What is depersonalization-derealization disorder?

The depersonalization-derealization disorder occurs when you constantly or repeatedly have the feeling that you are watching yourself from your body, and you have the feeling that everything around you is not real or both. The feeling of depersonalization and derealization can be disconcerting and feel like you are living in a dream.

Many people have the experience of the passage of depersonalization or derealization at some point. But when these feelings keep the place or never completely go away, it’s considered a depersonalization-derealization disorder. This disorder is more common in people who have had traumatic experiences.

The depersonalization-derealization disorder can be severe and can interfere with relationships, work, and other daily activities. The main method of treatment of the depersonalization-derealization disorder is talk therapy, but sometimes medications are also used.

Depersonalization-derealization disorder


Depersonalization-derealization disorder symptoms

Persistent and recurrent episodes of depersonalization or derealization, or both cause distress and problems functioning at work or school or other important areas of your life. During these episodes, you know that your sense of detachment, just a feeling, not a reality.

Experience and feelings of frustration can be hard to describe. Worry about ‘going crazy’ can cause you to become absorbed by checking that you have to determine what is actually real.


  • Symptoms of depersonalization

Depersonalization symptoms include:

  • The feeling that you are an observer of your thoughts, feelings, your body, or parts of your body, possibly as if you were floating in the air him
  • Feeling like a robot, or that you’re not able to control your speech or movement.
  • The feeling that your body, legs, or arms appear distorted, enlarged, or wrinkled, or that your head is wrapped in cotton
  • Emotional or physical numb your feelings or responses to the world around you
  • Feeling that your memories are not enough emotion and that they may or may not be your own memories.


  • Derealization symptoms

Derealization symptoms include:

  • Feeling alienated from or are not familiar with your surroundings, perhaps you live in a movie.
  • Feeling emotionally disconnected from people you care about as if you were separated from each other by a glass wall.
  • Landmarks that appear distorted, blurry, colorless, two-dimensional or artificial, or increased attention and clarity of your surroundings
  • Distortions in the perception of time, such as the recent events feeling like the distant past
  • The distortion of distance and the size and shape of objects

Episodes of the depersonalization-derealization disorder can last for hours, days, weeks, or even months at a time. These episodes turn into ongoing feelings of depersonalization or derealization in some people, which may periodically get better or worse.


Depersonalization-derealization disorder Causes

The exact cause of the depersonalization-derealization disorder is not well understood. However, apparently due to the imbalance of certain brain chemicals called neurotransmitters, which can make the brain vulnerable, the increased state of stress and anxiety disorder can result.

The symptoms of the depersonalization-derealization disorder may be associated with:

  • Childhood trauma, for example, verbal or emotional abuse or witnessing family violence.
  • Growing up with a significantly impaired mentally ill parent
  • Suicide or sudden death of a close friend or family member
  • Severe stress, such as relationships, financial or work-related problems
  • Serious injuries, such as a car accident


Depersonalization-derealization disorder risk factors

While anyone can develop the depersonalization-derealization disorder, you’re at higher risk if:

  • Your personality has the features you want to do to avoid or deny difficult situations or have problems adapting to difficult situations.
  • You have been involved in or witnessed traumatic or abusive experiences
  • You are in your mid to late adolescence or early adulthood – depersonalization-derealization disorder is rare in children and the elderly

Even if you do not have depersonalization-derealization disorders, feelings of depersonalization or derealization can be caused by:

  • The presence of other mental health disorders, such as depression or anxiety
  • Use of the substance, such as marijuana or hallucinogens
  • Having a physical or medical condition such as seizures or head injury


Depersonalization-derealization disorder Preparing for your appointment

You’re likely to start again to see your primary care physician. Still, you may be referred to a doctor specializing in brain and nervous system disorders or a doctor specializing in diagnosing and treating mental disorders.

Here is some information to help you prepare for your appointment and know what to expect from your doctor.


