Content Warning: This article discusses trauma, dissociation, and mental health topics. Please take care of yourself while reading and consider having grounding resources available.
If it feels too much, please, take a break.
Quick Grounding Exercise: Before we begin, take three deep breaths. Feel your feet on the floor, notice five things you can see around you, and remind yourself that you are safe in this moment.
Disclaimer: This article contains information about dissociation and related mental health topics. While we strive for accuracy and base our content on current research, this information should not replace professional medical advice. If you’re experiencing distress, please consult a qualified mental health professional.
Understanding the Protective Brain
A common misconception is that dissociation is a malfunction of the brain; it’s not. When we dissociate we are experiencing an incredibly sophisticated protective mechanism that’s evolved to help us survive overwhelming experiences. When begin to understand the neuroscience of dissociation, we can appreciate it as an adaptive response rather than viewing it as something “wrong” with us (van der Kolk, 2014).
The human brain has developed multiple systems to help us navigate threats and overwhelming situations. When these systems detect that we cannot fight or flee from danger, they may activate dissociative responses to protect consciousness from experiences that could be psychologically devastating (Porges, 2011).
This neurobiological perspective helps reduce shame and self-blame that many people feel about their dissociative experiences. Understanding that dissociation represents your brain’s attempt to protect you can be profoundly validating and healing (Siegel, 2012).
Modern neuroscience research has revealed that dissociation involves complex interactions between multiple brain networks and systems. These discoveries help explain why dissociative experiences can feel so real and why they can be both protective and sometimes problematic.
The Three-Brain Model and Dissociation
The Triune Brain Structure
Understanding dissociation is easier when we consider the brain’s evolutionary development. Dr. Paul MacLean’s concept of the “triune brain” provides a helpful framework, though modern neuroscience recognizes greater complexity (MacLean, 1990):
The Reptilian Brain (Brainstem):
- Controls basic survival functions like breathing, heart rate, and sleep
- Manages primitive responses like freezing when threatened
- Operates below conscious awareness
- Can trigger dissociative responses when overwhelmed
The Mammalian Brain (Limbic System):
- Processes emotions and forms memories
- Includes the amygdala (fear center) and hippocampus (memory center)
- Manages attachment and social bonding
- Can become dysregulated during trauma, contributing to dissociation
The Human Brain (Neocortex):
- Responsible for rational thinking, language, and planning
- Includes the prefrontal cortex, which manages executive functions
- Can become “offline” during dissociative states
- Normally integrates information from lower brain regions
How Trauma Affects Brain Integration
In healthy functioning, these three brain levels work together seamlessly. However, trauma and overwhelming stress can disrupt this integration, leading to dissociative experiences (Siegel, 2012):
- Top-Down Disconnection: The thinking brain may shut down, leaving lower brain regions in control
- Bottom-Up Flooding: Survival responses may overwhelm higher brain functions
- Lateral Disconnection: Communication between brain hemispheres may be disrupted
- Temporal Fragmentation: Normal time processing may become altered
Key Brain Regions Involved in Dissociation
The Prefrontal Cortex
The prefrontal cortex (PFC) plays a crucial role in dissociative experiences by managing consciousness, attention, and self-awareness (Lanius et al., 2010):
Medial Prefrontal Cortex (mPFC):
- Involved in self-referential thinking and introspection
- May become hyperactive during depersonalization experiences
- Helps maintain sense of self and autobiographical memory
Dorsolateral Prefrontal Cortex (dlPFC):
- Manages working memory and executive control
- Can become impaired during dissociative episodes
- Important for maintaining focused attention
Anterior Cingulate Cortex (ACC):
- Monitors conflicts and regulates attention
- Shows altered activity during dissociative states
- Plays a role in emotional regulation and self-awareness
The Default Mode Network
The Default Mode Network (DMN) is active when we’re not focused on external tasks and is crucial for self-referential thinking (Buckner et al., 2008):
Normal Function:
- Maintains sense of continuous self
- Processes autobiographical memories
- Supports self-reflection and introspection
During Dissociation:
- May become disconnected or fragmented
- Can contribute to feelings of unreality or detachment
- Disruption correlates with depersonalization experiences
Limbic System Components
The Amygdala:
- Processes fear and threat detection
- Can become hyperactive in trauma survivors
- May trigger dissociative responses when overwhelmed
- Shows altered connectivity during dissociative states
The Hippocampus:
- Forms and retrieves memories
- Integrates memories with emotional and sensory information
- Can become impaired during trauma, leading to fragmented memories
- May show reduced volume in severe dissociative disorders
