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Dissociation and Anxiety: What's the Connection?

  • andersonabbiek
  • Mar 7
  • 2 min read
Woman in black holds her head, looking distressed. The background is a soft pink and green blur, creating a dreamy, anxious mood.

Dissociation and anxiety are two experiences that often go hand-in-hand, yet many people don’t realize how closely connected they can be. If you've ever felt detached from your surroundings during a panic attack or spaced out when overwhelmed, you might have experienced dissociation triggered by anxiety. In this blog post, we’ll explore the link between dissociation and anxiety, why it happens, and how to manage it.


What Is Dissociation?

Dissociation is a mental process where you feel disconnected from your thoughts, feelings, body, or environment. It can range from mild (like daydreaming) to more intense experiences, such as feeling emotionally numb or detached from reality. Dissociation is often the brain’s way of coping with overwhelming stress, trauma, or intense emotions.

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How Anxiety Triggers Dissociation

When anxiety levels become overwhelming, your brain may enter a heightened state of stress known as the "fight, flight, freeze, or fawn" response. For some, instead of feeling hyper-alert (as with typical anxiety symptoms), the brain copes by disconnecting—this is dissociation.


Here’s how anxiety can lead to dissociation:

  1. Overload of Stress: High anxiety floods the brain with stress hormones, making it hard to process emotions and surroundings effectively. Dissociation acts as an escape mechanism.

  2. Panic Attacks: During intense panic attacks, people often report feeling detached from themselves or their environment, a type of dissociation called depersonalization or derealization.

  3. Chronic Anxiety: Long-term anxiety can cause frequent dissociative episodes as the brain repeatedly seeks to “shut down” overwhelming emotions.


Signs You Might Be Dissociating Due to Anxiety

  • Feeling like you're watching yourself from outside your body (depersonalization).

  • The world feels unreal, blurry, or dreamlike (derealization).

  • Difficulty focusing, feeling spacey, or mentally checked out.

  • Emotional numbness or feeling disconnected from your feelings.

  • Memory gaps or losing track of time.


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Managing Dissociation Triggered by Anxiety

  1. Grounding Techniques:

    • 5-4-3-2-1 Method: Name 5 things you see, 4 things you feel, 3 things you hear, 2 things you smell, and 1 thing you taste.

    • Physical Sensations: Hold something cold, stomp your feet, or clap your hands to reconnect with your body.

  2. Breathing Exercises:

    • Slow, deep breaths can calm your nervous system. Try box breathing: inhale for 4 counts, hold for 4, exhale for 4, hold for 4.

  3. Mindfulness Practices:

    • Focus on the present moment without judgment. Describe your surroundings out loud or name your current emotions.

  4. Address the Root Cause:

    • Therapy can help you identify anxiety triggers and develop coping strategies. Approaches like EMDR, CPT, and IFS are effective for addressing both anxiety and dissociation.

  5. Self-Compassion:

    • Remind yourself that dissociation is a protective response. It might feel scary, but it's your brain’s way of trying to help you cope.


When to Seek Professional Help

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If dissociation or anxiety significantly impacts your daily life, relationships, or functioning, therapy can be incredibly beneficial. A therapist can help you understand the connection between your anxiety and dissociation, develop grounding strategies, and work through underlying causes.


Final Thoughts

Dissociation and anxiety often coexist, creating a cycle that's hard to break without understanding the connection. Recognizing when you're dissociating, learning grounding techniques, and addressing the root causes of anxiety can help you feel more present and in control. You don’t have to navigate this alone—support is available, and healing is possible.

 

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