Dissociation Essentials Part I: Understanding and Identifying Dissociative Disorders
Abstract
Up to one in ten individuals experiencing a dissociative disorder in their lifetime. Despite the prevalence of dissociation, its significant impact on psychosocial functioning, and the clear benefits of accurate identification and appropriate treatment, education and training in dissociative disorders remain limited across many mental health, clinical, and academic settings. Misinformation, scepticism, and stigma further contribute to misunderstanding and under-recognition in practice.
This foundational workshop provides a practical, evidence-based introduction to dissociation and the identification of dissociative disorders. It is designed for professionals and students across the mental health field who want to build foundational knowledge and confidence in recognising dissociative presentations.
The session will cover definitions, key dissociative symptoms, diagnostic criteria, prevalence, risk factors, and historical and contemporary conceptualisations of dissociation. It will also examine dissociation as a transdiagnostic phenomenon and consider how dissociative symptoms may present alongside, overlap with, or be missed within other mental health and neurodevelopmental presentations.
Participants will be introduced to screening and diagnostic tools, including the Multidimensional Inventory of Dissociation, 60-item version (MID-60) and demonstrate how assessment findings can support clinical formulation.
The workshop will be led by Dr Mary-Anne Kate, with Kate McMaugh, a clinical expert and ISSTD Fellow, joining selected parts of the session to offer clinical reflections and examples. This session is designed to prepare you for the workshop led by Kate McMaugh, Dissociation Essentials: Treatment.
Learning Objectives
Upon completion of this session, participants will be able to:
- Define dissociation and identify the core dissociative symptoms, including amnesia, depersonalisation, derealisation, identity confusion, and identity alteration
- Describe the major dissociative disorders and distinguish between dissociative amnesia, depersonalisation/derealisation disorder, dissociative identity disorder, partial DID/OSDD presentations, and related diagnostic categories
- Explain key historical, theoretical, and empirical perspectives on dissociation, including trauma, attachment, structural dissociation, and debates concerning trauma and fantasy models
- Recognise risk factors, prevalence patterns, and common pathways to under-identification, including the role of childhood trauma, parent-child dynamics, attachment disruption, stigma, scepticism, and misdiagnosis
- Identify and apply appropriate screening and assessment tools, including the MID-60, to support recognition, differential diagnosis, and case formulation in clinical and mental health contexts
Timed Outline
Foundations of Dissociation: Definitions, Origins, and Conceptual Models (90 minutes)
Understanding dissociation as a phenomenon: what it is, how it presents, and the protective role it can serve in response to overwhelming circumstances
Developmental and interpersonal origins of dissociation, including childhood trauma, attachment disruption, and parent-child dynamics
Historical and contemporary conceptualisations of dissociation, including the trauma versus fantasy model debate
Break (30 minutes)
Diagnostic Categories, Differential Recognition, and Screening (90 minutes)
Overview of dissociative diagnoses in DSM-5-TR and ICD-11, including dissociative amnesia, depersonalisation/derealisation disorder, DID, OSDD/partial DID, and PTSD dissociative subtype
Dissociation as a transdiagnostic phenomenon across trauma-related, mental health, neurodevelopmental, and eating disorder presentations
Differential recognition, including common pathways to misdiagnosis and missed diagnosis
Introduction to screening tools, including their strengths, limitations, and appropriate use
Applied case composites demonstrating how the MID-60 can be used to identify dissociative symptom patterns, support formulation, and guide next steps in assessment and care
Mary-Anne Kate, PhD
Dr Mary-Anne Kate is an award-winning social scientist, academic, researcher, and educator specialising in dissociation, complex trauma, and mental health. She holds a PhD in psychology, with doctoral research examining the prevalence and aetiology of dissociation and dissociative disorders, including the role of childhood trauma and parent-child dynamics. She is Research Lead at Blue Knot Foundation: National Centre of Excellence for Complex Trauma, where she contributes to evidence synthesis and practice guidance for complex trauma treatment. She is also Chair of the Scientific Committee of the International Society for the Study of Trauma and Dissociation and was appointed an ISSTD Fellow in 2026.
Dr Kate is the creator of the Multidimensional Inventory of Dissociation, 60-item version, the MID-60, a widely used measure of dissociative symptoms and disorders in adults and adolescents. Her research examines the prevalence, aetiology, measurement, and recognition of dissociation, including its relationship with childhood trauma, parent-child dynamics, neurodiversity, depression, anxiety, eating disorders, and other mental health presentations.
Mary-Anne as published and presented on the prevalence and antecedents of dissociative disorders, barriers to identifying dissociative identity disorder, and the assessment of dissociative symptoms in clinical and community populations. She is a lead author of dissociative and somatic disorders content in Australian Wiley psychology textbooks and has trained mental health professionals nationally and internationally.
Kate McMaugh, BA (Hons - Psych), PG Dip Health Prom, Masters Health Sci, PG Cert Prof Psych
Kate is a clinical psychologist based in Sydney, Australia. Although she enjoys working in many areas of mental health treatment, the main focus of her clinical work is complex trauma and dissociative disorders. In her clinical practice she provides assessment and treatment to people with complex trauma, dissociative disorders, vicarious/workplace trauma and birth trauma. She also provides training, case consultation and clinical supervision to other health professionals working with complex trauma and dissociative disorders. Kate has published articles on the history of the false memory movement, trauma and disability, DID, incestuous abuse, and childbirth trauma. She has also recently completed research into therapists’ experiences of working with clients who have experienced incestuous abuse which has continued into adulthood and is currently undertaking doctoral research in this same area.
She regularly presents on topics related to complex trauma, DID and organised abuse to Australian and International audiences. Kate is a Fellow of ISSTD and has served in a variety of leadership roles over the years including as Chair of the Communications and Marketing Committee, Chair of the Australia-New Zealand ROC and secretary to several SIGs. She was also Editor of ISSTD News from 2017 until January 2024. In addition to her clinical work, Kate has a background in public health, health promotion and program evaluation. She continues to be involved in several public health and health promotion projects through research, evaluation and report writing.
Available Credit
- 3.00 APAThe International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
- 3.00 ASWB ACEThe International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 3.00 continuing education credits.
- 3.00 ISSTD Certificate ProgramThis program is eligible for 3.00 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.

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