Light Up The Couch

Dissociation Made Simple: Best Practices for Changing the Conversation, Ep. 169

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Feb 9, 2023
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ANECDOTE

Personal Coming-Out As Dissociative

  • Dr. Jamie Marich shares that she and her system use we pronouns and disclosed dissociative identities publicly after years of cautious self-disclosure.
  • She describes other major personal comings-out (addiction recovery, bisexuality) and says coming out as dissociative was the hardest professionally.
INSIGHT

Two Dominant Clinical Biases

  • Clinician stigma splits into two main errors: denial that dissociative disorders exist, and fear that they're untreatable or destabilizing.
  • Marich recommends the open-access review 'Separating Fact From Fiction' by Bethany Brand to counter denial.
ANECDOTE

EMDR Trainings That Scare Clinicians

  • Marich recounts EMDR training culture warning clinicians 'don't let them dissociate,' which increased fear of treating dissociation.
  • She argues many clients tolerate EMDR with light dissociation and that fear often overstates treatment risk.
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