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Severance: The Show as Metaphor for Dissociation and Childhood Trauma
A stylized, abstract image with muted tones, evoking the unsettling atmosphere of the Severance TV show. Annie Wright trauma therapy

Severance: The Show as Metaphor for Dissociation and Childhood Trauma

The fluorescent hum of the Lumon Industries office is a character unto itself in *Severance*. It’s a sound that drills into your skull, a constant, low-grade thrum that signifies the oppressive, sterile environment where the “innies” exist. The air is always too cool, the lighting too bright, and the beige-and-grey palette screams conformity. This isn’t just a set design choice; it’s a sensory assault, a subtle yet relentless reminder of the artificiality and control that define their existence. For anyone who has ever felt trapped, unseen, or fragmented by their circumstances, the show’s atmosphere is immediately, viscerally recognizable.

A note on spoilers and ethical considerations: This article will delve deeply into the plot and themes of *Severance*. If you haven’t watched the show, be aware that significant plot points will be discussed. My intention is to use this powerful narrative as a lens through which to understand complex psychological concepts like dissociation and the lasting impact of childhood trauma, not to provide a show review. As a trauma-informed therapist, I approach these topics with care, aiming to illuminate and validate experiences, not to pathologize or sensationalize.

ARTICLE SUMMARY

The Apple TV+ series *Severance* offers a chilling, poignant, and deeply resonant exploration of dissociation, identity, and the lingering effects of childhood trauma. Through the stark division of “innies” and “outies,” the show masterfully externalizes the internal fragmentation many individuals experience as a survival mechanism. This article unpacks how *Severance* serves as a powerful metaphor for the ways we compartmentalize painful experiences, particularly those stemming from early relational wounds. We’ll examine the clinical underpinnings of dissociation, explore how this manifests in individuals who appear outwardly successful, and consider the systemic forces that perpetuate such fragmentation. Ultimately, we’ll look at the path toward integration and healing, drawing parallels between the show’s narrative and real-life therapeutic journeys.

Last reviewed: June 2026 by Annie Wright, LMFT

The Elevator That Cuts You in Two

There’s a scene in *Severance* that, for me, encapsulates the profound tragedy and psychological horror of the entire premise. It’s when Helly R. (Britt Lower), the newest severed employee, attempts to send a message to her “outie” self. She records a desperate plea, detailing the suffering of her innie, the desire for release, the sheer agony of being trapped in a life she didn’t choose. The outie, however, rejects this plea with chilling detachment, sending back a message that essentially says, “Your suffering is acceptable. I need this job. Stay there and do your work.”

The show, through this single, devastating interaction, forces us to confront the ethical and emotional implications of self-fragmentation. It asks: What happens when the parts of ourselves we try to bury demand to be heard? What is the cost of denying our own pain, even if it feels necessary for survival? The answer, as *Severance* so brilliantly demonstrates, is a deep, existential ache, a profound sense of injustice that reverberates through every aspect of one’s being, even if only one part is consciously aware of it.

What Severance Names About Dissociation

*Severance* isn’t just a clever sci-fi concept; it’s a masterful, if exaggerated, depiction of psychological dissociation. The core premise, a surgical procedure that divides an individual’s consciousness into two distinct, non-communicating entities, is a direct metaphor for how dissociation operates in the human psyche. When we experience overwhelming stress or trauma, especially in childhood, our minds can develop sophisticated, often unconscious, strategies to protect us. One of the most powerful of these strategies is dissociation.

DEFINITION DISSOCIATION

Dissociation is a mental process that causes a lack of connection in a person’s thoughts, memories, feelings, actions, or sense of identity. It’s a way the mind copes with too much stress, particularly trauma, by compartmentalizing or “splitting off” painful experiences from conscious awareness. This can range from mild detachment, like daydreaming, to more severe forms, such as dissociative identity disorder, where distinct identities or “parts” may emerge. Dissociation is often an adaptive survival mechanism, especially in childhood, but can become problematic when it interferes with daily functioning or prevents the integration of traumatic memories.

