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Dissociative Disorders

Dissociative disorders describe those moments when the link with oneself or with reality suddenly slips away. The person is physically there, but a part of them seems disconnected, as if behind glass, while time, sensations and memories blur.

This mechanism is neither a choice nor an act. It is often a way the brain has found to protect itself from a load that has become too heavy. Between episodes, the person functions like anyone else, which makes these moments all the more disconcerting for those around them.

In the middle of a class or a meeting, the gaze freezes, answers stop coming, the person seems absent without really being so. From the outside, it looks like distraction, defiance or a faint spell, and the first instinct is sometimes to call for emergency help.

Yet most of the time there is nothing urgent to do, only something to understand. Recognising a dissociative episode, speaking calmly, giving reality time to return, all of this changes everything for the person and for those around them.

What is really happening

Dissociation takes several forms: feeling detached from one's body, perceiving the world as unreal or distant, losing track of what has just happened. These experiences often arise when tension rises, and they fade on their own. They say nothing about the person's intelligence or willpower.

What helps during an episode

  • keep a calm voice and short sentences, without piling on questions,
  • gently recall the place, the moment, what is going on,
  • offer a concrete anchor (an object to hold, a little water, feeling one's feet on the ground),
  • allow time without forcing, and avoid drawing a crowd.

Possible accommodations

Depending on age and setting, a few simple supports prevent misunderstandings, with nothing medical to manage yourself:

  • At school: a support plan (PAP) or project (PPS), a quiet place to settle, permission to step out discreetly, a designated adult informed.
  • At work: RQTH recognition (through the MDPH) for a retreat space, possible breaks, a pace adapted to moments of fatigue.
  • In daily life: stable landmarks, close ones aware of what to do, an agreed signal to say "I need a minute".

Explanations based on your profile

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Dissociative Disorders explained to a Child

0–12 years old

Sometimes a person's brain needs to step back, a bit like putting your hands over your eyes so as not to see something frightening. It is a way of protecting yourself when things are too hard.

At those moments, the person is physically present, but feels far away, as if behind a pane of glass. It is like watching the world without really being in it. They do not choose this, it simply happens.

Between those moments, the person functions normally. It is a bit as if their brain pressed a "pause" button when things become too much.

It is not a whim, and it is not pretending. It is a mechanism the brain uses to feel better when it is overwhelmed.

Real cases: Dissociative Disorders

use cases

Teenager with dissociative experiences, 17 years old
Parent → School nurse
The nurse understands what a dissociative episode is and knows how to respond without calling emergency services unnecessarily.

QR location: Sheet in the bag, shared with the school nurse

See the case in detail
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