Background: Loneliness is a “hallmark” of dissociative
disorders (DD), but its impact on DD patients is understudied in the
field. Similarly, therapeutic modalities best suited for DD patients is
an area of controversy; with research advocating cognitive therapies
(CTs) despite the risk of retriggering trauma in patients.
Research objectives: 1. To explore if dissociative episodes or
phases are triggered in individuals as a result of loneliness, using
mental healthcare professionals’ experiences in treating such patients.
2. To discuss participants’ recommended therapeutic techniques for DD
patients experiencing loneliness. Method: Using a qualitative
design, fourteen trauma and dissociation practitioners were interviewed
with semi-structured questions, and a coded thematic analysis was
conducted to extract codes, sub-themes, and themes from the data.
Results: The findings show a two-way, yet non-linear
relationship between loneliness as a trigger and the use of dissociation
to cope with it. Participants strongly advocated the use of trauma-based
modalities such as EMDR. Discussion and Conclusion: The severer
the trauma and the less effective the patients’ coping mechanisms are,
the severer their dissociation is, and their inability to connect to
their own selves, and in turn, to others, which causes them to seek
isolation. However, supportive, healthy networks, when patients
seek/have them, contribute significantly to developing a sense of
safety, which allows DD patients to feel more grounded in their outer
realities and allows them to lead more satisfying lives. Practitioners
agreed that safe therapeutic alliances are pivotal for patients; it
allows them to connect more to their therapists, and subsequently to
their social networks. Furthermore, all practitioners advocated moving
away from using extensive CTs with DD patients in the initial phase of
grounding and moving towards trauma-based and psychodynamic-based
modalities. Recommendations: For future research, it is
recommended that this link be studied by interviewing DD patients
themselves, and/or conducted using quantitative designs to raise
test-retest reliability.