In plain terms: In simpler terms, this is the pattern beneath the pattern. What is really going on underneath the behavior you can see. When you can name it, you stop blaming yourself for it.

Consider the “innie” and “outie” dynamic: the innie has no memory of the outie’s life, family, or external world, and vice versa. This mirrors the experience of individuals who dissociate. They might have gaps in memory, feel detached from their emotions, or experience a sense of unreality. The innie’s entire identity is constructed within the confines of Lumon, just as a dissociated part of the self might hold a specific set of memories, feelings, or beliefs, isolated from the rest of the personality.

The show also highlights the profound sense of loss and confusion that accompanies such a split. The innies, despite their lack of external memories, are clearly suffering. They yearn for connection, for meaning, for an understanding of who they are beyond their cubicles. This existential angst is a hallmark of dissociative experiences. When parts of ourselves are fragmented, there’s an inherent longing for wholeness, even if we can’t articulate what’s missing. Mark Scout’s (Adam Scott) innie, for example, is a shell of a man, driven by a quiet desperation that his outie can’t fully comprehend, yet which stems directly from the outie’s profound grief.

Furthermore, the subtle ways Lumon manipulates and controls the innies, through rewards, punishments, and psychological conditioning, reflects the insidious nature of trauma’s grip. Just as the innies are constantly reminded of their limited existence and the supposed benefits of severance, individuals who dissociate often internalize messages that reinforce their fragmentation, making it harder to integrate. The fear of what lies beyond the “severance floor” can be as terrifying as the unknown of integrating painful memories.

In my work with clients, I often see this dynamic play out. Someone might describe feeling like “two different people” or having a “work self” and a “home self” that feel entirely disconnected. While not as extreme as the surgical severance, the underlying psychological mechanism is similar: a protective division of the self to manage overwhelming demands or unintegrated experiences. The brilliance of *Severance* lies in making this internal, often invisible, process starkly visible and deeply disturbing.

The Clinical Pattern Beneath the Story

The premise of *Severance* resonates so deeply because it taps into a fundamental clinical pattern: the way early childhood experiences, particularly those involving trauma or chronic emotional neglect, can lead to the development of dissociative coping mechanisms. When a child’s environment is unpredictable, unsafe, or emotionally invalidating, their developing psyche learns to adapt by compartmentalizing. This isn’t a conscious choice; it’s an automatic, protective response.

Imagine a child who experiences family trauma, perhaps consistent emotional unavailability from a parent, or even outright abuse. To survive, the child might “split off” the painful feelings, the memories, or even aspects of their identity associated with those experiences. One part of them might continue to function, to go to school, to appear “normal,” while another part holds the unprocessed pain, fear, or anger, hidden from conscious awareness. This is a form of psychological severance, long before Lumon invented the chip.

DEFINITION CHILDHOOD TRAUMA

Childhood trauma refers to deeply distressing or disturbing experiences that occur during childhood. This can include abuse (physical, emotional, sexual), neglect, abandonment, witnessing violence, or experiencing significant loss or instability. The impact of childhood trauma can be profound and long-lasting, affecting brain development, emotional regulation, attachment patterns, and one’s sense of self. It often leads to complex coping mechanisms, such as dissociation, and can contribute to mental health challenges in adulthood.

In plain terms: In simpler terms, this is the pattern beneath the pattern. What is really going on underneath the behavior you can see. When you can name it, you stop blaming yourself for it.

The innies in *Severance* are essentially traumatized children, trapped in adult bodies, forced to perform tasks they don’t understand, with no memory of their past or future. Their entire world is defined by the confines of Lumon, much like a child’s world is initially defined by their family system. The arbitrary rules, the surveillance, the emotional manipulation, and the constant threat of “the break room” (a euphemism for psychological torture) mirror the dynamics of an abusive or neglectful environment where a child learns to suppress their authentic self to survive.

