At Grouport, we offer a range of online therapy options to help individuals manage dissociative symptoms, process underlying causes, and rebuild a grounded, present connection to themselves and their daily life. Many members choose to mix and match therapy formats.
Online therapy for dissociative disorders and DPDR: personalized, flexible, and therapist-led. Reconnect with yourself and the world around you with dedicated support every step of the way.
Whether you're interested in online group therapy for dissociative disorders, individual therapy sessions, a combination of both, or our virtual IOP for more intensive care, you'll start by selecting the format that fits your needs and schedule. You can customize the frequency of sessions and even pair live therapy with our DBT self-guided program for added support between sessions. Just complete our onboarding form and sign up directly for the plan that suits you best.
After signing up, you'll connect with a dedicated care coordinator who will discuss your mental health challenges, goals, and preferences. They'll walk you through the range of therapy options best suited to your needs for managing dissociative disorders. You'll make the final choice about your care, including which therapists you'll meet with and select session times that are most convenient for you.
Attend your weekly online therapy sessions to build coping skills, mood regulation strategies, and stability tools tailored to dissociative disorders. Our team will be here to support you at every step of the way, ensuring you're happy with your care plan and helping you make changes whenever needed.
Dissociation is more than just zoning out. It is a disruption in the usual integration of consciousness, memory, identity, emotion, perception, or sense of self, often developing as a way for the mind to cope with overwhelming stress or trauma. Dissociative disorders and depersonalization-derealization disorder (DPDR) can make you feel detached from your body, your emotions, or the world around you, in ways that are more than occasional and begin to interfere with daily life. If these patterns persist, therapy can help you reconnect, build grounding skills, and address what is underneath.
Common signs to watch for include:
If you recognize these patterns in yourself or a loved one, working with a licensed therapist can help.

Dissociation does not just affect how you perceive reality. The detachment, confusion, and emotional numbness it creates can disrupt every part of your life, often in ways that are invisible to others but deeply distressing to you.
Dissociation makes it extremely difficult to focus, retain information, or stay mentally present during tasks. You may read the same sentence repeatedly, lose track of conversations, or zone out during meetings. This cognitive fog directly impacts job performance and academic achievement.
When you feel disconnected from yourself, connecting with others becomes profoundly difficult. Partners may feel you are emotionally distant or not fully present. Intimacy can feel strange or unreal. The inability to access your emotions makes it hard to communicate what you need or respond to what others need from you.
Dissociation erodes your trust in your own mind. You may question your memories, doubt your perceptions, or fear that something is fundamentally wrong with you. This uncertainty feeds anxiety and depression, creating a cycle where distress triggers more dissociation.
Dissociative episodes can occur while driving, cooking, crossing the street, or in other situations where awareness matters. Memory gaps can cause you to miss appointments, forget commitments, or lose track of conversations. The unpredictability of episodes creates constant background anxiety.
Dissociation can make you feel like a stranger to yourself. Your preferences, opinions, and personality may feel unclear or shifting. This is especially distressing for younger adults who are already navigating identity formation and may wonder if they are even a real person.
When everything feels unreal or muted, it is nearly impossible to enjoy experiences. Music, nature, socializing, hobbies: the things that used to bring pleasure feel flat or distant. This emotional numbness can lead to withdrawal and the false belief that you will never feel joy again.
Starting therapy when you are already exhausted and unmotivated can feel like a big ask. Here is what your first few sessions typically look like.
Your therapist will ask about your dissociative symptoms: what they feel like, when they started, what triggers them, and how they affect your life. Many people have never had the words to describe these experiences, and your therapist will help you articulate what you are going through without judgment.
Together, you will explore what tends to trigger dissociative episodes, whether that is stress, anxiety, sensory overload, trauma reminders, or specific emotional states. Your therapist will help you understand how dissociation functions as a protective response and why it persists.
You and your therapist will define what progress looks like for you. This might include reducing the frequency or intensity of dissociative episodes, developing reliable grounding techniques, improving emotional connection, or processing underlying trauma. Goals are always personalized.
Your therapist will introduce evidence-based techniques including sensory grounding, cognitive grounding, DBT mindfulness skills, and body-based awareness exercises. You will leave your first session with concrete tools you can use immediately when dissociation strikes.
See how our therapy options have helped our members experience life-changing results
Stephanie

“Grouport is time flexible and affordable and if it didn’t exist, I don’t know where I would go. I had looked into other places before Grouport and there really wasn’t any option like it.”
Michael

“I highly recommend this to anyone who is struggling with anxiety or depression. The therapists are top notch and have made me feel really comfortable and my anxiety has improved tremendously in only a few sessions!”
Isabel

