Dissociation Worksheet Mental Health

Download Worksheet


According to DSM (Diagnostic and Statistical Manual, 5th Ed.), dissociation is a disruption of and/ or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behavior. (APA, 2013)

Dissociation is also the disconnection between a person’s sensory experience, thoughts, sense of self, or personal history. This disconnection can occur as part of a dissociation disorder or as a symptom of another mental health issue.

Mental health is the state of mind characterized by our emotional, psychological, and social well-being. Our mental health enables us to cope with the ordinary demands and stresses of life 

What Are The Theories Behind This Worksheet?

  1. Cognitive-behavioural therapy (CBT) 

CBT is a type of psychotherapy that helps people change destructive thoughts and behaviors. CBT is also used to identify and manage problems.

  1. Dialectical behavioral therapy (DBT)

DBT helps people learn skills to manage emotions better and stop harmful behaviors. It is a helpful treatment for phobias, panic disorder, PTSD, OCD, and generalized anxiety disorder.

How Will This Worksheet Help You?

This worksheet will help you to mentally connect with your thoughts, feelings, memories, and sense of identity.

How Should You Use This Worksheet?

This worksheet should be used when you experience disconnection and lack of continuity between thoughts, memories, surroundings, actions, and your identity.

You should also use this worksheet to learn how to cope with stress and other mental health issues.

Was this helpful?

Thanks for your feedback!



Better Health. (© 2021). Dissociation and Dissociative Disorders. Available at: https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/dissociation-and-dissociative-disorders#treatment. [Accessed February 14, 2023]


European Society for Trauma and Dissociation. (No Date). What is dissociation? Available at: https://estd.org/what-dissociation. [Accessed February 14, 2023]


Mind. (©2023). Dissociation and Dissociative Disorders. Available at: https://www.mind.org.uk/information-support/types-of-mental-health-problems/dissociation-and-dissociative-disorders/about-dissociation/. [Accessed February 14, 2023]


Very Well Mind. (© 2023). What is Dissociation? Available at: https://www.verywellmind.com/dissociation-2797292. [Accessed February 14, 2023]