Mark’s outie, who chooses severance to escape the grief of his wife’s death, is a prime example of this. His outie is essentially attempting to “sever” himself from his pain, believing that by doing so, he can continue to function. But as the show reveals, the pain doesn’t disappear; it simply gets shunted onto another part of him, the innie, who then bears the burden. This is a powerful allegory for how we try to outrun our grief or trauma. We might bury ourselves in work, addiction, or other distractions, hoping to avoid the painful feelings. But the feelings don’t vanish; they simply manifest in other ways, often through anxiety, depression, or a pervasive sense of emptiness, much like the innies’ quiet despair.

The show also touches on the concept of “splitting,” a defense mechanism closely related to dissociation. Splitting involves viewing oneself or others in extreme, all-good or all-bad terms, unable to integrate contradictory qualities. Lumon encourages this by demonizing the “outie” world to the innies and vice versa, preventing a holistic view of self or reality. This black-and-white thinking is a common legacy of early trauma, where nuance and complexity felt too dangerous to hold.

How This Shows Up in Driven Women: Elena’s Story

In my coaching and therapy practice, I frequently encounter individuals who, on the surface, appear incredibly successful, driven, and composed. They’ve built impressive careers, maintain active social lives, and seem to have it all together. Yet, beneath this polished exterior, there’s often a profound sense of internal fragmentation, a quiet but persistent struggle with feeling disconnected from themselves or their emotions. These are often women who have learned to excel by effectively “severing” parts of themselves that might be perceived as weak, vulnerable, or non-conforming. Elena is one such client.

Elena, a senior executive in a demanding tech company, came to me initially for what she called “burnout.” She was perpetually exhausted, found it difficult to relax, and felt a pervasive sense of dissatisfaction despite her significant achievements. Her days were a relentless cycle of meetings, strategic planning, and managing a large team. She was admired for her sharp intellect, her ability to remain calm under pressure, and her seemingly boundless energy.

As we began to explore her history, it became clear that Elena’s childhood was marked by a chaotic home environment. Her mother struggled with chronic illness and depression, and her father was emotionally volatile and often absent. From a very young age, Elena learned that her emotional needs were secondary to managing the family’s instability. She became the “responsible one,” the “fixer,” and the “peacekeeper.” To survive this environment, she developed an uncanny ability to compartmentalize her own feelings. When things were difficult at home, she would mentally “check out,” focusing intensely on her schoolwork or extracurricular activities, creating a separate internal world where she felt competent and in control.

This early coping mechanism, while adaptive in childhood, became her default mode in adulthood. At work, Elena was her “professional innie”,hyper-focused, analytical, and emotionally contained. She could navigate complex corporate politics with ease, make tough decisions without hesitation, and never let personal feelings interfere with her performance. But this came at a cost. Her “outie” self, the one who existed outside of work, felt depleted, joyless, and deeply lonely. She struggled to connect intimately with others, often feeling like she was performing a role even in her personal relationships. She found it difficult to access her emotions, often describing a sense of numbness or a feeling that her “real self” was hidden away, inaccessible.

Elena’s experience mirrors the innies’ plight. Her “work self” was highly functional, but her “personal self” was suffering from a lack of integration, a profound disconnection from her own needs and feelings. Her relentless drive wasn’t just ambition; it was a continuation of her childhood survival strategy, a desperate attempt to maintain control and avoid the vulnerability that felt so dangerous in her early life. The “severance” in her life wasn’t surgical, but psychological, born from a lifetime of adapting to challenging circumstances. She was, in essence, an outie who had outsourced her emotional burden to a part of herself she rarely acknowledged, much like Helly R.’s outie dismisses her innie’s suffering.

Her journey in therapy involved slowly and gently beginning to bridge the gap between these parts of herself. It meant acknowledging the pain and fear held by her “inner child” or “emotional self” that she had long suppressed. It was a process of learning that vulnerability wasn’t weakness, and that true strength came from integrating all aspects of herself, not from keeping them separate. This path is challenging, but it’s the only way to move from mere survival to true thriving.

What the Trauma Researchers Help Us Name

The concepts explored in *Severance* are not just fictional constructs; they are deeply rooted in decades of trauma research. Leading figures in the field have provided frameworks that help us understand the profound impact of early relational trauma and the sophisticated ways the human psyche adapts to survive it. Their work helps us put clinical language to the unsettling experience of watching Lumon’s employees.

