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Worksheet for Dissociation

Amanda Knowles

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On this page, we will provide you with a Worksheet for Disassociation which will help you in keeping track of your dissociative thoughts and feelings.

What is a Worksheet for Dissociation?

Dissociation is a shift in the way your brain processes information. It means that you're feeling cut off from your thoughts, feelings, memories, and environment. It can have an impact on your sense of self and time perception. This thought or feeling is automatic and beyond the control of the individual. An out-of-body experience is a common term for it. Clients who keep track of their dissociation learn more about how they dissociate. Once the triggers have been identified, preventative measures can be implemented. This worksheet might assist you in keeping track of your dissociations.

How will a Worksheet for Dissociation help?

It will help you to understand how you disconnect in a better way. After identifying triggers, methods for avoiding them or reacting to the resulting dissociation can be developed.

Instructions on how to use a Worksheet for Dissociation

Give appropriate answers to the questions provided in the worksheet at the end of each day.

You can download this worksheet here.

Other  worksheets you may be interested in

Below are links to a few more worksheets which are closely related to the worksheet above.

Worksheet for Dissociation: VERSION 2

Dissociation Worksheet Mental Health:version 2


On this page, we provided you with a Worksheet for Dissociation which hopefully helped you in monitoring your dissociation thoughts or feelings.

If you have any questions or comments, please let us know.

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Amanda Knowles

Amanda Knowled is an Applied Psychologist, with a deep interest in psychopathology and neuropsychology and how psychology impacts and permeates every aspect of our environment. She has worked in Clinical settings (as Special Ed. Counselor, CBT Therapist) and has contributed at local Universities as a Faculty member from time to time. She has a graduate degree in English Literature and feels very connected to how literature and psychology interact. She feels accountable and passionate about making a "QUALITY" contribution to the overall global reform and well-being. She actively seeks out opportunities where she can spread awareness and make a positive difference across the globe for the welfare of our global society.