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."
Sheldon

“I was feeling very down at the end of 2020 and I was ready to do something drastic that I know I'd likely regret. The group definitely helped show me that there are people who feel the same way as I do.”
Nancy

“The therapy from Grouport is high quality and convenient. I am becoming much more self aware and am liking myself more. My relationships at work are better and I’m much happier.”
Emily

“I like the connection you can make with total strangers and the confidentiality it comes with.”
Danielle

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"
Glenn

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."
At Grouport, our virtual dissociation therapy integrates several evidence-based techniques designed to help you reconnect with yourself, reduce dissociative episodes, and build a stable sense of presence:
Grounding techniques are often the first line of treatment for dissociative symptoms. These practical, immediate tools use your five senses to pull you back into the present moment: holding ice, naming objects you can see, focusing on specific textures, or using strong scents. Your therapist will help you build a personalized grounding toolkit and practice using it so these techniques become second nature when dissociation strikes.
CBT helps you identify and challenge the thought patterns that worsen dissociation, such as "I am going crazy," "I will never feel real again," or "Something is permanently wrong with my brain." By developing more accurate interpretations of your symptoms and reducing the anxiety that fuels dissociative episodes, CBT can significantly decrease both the frequency and intensity of dissociation.
Dissociative disorders frequently develop as a response to overwhelming experiences. Trauma-informed therapy creates a safe therapeutic environment and approaches the underlying causes of dissociation at a pace you can manage. This may include processing past adverse experiences, developing a coherent narrative, and learning to tolerate the emotions that dissociation has been protecting you from.
CBT helps you identify and challenge the thought patterns that worsen dissociation. By developing more accurate interpretations of your symptoms and reducing catastrophic thinking about them, CBT can significantly decrease both frequency and intensity of dissociative episodes.
EMDR is a structured therapy that helps you process distressing memories that may be driving dissociative symptoms. Through bilateral stimulation (eye movements, taps, or sounds), EMDR helps your brain reprocess traumatic or overwhelming experiences so they no longer trigger dissociative responses. EMDR is particularly effective when dissociation is rooted in specific traumatic events.
DBT skills are particularly valuable for dissociative disorders because they build the emotional regulation and mindfulness capacity that dissociation disrupts. Mindfulness skills help you practice staying present without becoming overwhelmed. Distress tolerance skills give you tools to manage intense emotions without dissociating. Emotion regulation helps you identify and process feelings that might otherwise trigger a dissociative episode.
Every Grouport therapist is a licensed, accredited mental health professional with experience helping clients address dissociative disorders and DPDR, along with the trauma and chronic stress that often underlie them, using evidence-based approaches like grounding and mindfulness techniques, CBT, and trauma-focused therapy.
Our therapists typically have over a decade of clinical experience across diverse settings, with specialized expertise in mood disorders, dissociative disorders, trauma, and emotional regulation, and evidence-based interventions like CBT, gradual exposure therapy, and DBT.
We continually evaluate outcomes through internal studies and outcomes studies with researchers from leading universities such as Carnegie Mellon, University of Essex, and University of Cologne.
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80%of our members start with moderate to severe mental health symptoms
70% of our members feel significantly better within just 8 weeks
50% of our members achieve remission levels within just 8 weeks
80%
of our members start with moderate to severe mental health symptoms
70%
of our members feel significantly better within just 8 weeks
50%
of our members achieve remission levels within just 8 weeks

Group, individual, couples, family, IOP, and teen therapy — all online, all therapist-led. Mix and match care options to fit your needs — and get discounted pricing when you bundle.