Bessel van der Kolk, MD, psychiatrist and trauma researcher, author of *The Body Keeps the Score*, famously articulated how trauma is stored not just in our minds, but in our bodies. He emphasizes that traumatic memories are often fragmented and stored in sensory and emotional forms, rather than as coherent narratives. This aligns perfectly with the innies’ experience: they have no narrative memory of their outie’s life, but their bodies and emotions still react to the confined, controlled environment. They experience anxiety, fear, and a deep-seated yearning, even without knowing *why*. Van der Kolk’s work underscores that “the body keeps the score” of what the mind has tried to forget or dissociate.

Judith Herman, MD, psychiatrist and trauma researcher, author of *Trauma and Recovery*, introduced the concept of “complex trauma,” which arises from prolonged, repeated trauma, often in childhood and within relational contexts. She describes how complex trauma leads to profound alterations in affect regulation, identity, and relationships. The innies’ predicament, being subjected to ongoing psychological manipulation and control within a closed system, is a perfect illustration of complex trauma. Their sense of self is entirely dictated by Lumon, their emotions are policed, and their relationships are carefully managed. Herman‘s work highlights how such environments can systematically dismantle a person’s sense of agency and selfhood, leading to deep fragmentation.

Peter Levine, PhD, developer of Somatic Experiencing, emphasizes the body’s role in processing and releasing trauma. He argues that trauma is not just a psychological wound but a physiological one, involving the nervous system’s inability to complete the fight, flight, or freeze response. The innies’ constant state of low-grade anxiety, their physical restlessness, and their yearning for movement and escape, even within the sterile confines of Lumon, speak to the body’s innate drive to discharge unprocessed stress. Levine‘s work would suggest that the innies’ bodies are constantly attempting to complete survival responses that their severed minds cannot fully register or act upon.

These researchers, among others, provide the clinical bedrock for understanding why *Severance* feels so unsettlingly real. They help us name the phenomena of dissociation, fragmentation, and the enduring impact of early trauma on the developing self. The show, through its fictional lens, provides a powerful, albeit extreme, visual representation of the internal battles and fractured identities that so many individuals silently carry as a legacy of their past. It’s a stark reminder that what we try to wall off doesn’t disappear; it simply lives on in another part of us, waiting for recognition and integration.

“There is no greater agony than bearing an untold story inside you.”. Maya Angelou, poet and memoirist.

Both/And: Holding Truth and Compassion Together

One of the most profound lessons from *Severance*, particularly through a trauma lens, is the necessity of holding seemingly contradictory truths simultaneously. This “both/and” perspective is crucial for understanding dissociation and for fostering healing. We see this tension play out constantly in the show: the innies are suffering, *and* the outies are trying to survive. The severance is a form of torture, *and* it was chosen by the outie for what they believed were valid reasons. Lumon is an oppressive corporation, *and* it provides a sense of purpose and structure for the innies.

In the context of trauma and dissociation, this means recognizing that:

  1. Dissociation is a protective mechanism, *and* it causes suffering. The mind developed these coping strategies to survive overwhelming experiences, especially in childhood. Without them, the individual might not have made it through. Yet, these same strategies, when they persist into adulthood, can lead to a fragmented sense of self, emotional numbness, and difficulty forming authentic connections. We must hold compassion for the part of us that created the dissociation, while also acknowledging the pain it now causes.
  2. The “parts” of ourselves are distinct, *and* they are all part of a whole. Just as the innies and outies are fundamentally the same person, our dissociated parts are not separate entities but aspects of our singular self. They hold different memories, feelings, and needs, but they all belong. The goal of healing isn’t to eliminate parts but to facilitate communication and integration among them.
  3. There is a deep desire for wholeness, *and* there is often profound fear of it. The innies yearn for knowledge of their outside lives, but the thought of integrating those memories is terrifying. Similarly, individuals healing from trauma often long for integration and connection, but the prospect of feeling previously suppressed pain or confronting difficult truths can be deeply frightening. This fear is a legitimate protective response, and it needs to be approached with patience and gentleness.

