13 year old female with Dissociative Disorder and Mood Disorder

13 year old female with Dissociative Disorder and Mood Disorder presented for therapy after recent self-isolative behaviors and memory gaps.
She described periods of “spacing out” during emotional distress and reported low mood and poor sleep. Mental status noted a detached affect and inconsistent eye contact. The session involved reality orientation, mindfulness training, and supportive therapy to enhance self-awareness. The treatment plan focused on improving emotional expression, building a sense of safety in therapy, and ongoing family psychoeducation to recognize early signs of dissociation.