Survivors of narcissistic abuse often dissociate in session. They may go blank, lose track of time, or seem distant. New therapists sometimes mistake this for resistance or disengagement. In truth, dissociation is the nervous system’s way of saying, “This is too much.”
Recognizing Dissociation
Signs include glazed eyes, long silences, or a sudden shift in tone. Survivors are not being difficult—they are protecting themselves.
Therapeutic Response
• Grounding – Use sensory cues like noticing feet on the floor or breathing.
• Co-Regulation – Gentle voice and steady pacing help bring clients back.
• Safety First – Never push survivors to stay present without providing tools for safety.
Training Point
Teach supervisees that dissociation is survival, not avoidance. Responding with patience, empathy, and skill fosters trust.
👉 At Soteldo Psychotherapy Clinic, we train psychotherapists to recognize and respond to dissociation with trauma-informed care.
