Dissociative Disorders in Adolescents / Teens

Key things to know What the evidence shows
How common is it? Not established diagnosed DD; Finnish adolescents: 5.5% highest dissociation group, not diagnosis
Is it more common among adolescents / teens? Major developmental period for recognition
Are adolescents / teens at higher risk? Strong where trauma present
How much higher is the risk? Trauma-exposed adolescents had significantly higher A-DES scores than non-traumatized peers
How often can it be missed? Very High
Does it show up differently among adolescents / teens? Strong Yes
How might it look different? Memory gaps, depersonalization/derealization, identity confusion, self-harm and sudden state shifts may be mistaken for adolescent instability
What commonly occurs alongside it? PTSD; depression; self-harm; substance use; BPD features
What can it be confused with? PTSD; BPD; psychosis; substance use; epilepsy; normal identity development
Common screening tool A-DES — Adolescent Dissociative Experiences Scale
Separate screening tool for adolescents / teens A-DES — Adolescent Dissociative Experiences Scale
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