This “both/and” approach is central to trauma-informed therapy. It means validating the protective function of dissociation while gently encouraging movement towards integration. It means understanding that resistance to healing is often another form of protection, not defiance. It requires a deep well of compassion for all the parts of a person, even those that seem to be working against their own best interest.

When we can hold these dual truths, we create a space for genuine healing. We move away from judgment and towards understanding, recognizing that every part of us, even the most fragmented or painful, has a story and a purpose that once served to keep us safe. This is the path towards true self-compassion and integration, allowing the “innie” and “outie” to finally communicate and collaborate, rather than exist in tortured isolation. It’s a journey that requires courage, patience, and often, the support of a skilled trauma therapist.

The Systemic Lens: Why This Wound Is Not Just Personal

While *Severance* brilliantly illustrates the personal psychological impact of dissociation, it also functions as a powerful critique of systemic forces that perpetuate fragmentation and dehumanization. Lumon Industries is not just a backdrop; it’s a character representing the insidious ways that certain corporate, economic, and even cultural systems can demand a form of “severance” from individuals.

Consider the corporate horror aspect of the show. Lumon demands that its employees leave their personal lives at the door, literally. They are expected to be purely productive units, devoid of external distractions or emotional baggage. This isn’t far from the unspoken expectations in many modern workplaces, particularly in demanding fields. Employees are often tacitly, if not explicitly, encouraged to compartmentalize their personal struggles, their grief, their family responsibilities, and their authentic selves in favor of a hyper-efficient “work persona.” The drive for productivity often overrides considerations for mental health or human well-being.

DEFINITION SYSTEMIC TRAUMA

Systemic trauma refers to the cumulative and pervasive effects of oppressive systems and societal structures on individuals and communities. Unlike individual trauma, which stems from discrete events, systemic trauma arises from ongoing exposure to discrimination, marginalization, inequality, and institutional violence. It can lead to chronic stress, intergenerational patterns of suffering, and a deep sense of injustice. Examples include the impacts of racism, sexism, poverty, and exploitative labor practices, which can force individuals to adapt through various forms of psychological “severance” to navigate hostile environments.

In plain terms: In simpler terms, this is the pattern beneath the pattern. What is really going on underneath the behavior you can see. When you can name it, you stop blaming yourself for it.

The show also highlights the power dynamics at play. The severed employees are at the mercy of Lumon, with little to no agency over their own lives. Their “outies” made a choice, but the innies bear the consequences without consent. This mirrors broader societal issues where individuals, particularly those in vulnerable positions, are often forced into situations that demand a form of psychological or emotional “severance” to survive. Think of individuals working multiple low-wage jobs, suppressing their exhaustion and personal needs to keep their families afloat. Or those in marginalized communities who must constantly code-switch and suppress aspects of their identity to navigate oppressive social structures.

The corporate cult aspects of Lumon, with its bizarre mythology and unquestioning loyalty, further underscore the systemic nature of this wound. When systems demand absolute conformity and suppress individuality, they create environments ripe for psychological fragmentation. The “wellness checks” and “break room” punishments are extreme, but they echo the subtle (and sometimes not-so-subtle) ways that workplaces or families can enforce emotional suppression and punish dissent.

What I see consistently in my practice is that personal wounds are rarely *just* personal. They are often interwoven with the fabric of the systems we inhabit, families, workplaces, and broader society. For many of my clients, their internal fragmentation isn’t solely a result of individual childhood experiences; it’s also a response to environments that continue to demand a form of “severance” to function or succeed. The pressure to always be “on,” to present a perfect image, to suppress vulnerability, these are systemic pressures that exacerbate and perpetuate internal divisions.

Addressing these wounds, therefore, isn’t just about individual healing; it’s also about recognizing and challenging the systems that create and maintain them. While we can’t dismantle Lumon Industries overnight, we can become more aware of the ways we internalize and perpetuate similar demands on ourselves and others. This systemic lens adds another layer of complexity and urgency to the *Severance* show analysis, reminding us that the quest for wholeness is both a personal and a collective endeavor. It’s why I’m so passionate about helping individuals not just heal from their past, but also develop the resilience to navigate complex environments without sacrificing their authentic selves. You can learn more about this in my Fixing the Foundations course.