What can you do

Before your appointment, make a list:

  • There are symptoms that you are experiencing, including any that may seem unrelated to the reason for your appointment.
  • Key personal information, including any major stresses or recent life changes
  • All drugs, vitamins, and other supplements you are taking, including the dosage
  • Questions to ask your doctor

Take a family member or friend along, if possible. Someone who accompanies you may remember something that you missed or forgot


Examples of questions you can ask your doctor include:

  • What is the most likely cause of my symptoms?
  • Are there other possible causes?
  • Do I need tests to confirm the diagnosis?
  • What treatments are available? What do you advise?
  • Are there alternatives to the primary approach that you’re suggesting?
  • I need to see a specialist?
  • Is there a common alternative medicine you are prescribing?
  • Are there any brochures or other printed material that I can have? What sites do you recommend?

What to expect from your doctor

Your doctor may ask you some questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:

  • When you first begin to experience symptoms
  • Have your symptoms been continuous or occasional were
  • How severe are your symptoms??
  • What, if anything, seems to improve your symptoms?
  • What seems to worsen the symptoms?
  • Do you have any long-term health?
  • Do you have any mental health problems such as anxiety, depression, or post-traumatic stress disorder?
  • What medications or herbal supplements are you taking?
  • Do you drink alcohol or use street drugs?


Depersonalization-derealization disorder Tests and diagnosis

To be diagnosed with the depersonalization-derealization disorder, you must meet the symptom criteria in the Diagnostic and Statistical Manual of Mental Disorders, published by the American Psychiatric Association. This guide uses mental health providers to diagnose mental conditions and insurance companies to reimburse for treatment.

DMS-5 includes the following definitions:

  • Depersonalization: You experience unreality or feeling detached from your thinking, emotions, or body. Or you may feel like an outside observer watching your thoughts, feelings, sensations, body, or actions.
  • Derealization. Do you have experience of unreality or feeling detached from your surroundings, as if you were in a dream?


To be diagnosed with the depersonalization-derealization disorder:

  • You must have a persistent or recurrent feeling of depersonalization, derealization, or both.
  • During depersonalization or derealization experience, you know that the experience is not real.
  • Your symptoms cause significant distress or interfere with your social life, work, or other important areas of your life.
  • Have Your symptoms are not caused by other mental health disorders, such as schizophrenia or panic disorder
  • Your symptoms are not due to the direct physiological effects of alcohol, drugs, or medical condition.

You may need further evaluation or tests to rule out other physical or mental health disorders and other reasons, such as substance abuse.


Depersonalization-derealization disorder Treatments and drugs

Treatment of depersonalization-derealization disorders, especially counseling, is also known as talk therapy. However, sometimes the drugs can be added to the treatment plan.

Psychological counseling will help you understand why depersonalization and derealization occur and help you gain control of the symptoms so that they leave. Two such methods include cognitive-behavioral therapy and psychodynamic therapy. The depersonalization-derealization disorder may also improve when counseling helps with other mental illnesses such as depression.

Medications – Currently, there are no drugs specifically approved for the treatment of depersonalization-derealization disorders, certain medications used to treat depression and anxiety can help. Examples that have been shown to alleviate the symptoms include fluoxetine, clomipramine, and clonazepam.



Episodes of depersonalization or derealization can be frightening. They may cause:

  • The difficulty focusing on tasks or remembering things
  • Interference in the work and other daily activities
  • Problems in the relationship with your family and friends


Coping and support

While depersonalization and derealization can be frightening, they are not necessarily harmful. Realizing that you have a treatable mental health disorder can be reassuring. To help you deal with depersonalization and derealization:

  • Follow your treatment plan – Counseling may include practicing certain techniques to help resolve the feelings of depersonalization and derealization daily. Seeking treatment early can improve your chances for successful use of these methods.
  • Learn about the condition – Books and online resources are available that discuss why depersonalization and derealization occur and how to deal with them. Ask your mental health care provider to offer educational materials and resources.
  • Chat with other users – Stay connected with supportive and caring people -… Family, friends, religious leaders, or other