The Insula:
- Processes bodily sensations and emotional awareness
- Shows reduced activity during depersonalization
- Important for maintaining connection to physical self
- Helps integrate internal and external awareness
Neurotransmitters and Dissociation
Key Chemical Messengers
Several neurotransmitter systems are involved in dissociative experiences (Krystal et al., 1994):
GABA (Gamma-Aminobutyric Acid):
- The brain’s primary calming neurotransmitter
- Deficiency may contribute to dissociation
- Target of some medications used for treatment
Glutamate:
- The brain’s primary excitatory neurotransmitter
- NMDA receptors may be affected during dissociative states
- Some dissociative drugs work by blocking these receptors
Endogenous Opioids:
- Natural pain-relieving chemicals produced by the brain
- May be released during traumatic experiences
- Can contribute to emotional numbing aspects of dissociation
- Help explain why dissociation can feel protective
Stress Hormones and Dissociation
The body’s stress response system significantly impacts dissociative experiences:
Cortisol:
- Primary stress hormone released by adrenal glands
- Chronic elevation can affect memory and attention
- May contribute to dissociative symptoms over time
Adrenaline (Epinephrine):
- Activates fight-or-flight responses
- Can trigger acute dissociative episodes
- May contribute to feelings of unreality during panic
Neural Networks and Dissociative States
The Central Executive Network
This network manages focused attention and working memory (Seeley et al., 2007):
Normal Function:
- Maintains focused attention on tasks
- Manages working memory and decision-making
- Coordinates other brain networks
During Dissociation:
- May become disconnected from other networks
- Can lead to difficulty concentrating or making decisions
- Contributes to feeling “spaced out” or unfocused
Network Disconnection Hypothesis
Research suggests that dissociation involves disrupted communication between different brain networks rather than problems with individual brain regions (Lanius et al., 2014):
- Normal Integration: Different networks communicate smoothly to create unified consciousness
- Dissociative Disruption: Communication breaks down, leading to fragmented experience
- Protective Function: Disconnection protects certain networks from overwhelming information
Developmental Neuroscience of Dissociation
Critical Periods in Brain Development
The developing brain is particularly vulnerable to experiences that can lead to dissociative responses (Perry, 2009):
Early Infancy (0-2 years):
- Brainstem and limbic system development
- Attachment relationships shape neural pathways
- Trauma during this period can affect basic regulation systems
Early Childhood (2-7 years):
- Rapid brain growth and neural pathway formation
- Development of memory and emotional regulation systems
- Critical period for integration of brain systems
Middle Childhood (7-11 years):
- Continued development of executive functions
- Refinement of emotional regulation abilities
- Important period for developing coping strategies
Adolescence (11-18 years):
- Significant prefrontal cortex development
- Increased vulnerability to stress and trauma
- Neural plasticity allows for both vulnerability and resilience
Attachment and Neural Development
Secure attachment relationships support healthy brain integration, while insecure or disorganized attachment can contribute to dissociative tendencies (Schore, 2003):
Secure Attachment:
- Promotes integrated brain development
- Supports emotional regulation abilities
- Builds resilience against dissociative responses
Disorganized Attachment:
- Strongly associated with dissociative symptoms
- Results from frightening or frightened caregiving
- Can lead to fragmented neural development
Neuroplasticity and Healing
The Brain’s Capacity for Change
One of the most hopeful aspects of neuroscience research is the discovery of neuroplasticity—the brain’s ability to change and reorganize throughout life (Doidge, 2007):
Adult Neuroplasticity:
- New neural connections can form at any age
- Existing pathways can be strengthened or weakened
- Traumatic patterns can be rewired with appropriate intervention
Factors That Promote Plasticity:
- Safe, supportive relationships
- Mindfulness and meditation practices
- Physical exercise and movement
- Creative and artistic activities
- Therapy and professional support
Therapeutic Implications
Understanding the neuroscience of dissociation has important implications for treatment:
Bottom-Up Approaches:
- Work with the body and nervous system first
- Use somatic therapies to regulate brainstem and limbic functions
- Examples include yoga, breathing exercises, and movement therapy
Top-Down Approaches:
- Engage the thinking brain to understand and process experiences
- Use cognitive therapies to change thought patterns
- Examples include CBT and psychoeducation
Integrated Approaches:
- Combine both bottom-up and top-down strategies
- Address multiple brain systems simultaneously
- Examples include EMDR, Internal Family Systems, and trauma-focused therapy
Simplified Version for Difficult Moments: Your brain developed dissociation as a way to protect you from overwhelming experiences. This is a sign of your brain’s intelligence and survival instincts, not a flaw. Understanding how your brain works can help you work with it for healing rather than against it.