What Healing Can Look Like: Leila’s Story

The journey towards integration, towards bridging the gap between fragmented parts of the self, is often long and challenging, but profoundly rewarding. It’s the process of moving from a state of internal “severance” to one of wholeness and congruence. While *Severance* leaves us on a cliffhanger, hinting at the difficult path ahead for the innies, real-life healing journeys offer hope and concrete steps. Leila’s story illustrates this path.

Leila, a successful architect in her late 30s, sought therapy because she felt a persistent sense of emptiness, despite having what she described as a “perfect life.” She had a loving partner, a beautiful home, and a thriving career. Yet, she often felt numb, unable to fully experience joy or sadness. She struggled with chronic fatigue and occasional panic attacks that seemed to come out of nowhere.

Through our work, Leila began to uncover a history of emotional neglect. Her parents were physically present but emotionally distant, preoccupied with their own struggles. As a child, Leila learned to be self-sufficient, to not ask for help, and to suppress her emotional needs because they were rarely met. She developed a “competent self” that could handle anything, and an “emotional self” that she kept carefully hidden, even from herself. This was her childhood “severance”,a necessary adaptation to survive an emotionally barren environment.

The healing process for Leila involved several key elements, mirroring the longing for connection and truth that the innies demonstrate:

  1. Acknowledging the “Innie’s” Suffering: Just as the innies need their suffering to be seen, Leila needed to acknowledge the pain and unmet needs of her younger, emotional self. This involved gently revisiting memories of her childhood, not to blame her parents, but to validate the experience of the child she once was. We used techniques to help her connect with and offer compassion to this younger part, recognizing that its suppression had been a protective act.
  2. Building Internal Communication: Leila learned to identify when her “competent self” was taking over and when her “emotional self” was trying to communicate through physical symptoms or vague feelings of unease. She started practicing mindfulness to notice her emotions without judgment, allowing them to surface rather than immediately pushing them away. This was like the innies trying to send messages to their outies, but this time, the “outie” (Leila’s conscious self) was learning to listen and respond with care.
  3. Integrating Memories and Experiences: Over time, Leila began to weave together the narrative of her life, understanding how her childhood experiences shaped her adult coping mechanisms. She realized that her drive for perfection and her difficulty with vulnerability were direct legacies of her past. This integration wasn’t about erasing the past but about making sense of it and understanding its influence on her present.
  4. Cultivating Compassion for All Parts: A crucial step was developing self-compassion for both her highly functional “competent self” (which had worked so hard to protect her) and her vulnerable “emotional self” (which had carried so much pain). She learned that true strength came from allowing both parts to exist and to inform her actions, rather than letting one dominate or suppress the other.
  5. Embracing Wholeness and Authenticity: As Leila integrated these parts, she found herself feeling more present, more alive, and more connected to her emotions. The panic attacks subsided, and the chronic fatigue lessened. She started to make choices that were more aligned with her authentic desires, rather than just what she felt she “should” do. She was no longer living a “severed” life but an integrated one, where her inner and outer worlds were in greater harmony.

Leila’s journey underscores that healing from dissociation and childhood trauma is fundamentally about integration, bringing together the fragmented parts of ourselves into a more cohesive and compassionate whole. It’s about recognizing that every part of us has a story, a purpose, and a right to be heard. This process, while often requiring professional support, ultimately leads to a richer, more authentic, and more fulfilling life, free from the invisible chains of psychological severance. If you’re wondering if this work is for you, consider taking my Trauma Quiz to gain more insight.

FAQ

What is the main psychological concept *Severance* explores?

*Severance* primarily explores the psychological concept of dissociation, particularly as a metaphor for how individuals compartmentalize their experiences, memories, and sense of self. It dramatizes the idea of “splitting” off parts of one’s identity to cope with overwhelming situations, grief, or trauma.

How does *Severance* relate to childhood trauma?

