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EPISODE · Nov 6, 2025 · 1H 9M

Dissociation vs. Dissociative DISORDER

from Ask Kati Anything · host Kati Morton, LMFT

Today, Kati navigates the confusing paths of trauma healing, dissociation, and eating disorder recovery. Learn what happens when your coping skills become a dissociative disorder, how to handle medical trauma, the truth about countertransference in therapy, and essential steps for overcoming OCD and self-sabotage. This episode covers recovery setbacks, exercise addiction, feeling lost, and what to do when therapy feels confusing or unsafe. Shopping with our sponsors helps support Ask Kati Anything and allows us to continue bringing you these important conversations about mental health. Please check out this week's special offers: • Blissy - Get better sleep, hair and skin with Blissy - use code ASKKATIPOD to get an additional 30% off at http://blissy.com/ASKKATIPOD • CrowdHealth - Get your first three months for just $99 CrowdHealth - Healthcare Crowdfunding at http://joincrowdhealth.com/ use code ASKKATI 📚 My new book is available for pre-order! Why Do I Keep Doing This? → https://geni.us/XoyLSQ If you’ve ever felt stuck, this book is for you. I’d be so grateful for your support. Timestamps 00:41 | Dissociation: Symptom vs. Disorder? When does dissociation as a coping mechanism turn into a diagnosable dissociative disorder (like DPD/DPDR or DID), and how can one bring this up in therapy without sounding "attention seeking"? ‌ 07:58 | Medical Trauma and Abuse: Can suppositories or enemas, administered for painful constipation, be considered traumatizing or abusive, especially when compounded by a history of abuse from a babysitter? ‌ 14:29 | Dissociation While Healing: Struggling with worsening dissociation (mostly DPDR) and existential thoughts after starting to unpack complex PTSD and an eating disorder in therapy. What helps someone feel "real" and grounded again? 19:55 | Countertransference in Therapy: Discussing transference and countertransference, specifically concerning a therapist who shared the patient is "very like her daughter" and seems to be struggling to refer the patient out to an eating disorder specialist. ‌ 30:00 | New OCD Diagnosis & Treatment: Newly diagnosed with OCD after previously being told they didn't have it, and unsure how to fit OCD treatment into their current therapy plan which is focused on suicidal ideation (CBT-S). Also, how to differentiate OCD tendencies from "normal" tendencies. ‌ 38:44 | Anorexia Recovery in an Unhealthy Environment: How to navigate recovery from anorexia nervosa when living in an unhealthy environment that seems to cause recovery setbacks and a "total mind switch." 45:20 | The Cycle of Self-Sabotage: Why self-sabotage is a continuous cycle, why it's so hard to break, and what steps can be taken to change the pattern. ‌ 54:14 | Exercise Addiction & Mood Swings: Struggling with massive mood changes and fatigue, feeling depressed when missing a workout, and considering resting a "waste of time." Seeking insight on a therapist's suggestion of "dopamine addiction." ‌ 01:02:29 | Feeling Life is Pointless: How to stop feeling like one's entire life is pointless, and what strategies can combat these feelings of meaninglessness. 📚 PUBLISHED BOOKS Traumatized https://geni.us/Bfak0j Are u ok? https://geni.us/sva4iUY 🧠 NEED THERAPY? While I don't offer online therapy, get connected with a licensed therapist through my sponsor BetterHelp: https://betterhelp.com/kati (Get 10% OFF your first month) 💼 BUSINESS INQUIRIES: Contact Nick Freeman [email protected] Disclaimer: The information provided in this video is for educational and informational purposes only and is not intended as medical or mental health advice. It should not be used to diagnose or treat any health problem or disease. Always consult with a qualified healthcare professional for diagnosis and treatment. Viewing this content does not establish a therapist-client relationship. Learn more about your ad choices. Visit megaphone.fm/adchoices

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Dissociation vs. Dissociative DISORDER

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