the trauma and helps to function better. It also bridges the gap with a functional fuse so there is no functionning issue, no flashback, no pain... like we experience when we try to activate a part of the "circuit" without putting a fuse on it first.
Depending on how many fuses are missing and/or staying "off", how often they stay "off" and how the different parts of the circuit organize their functionning, the symptoms vary (flashbacks, switches, amnesia, fogginess of the brain...). The diagnoses is a one-word summary of the symptoms in a given point of time. Which means that when we heal, our diagnosis changes category, because the symptoms are less and less intense.
Some diagnosis categories include symptoms that can also exist by themselves. If we have the whole packages of symptoms we call it DID. If we have only one symptom it can be "dissociative amnesia" or "depersonnalization/derealization". It's a bit like having a car. If you have a whole car you'll call it "a car", not a "car with tires and windshield and an engine and I put fuel in it and there are doors too and...". But if you only have two tires and one seat, you cannot call it a car, it's called "two tires and one seat". Diagnosis works that way too. DID is the full car. Depersonnalization is a tire, derealization is a windshield, and so on. Some people only have depersonnalization disorders but when we have DID, depersonnalization is part of the package so there is no need to say "and I also have depersonnalization".