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I can provide information based on what is known about dissociation.

Dissociation itself is a psychological phenomenon where a person may feel disconnected from their thoughts, feelings, memories, or sense of identity. Dissociation can range from mild detachment to severe dissociative disorders like Dissociative Identity Disorder (DID).

In the context of dissociative disorders like DID, individuals may experience intense physical and mental distress when transitioning between different identities (also known as alters). These transitions are often referred to as "switching" and can be accompanied by various sensations, emotions, or even physical symptoms.

The experiences of pain and distress during and after dissociation are considered real in the sense that the person genuinely feels them. However, the origin of the pain is psychological, stemming from the complexities of the dissociative experience.

It's important to note that while dissociation can lead to distressing experiences, the level of pain and intensity can vary widely among individuals with dissociative disorders. Some individuals may experience more distress than others during switching or other dissociative episodes.

If you are experiencing intense physical and mental pain when coming out of dissociation, it is essential to discuss these symptoms with a qualified mental health professional. They can conduct a thorough assessment, provide an accurate diagnosis, and work with you to develop an appropriate treatment plan.

Sometimes, physical health issues or other psychological conditions may coexist with dissociation, so a comprehensive evaluation is crucial to understanding your symptoms fully. Don't hesitate to seek help and support from healthcare professionals who have experience in working with dissociative disorders and related mental health issues. They can provide guidance and support to improve your well-being and quality of life.

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