Practical Applications of Neuroscience Knowledge
Understanding Your Brain
Learning about the neuroscience of dissociation can be empowering:
- Validation: Knowing that dissociation has a biological basis can reduce self-blame
- Prediction: Understanding triggers can help predict when dissociation might occur
- Control: Knowledge of brain function can suggest strategies for managing symptoms
- Hope: Understanding neuroplasticity provides hope for healing and change
Working With Your Nervous System
Practical applications include:
- Recognizing States: Learning to identify different nervous system states
- Regulation Techniques: Using specific strategies to calm overactive systems
- Safety Building: Creating environments that support nervous system regulation
- Gradual Exposure: Slowly building tolerance for difficult experiences
Grounding Practice
Take a moment to appreciate your remarkable brain. It has worked hard to protect you, and it has the capacity to heal and grow. Feel your feet on the ground, take a deep breath, and thank your nervous system for its efforts to keep you safe.
Further Reading & Recommended Books
For Understanding the Brain and Trauma:
“The Developing Mind” by Daniel Siegel – How relationships shape brain development
“The Body Keeps the Score” by Bessel van der Kolk – Essential reading on trauma’s impact on the brain
“The Polyvagal Theory” by Stephen Porges – Understanding nervous system responses to trauma
For Neuroplasticity and Healing
For Neuroplasticity and Healing:
“The Haunted Self” by Onno van der Hart – Structural dissociation and the neurobiology of trauma
“The Brain That Changes Itself” by Norman Doidge – Understanding the brain’s capacity for change
“Waking the Tiger” by Peter Levine – Somatic approaches to healing trauma in the nervous system
References
- Buckner, R. L., Andrews-Hanna, J. R., & Schacter, D. L. (2008). The brain’s default network: Anatomy, function, and relevance to disease. Annals of the New York Academy of Sciences, 1124(1), 1-38.
- Doidge, N. (2007). The Brain That Changes Itself. Viking Penguin.
- Krystal, J. H., Karper, L. P., Seibyl, J. P., Freeman, G. K., Delaney, R., Bremner, J. D., … & Charney, D. S. (1994). Subanesthetic effects of the noncompetitive NMDA antagonist, ketamine, in humans. Archives of General Psychiatry, 51(3), 199-214.
- Lanius, R. A., Vermetten, E., Loewenstein, R. J., Brand, B., Schmahl, C., Bremner, J. D., & Spiegel, D. (2010). Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype. American Journal of Psychiatry, 167(6), 640-647.
- Lanius, R. A., Boyd, J. E., McKinnon, M. C., Nicholson, A. A., Frewen, P., Vermetten, E., … & Spiegel, D. (2018). A review of the neurobiological basis of trauma-related dissociation and its relation to cannabinoid- and opioid-mediated stress response: A transdiagnostic, translational approach. Current Psychiatry Reports, 20(12), 118.
- Lutz, A., Slagter, H. A., Dunne, J. D., & Davidson, R. J. (2008). Attention regulation and monitoring in meditation. Trends in Cognitive Sciences, 12(4), 163-169.
- MacLean, P. D. (1990). The Triune Brain in Evolution. Plenum Press.
- Menon, V. (2011). Large-scale brain networks and psychopathology: A unifying triple network model. Trends in Cognitive Sciences, 15(10), 483-506.
- Perry, B. D. (2009). Examining child maltreatment through a neurodevelopmental lens: Clinical applications of the neurosequential model of therapeutics. Journal of Loss and Trauma, 14(4), 240-255.
- Porges, S. W. (2011). The Polyvagal Theory. W. W. Norton & Company.
- Schore, A. N. (2003). Affect Dysregulation and Disorders of the Self. W. W. Norton & Company.
- Seeley, W. W., Menon, V., Schatzberg, A. F., Keller, J., Glover, G. H., Kenna, H., … & Greicius, M. D. (2007). Dissociable intrinsic connectivity networks for salience processing and executive control. Journal of Neuroscience, 27(9), 2349-2356.
- Siegel, D. J. (2012). The Developing Mind. Guilford Press.
- van der Kolk, B. (2014). The Body Keeps the Score. Penguin Books.