Is maladaptive daydreaming a sign of mental illness?

What is maladaptive daydreaming?

When a behaviour is described as maladaptive, it means it stops you being able to participate in or adjust to everyday life. It interferes with day-to-day activities and your ability to enjoy or benefit from them.

The term maladaptive daydreaming was developed in 2002 by clinical psychologist Dr Eli Somer. Although not widely used, many mental health experts have begun to take notice.

One such expert is Azizi Marshall, a licensed clinical professional counsellor: "Maladaptive daydreaming is when an individual spends a disproportionate amount of time daydreaming, becoming engrossed in their imagination to the point it interferes with their day-to-day life," she explains. "This type of daydreaming can become an unhealthy and maladaptive coping skill."

Daydreaming is often seen as a behaviour within our control. But maladaptive daydreaming is involuntary, excessive, and potentially harmful. Whether this is enough to be classified as a condition is up for debate.

What are the symptoms of maladaptive daydreaming?

Maladaptive daydreaming can look different between one person and the next. The main question to ask yourself is whether your daydreaming habits are interfering with other aspects of your life in a negative way.

Signs include:

• Vivid daydreaming involving complex narratives - as a way of coping with emotional distress, which can lead to social isolation, anxiety, depression, and other negative affects.

• Finding your thoughts frequently drifting to upsetting scenarios - these might be hypothetical, or they may involve flashbacks to past events.

• Daydreaming is frequent, emotionally intense, and difficult to control.

Healthy or unhealthy?

The occasional daydream can actually be beneficial, boosting creativity and productivity¹. "Many creatives use this as a tool for their work," says Marshall. "This is not only true for performing/visual artists but also for those in creative workspaces such as marketing, advertising, entertainment, and education.

"On the other end of the scale, when daydreaming becomes unhealthy, it's used as an emotional escape, is difficult to control, becomes more important than your real life, leads to distress, or lessens productivity in other aspects of your life that were once deemed important."

What causes maladaptive daydreaming?

Our thought processes are a complex thing, and maladaptive daydreaming isn't fully understood. Still, research suggests it may be linked to trauma or abuse, personality traits, neurological factors, environmental factors, and co-occurring mental health conditions. Here, we take a closer look at the relationship between maladaptive daydreaming and mental illness.

PTSD

It's thought that maladaptive daydreaming is most often experienced by people with post-traumatic stress disorder (PTSD) as a coping mechanism in response to trauma - as a means of escaping what has happened². Darwall-Smith explains that, in these circumstances, excessive daydreaming isn't always a bad thing.

"Research has suggested that certain types of daydreaming may be helpful for people with PTSD - allowing them to escape from distressing thoughts and emotions related to their traumatic experiences. Daydreaming can also provide a sense of control and mastery - it can involve scenarios that provide more empowerment or hope than someone's current reality."

But, if these daydreams involve distressing themes or flashbacks, it's worth seeking help to try and break the habit and prevent the past from haunting your day-to-day life.

Depression

Maladaptive dreaming also offers an escape from some of the overwhelming feelings associated with depression. According to Marshall, it's the re-emergence from a daydream which could cause problems: "Because returning to reality can feel painful, this could potentially increase depressive symptoms and cause a person to want to daydream more often and for longer periods of time."

Anxiety

Like depression, anxiety is a common issue among maladaptive daydreamers³. If you find yourself feeling overwhelmed with nervousness or constant worries, your instinct might be to withdraw into daydreams. This becomes maladaptive when this pattern keeps you isolated from aspects of your life that you should be able to embrace and enjoy.

OCD

In both obsessive-compulsive disorder (OCD) and maladaptive daydreaming, there's a tendency toward hyper-fixation, compulsion, and obsession. Darwall-Smith explains that maladaptive daydreaming may even be a subtype of OCD - or is at least closely related. This is because some maladaptive daydreamers also exhibit other obsessive-compulsive behaviours, such as ritualising their daydream experiences⁴.

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Is it maladaptive daydreaming?

Or intrusive thoughts?

Intrusive thoughts look pretty similar to unwanted and upsetting daydreams. The key difference is that daydreams tend to take you out of reality into vivid, imaginary settings, while intrusive thoughts can be fleeting and don't tend to remove you from your surroundings.

Examples include thinking:

• Someone you love will die.

• You'll harm someone.

• Scenarios in which you'll die.

"Intrusive thoughts are a common symptom of several mental health conditions, including OCD, PTSD, and anxiety disorders," says Darwall-Smith. The psychotherapist adds that people who maladaptive daydream may also experience intrusive thoughts related to their daydreams.

Or dissociation?

Maladaptive daydreaming and dissociation share some similarities, but they are not the same thing. Darwall-Smith explains:

• Dissociation - is a psychological term that refers to a disconnection between thoughts, feelings, and experiences. It can be a symptom of several mental health conditions, including PTSD.

• Maladaptive daydreaming - is a condition in which an individual excessively daydreams and creates complex fantasies and narratives in their mind, often as a way of escaping reality.

"While maladaptive daydreaming has been described as a form of dissociation, it is a distinct phenomenon that is not currently recognised as a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM). Dissociation, on the other hand, is a recognised symptom of several mental health conditions."

The dangers of self-diagnosis

Thanks to online forums, more and more people are learning of maladaptive daydreaming. While awareness can help people recognise when they need help, self-diagnosis can raise some issues. Darwall-Smith says that only a qualified mental health professional can make an accurate diagnosis.

She highlights some of the problems with self-diagnosis:

• Overestimation of symptoms - leading to unnecessary concern or anxiety.

• Misinterpretation of symptoms - leading to an inaccurate diagnosis.

• Underestimation of underlying issues - such as trauma or anxiety.

• Lack of access to treatment - without input from a mental health professional.

• Reinforcement of stigma around mental health conditions - as it implies that individuals should be able to diagnose and treat themselves.

Getting the support you need

If excessive daydreaming is interfering with your daily life - perhaps causing you to become socially isolated, neglectful of your responsibilities, or in a state of poor mental health - it's time to seek support.

Even without a formal diagnosis available, psychotherapists can recognise and treat the effects of maladaptive daydreaming, as well as any mental health issues that may be related.

Psychotherapy offers a safe and supportive space to explore your thoughts and emotions, and develop strategies for managing your daydreams - so that you can start to engage in and embrace other aspects of your life, that may have become neglected.

Further reading

1. Sun et al: The bright side and dark side of daydreaming predict creativity together through brain functional connectivity.

2. Somer et al: Childhood trauma and maladaptive daydreaming: fantasy functions and themes an a multi-country sample.

3. Chirico et al: Maladaptive daydreaming and its relationship with psychopathological symptoms, emotion regulation, and problematic social networking sites use.

4. Salomon-Small et al: Maladaptive daydreaming and obsessive-compulsive symptoms.