Which technique is effective for a nurse to implement for a client to maintain present reality in dissociative disorder?

Offering strategies to stay grounded is an effective technique for helping a client with dissociative disorder maintain present reality. Grounding techniques are designed to assist individuals in reconnecting with the here and now, particularly when they feel detached or disconnected from reality, which is a common symptom in dissociative disorders. These strategies can include sensory awareness activities—such as focusing on tangible objects in the environment, engaging with the senses (sight, sound, touch), or practicing mindfulness exercises. Such approaches help reinforce the client’s awareness and presence in the current moment, which is crucial for managing dissociative symptoms.

While encouraging complete memory recall may seem beneficial, it can potentially overwhelm a client or provoke anxiety, as they might not be ready or willing to confront certain memories. Prohibiting discussions of their past could hinder therapeutic progress, as understanding and addressing past experiences can be integral to the healing process. Focusing exclusively on their physical state may not sufficiently address the mental and emotional aspects of dissociation, making it a less comprehensive approach compared to implementing grounding strategies.