All articles

Trauma & PTSD

Dissociation: what it is and how to come back

5 min read

Feeling unreal, disconnected from your body, or watching yourself from outside — dissociation is common in trauma and responds to grounding.

What dissociation feels like

Depersonalisation (feeling unreal or detached from yourself), derealisation (the world feels unreal or dreamlike), foggy thinking, time gaps, or feeling emotionally numb. Mild forms are common in stress; persistent or severe forms warrant assessment.

Grounding that helps in the moment

Strong sensory input: cold water on the wrists or face, holding ice, naming objects out loud, pressing feet firmly into the floor, smelling something strong (peppermint, citrus), or describing your surroundings in detail.

Longer-term support

If dissociation is frequent or impairs functioning, a trauma-trained therapist can help. NICE and ISSTD guidance describe phased treatment: stabilisation first, then trauma processing, then integration.

Sources & further reading

Groundify summarises publicly available guidance from authoritative bodies. This article is educational and is not a substitute for assessment, diagnosis or treatment by a qualified clinician.

More in Trauma & PTSD