The show can be seen as an allegory for how childhood trauma leads to dissociative coping mechanisms. Just as the innies are trapped and controlled, children in traumatic environments often develop fragmented selves to survive, suppressing painful emotions or memories. The innies’ yearning for connection and understanding mirrors the internal struggles of those who’ve experienced early trauma.

What is the “innie” and “outie” dynamic a metaphor for?

The “innie” and “outie” dynamic is a powerful metaphor for fragmented identity and dissociation. The “outie” represents the conscious, functioning self that may be trying to avoid pain or responsibility, while the “innie” represents the part of the self that holds the unprocessed suffering, suppressed emotions, and unintegrated experiences, often stemming from trauma.

Can dissociation be a healthy coping mechanism?

In its mild forms (like daydreaming or getting lost in a book), dissociation can be a normal and even healthy way to cope with stress. In the context of severe trauma, it’s an adaptive survival mechanism that helps a person endure overwhelming experiences. However, when it becomes chronic or interferes with daily functioning and a cohesive sense of self, it can become problematic and indicate a need for therapeutic support.

How does the show critique corporate culture?

*Severance* critiques corporate culture by exaggerating the demand for employees to separate their work lives from their personal lives. It highlights how systems can dehumanize individuals, prioritize productivity over well-being, and exploit psychological vulnerabilities. The show suggests that many workplaces implicitly demand a form of “severance” from employees, leading to burnout and a loss of authentic self.

What does healing from dissociation involve?

Healing from dissociation typically involves acknowledging and validating the experiences of all “parts” of the self, building internal communication, integrating fragmented memories and emotions, and cultivating self-compassion. It’s a gradual process of moving towards a more cohesive and authentic sense of self, often with the support of a trauma-informed therapist.

  • Herman, Judith Lewis. *Trauma and Recovery: The Aftermath of Violence, From Domestic Abuse to Political Terror*. Basic Books, 1992.
  • Levine, Peter A. *Waking the Tiger: Healing Trauma*. North Atlantic Books, 1997.
  • Ogden, Pat, Kekuni Minton, and Clare Pain. *Trauma and the Body: A Sensorimotor Approach to Psychotherapy*. W. W. Norton & Company, 2006.
  • Van der Kolk, Bessel A. *The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma*. Viking, 2014.

References

Peer-Reviewed Research (Vancouver)

  1. Cloitre M, Stolbach BC, Herman JL, van der Kolk B, Pynoos R, Wang J, et al. A developmental approach to complex PTSD: childhood and adult cumulative trauma as predictors of symptom complexity. J Trauma Stress. 2009;22(5):399-408. doi:10.1002/jts.20444. PMID: 19795402.
  2. Payne P, Levine PA, Crane-Godreau MA. Somatic experiencing: using interoception and proprioception as core elements of trauma therapy. Front Psychol. 2015;6:93. doi:10.3389/fpsyg.2015.00093. PMID: 25699005.
  3. van der Kolk BA, Wang JB, Yehuda R, Bedrosian L, Coker AR, Harrison C, et al. Effects of MDMA-assisted therapy for PTSD on self-experience. PLoS One. 2024;19(1):e0295926. doi:10.1371/journal.pone.0295926. PMID: 38198456.

Books & Cultural Sources (Chicago Author-Date)

  • Angelou, Maya. I Know Why the Caged Bird Sings. Random House, 1969.

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About the Author

Annie Wright, LMFT

LMFT · Relational Trauma Specialist · W.W. Norton Author

Helping ambitious women finally feel as good as their résumé looks.

Annie Wright is a licensed psychotherapist (LMFT #95719) and trauma-informed executive coach with over 15,000 clinical hours. She works with driven, ambitious women. Including Silicon Valley leaders, physicians, and entrepreneurs. In repairing the psychological foundations beneath their impressive lives. Annie is the founder and former CEO of Evergreen Counseling, a multimillion-dollar trauma-informed therapy center she built, scaled, and successfully exited. A regular contributor to Psychology Today, her expert commentary has appeared in Forbes, Business Insider, Inc., NBC, and The Information. She is currently writing her first book with W.W. Norton.

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