How Games Help With Dissociative Disorders

Dissociative disorders, which include conditions like dissociative identity disorder (DID) and depersonalization-derealization disorder, can make individuals feel disconnected from their thoughts, emotions, or even their own bodies. While therapy and medication are primary treatments, an unconventional yet effective tool has emerged in recent years: games. Whether digital or tabletop, games provide structure, engagement, and a safe space for individuals to explore their identities and regain a sense of control.

1. Grounding Through Gameplay

One of the biggest challenges for those with dissociative disorders is staying present in the moment. Games—especially those requiring focus, strategy, or quick reflexes—can serve as grounding tools. Puzzle games like Tetris or Portal demand attention to detail, pulling players back into the present. Similarly, rhythm games such as Beat Saber or Dance Dance Revolution synchronize movement with music, reinforcing bodily awareness and reducing dissociative episodes.

2. Identity Exploration in Role-Playing Games (RPGs)

For individuals struggling with fragmented identities, role-playing games (RPGs) offer a unique opportunity to experiment with different personas in a controlled environment. Tabletop RPGs like Dungeons & Dragons allow players to craft characters with distinct traits, backstories, and motivations. This can help those with dissociative identity disorder explore their alters (alternate identities) in a safe, imaginative setting. Video game RPGs, such as The Elder Scrolls or Mass Effect, also allow players to make choices that shape their character’s identity, fostering a sense of agency.

3. Social Connection in Multiplayer Games

Dissociation often leads to isolation, but multiplayer games can bridge that gap. Cooperative games like Minecraft or Among Us encourage teamwork and communication, helping individuals rebuild social skills in a low-pressure environment. Online communities centered around games provide a sense of belonging, which can be especially comforting for those who feel detached from reality.

4. Emotional Regulation Through Narrative Games

Story-driven games, such as Life is Strange or What Remains of Edith Finch, allow players to experience and process complex emotions in a structured way. Since dissociation can numb emotional responses, engaging with deep, interactive narratives can help individuals reconnect with their feelings. The ability to pause, reflect, and even replay certain scenarios gives players control over their emotional engagement—something that can be therapeutic.

Conclusion

While games are not a substitute for professional treatment, they offer valuable support for individuals with dissociative disorders. From grounding techniques to identity exploration and social connection, games provide a versatile toolkit for managing symptoms. As research continues, the therapeutic potential of gaming may become an even more integral part of mental health care.

For those struggling with dissociation, picking up a controller or a set of dice might be more than just entertainment—it could be a step toward healing.