Dissociative Disorders often co-occurs with other mental health conditions. Our licensed therapists are experienced in treating a wide range of challenges, and many members address multiple concerns simultaneously through our flexible therapy options.
Grouport provides online group therapy, individual therapy, couples therapy, family therapy, teen therapy, intensive outpatient program (IOP), all held virtually over video chat. We also offer a DBT self-guided program. Many members combine multiple therapy types to best fit their needs.
Dissociative disorders are a group of conditions involving disruptions in consciousness, memory, identity, emotion, and perception of the environment. The main types include depersonalization-derealization disorder (DPDR), dissociative identity disorder (DID), and dissociative amnesia. They typically develop as a response to overwhelming stress or trauma. Dissociative symptoms exist on a spectrum, from mild (daydreaming or "zoning out") to severe (identity fragmentation or significant memory gaps).
DPDR is the most common dissociative disorder, affecting up to 2% of the general population. Depersonalization involves feeling detached from yourself, your thoughts, or your body, as if you are watching yourself from outside or living in a dream. Derealization involves the world around you feeling unreal, foggy, or distant. Many people describe it as feeling like they are behind glass or that reality has lost its depth and meaning. DPDR is especially common among 18-30 year olds and is often triggered by anxiety, panic attacks, stress, or substance use.
Yes, every Grouport therapist is accredited and licensed. Our network includes Licensed Psychologists (PhD, PsyD), Licensed Social Workers (LCSW), Licensed Mental Health Counselors (LMHC), and Licensed Marriage and Family Therapists (LMFT). Our therapists specialize in trauma-informed, evidence-based approaches for dissociative disorders including grounding techniques, CBT, DBT, and EMDR.
No, and this is one of the most important things to understand. Depersonalization and derealization are not signs of psychosis or "going crazy." They are your brain's protective response to overwhelming stress or anxiety. People with DPDR maintain awareness that something feels off, which is actually the opposite of a psychotic break. DPDR is not dangerous, and it is highly treatable with the right therapeutic approach.
Dissociative symptoms typically develop as a protective mechanism in response to experiences the mind finds overwhelming. Common causes include childhood trauma or adverse experiences, severe or chronic stress, panic attacks and anxiety disorders, substance use (particularly cannabis and psychedelics), sleep deprivation, and significant life transitions. DPDR specifically is often triggered by intense anxiety, a panic attack, or a period of extreme stress, which is why it is so common among young adults navigating major life changes.
DPDR can be transient (lasting minutes to hours) or chronic (persisting for months or years). Transient episodes are very common and often resolve on their own. Chronic DPDR is treatable with therapy. Many people experience significant improvement within weeks of starting treatment, particularly once they learn grounding techniques and reduce the anxiety cycle that perpetuates dissociation. The more you understand and stop fearing the symptoms, the faster they typically resolve.
Finding the right therapy starts with understanding your needs. If you prefer personalized attention, individual therapy provides dedicated one-on-one care. If you benefit from shared experiences and peer support, group therapy connects you with others who understand dissociation. For more intensive support, our virtual IOP offers multiple weekly sessions. Many members combine therapy formats for the best results. Not sure where to start? Schedule a free call with a care coordinator who can help you build a personalized plan based on your symptoms, goals, and schedule.
We offer flexible therapy options with straightforward pricing:
Online Group Therapy: Averages $32/session ($140/month).
Online Individual Therapy: Averages $103/session ($448/month).
Online Couples Therapy: Averages $114/session ($492/month).
Online Family Therapy: Averages $148/session ($640/month).
Virtual IOP: Averages $311/week ($1,348/month).
Online Teen Therapy: Averages $103/session ($448/month).
DBT Self-Guided Program: One-time fee of $500.
Payment Options: Monthly, Quarterly (Save 10%), Biannually (Save 15%). No long-term commitment. Switch therapists anytime. Cancel anytime!
Yes. We offer separate therapy groups for Adults (18+) and Teens and Adolescents (under 18). Our teen therapy programs are tailored for adolescents. Dissociative symptoms, particularly DPDR, are increasingly common among teens and young adults, often triggered by anxiety, academic stress, or substance experimentation.
Yes, and this is one of the most common pathways to DPDR. When anxiety becomes intense, the brain can activate a dissociative response as a way to protect itself from being overwhelmed. Panic attacks are an especially common trigger. Many people first experience depersonalization or derealization during or immediately after a severe anxiety episode. The good news is that treating the underlying anxiety often significantly reduces dissociative symptoms.
Often, but not always. Dissociation is one of the brain's primary protective mechanisms in response to overwhelming experiences, which is why it is strongly associated with trauma. However, DPDR specifically can also develop without a trauma history, often triggered by severe anxiety, panic attacks, substance use, or chronic stress. Your therapist will work with you to understand the specific factors driving your dissociation.
Our therapy outcomes are backed by outcomes studies with researchers from leading universities such as Carnegie Mellon, University of Essex, and University of Cologne. Across all conditions, 80% of members report meaningful improvement in baseline severity, and the majority report improved daily functioning and quality of life.
You can cancel your subscription at any time. No long-term commitment is required. Simply email us at support@grouporttherapy.com and we will send you a quick cancellation form to fill out. If your sessions occur within the member portal, you can also cancel under the manage subscription tab.
Whether dissociation is making you feel detached from your body, your emotions, or the world around you, or you're ready to understand and address what's underneath it, therapy can help you find your way back. Start building a life where you feel present, connected, and grounded in who you are.
