An episode of depersonalization can last anywhere from a few minutes to (rarely) many years. Depersonalization also might be a symptom of other disorders, including some forms of substance abuse, certain personality disorders, seizure disorders, and certain other brain diseases.
The disorder is usually triggered by severe stress, particularly emotional abuse or neglect during childhood, or other major stresses (such as experiencing or witnessing physical abuse). Feelings of detachment from self or the surroundings may occur periodically or continuously.
The most common way to treat depersonalization disorder is through psychotherapy. “Psychotherapy can help individuals learn techniques or coping mechanisms that distract them from their symptoms and make them feel more connected to their feelings and the world around them,” says Dr. Hafeez.
The difference between depersonalization and psychotic disorders is awareness. People with depersonalization disorder know the feelings of detachment are not real. People with a psychotic disorder believe their feelings are reality.
In depersonalization disorder, reduced gray matter volumes (GMV) in right thalamus, caudate, and cuneus, and increased GMV in the left dorsomedial PFC and the right somato-sensoric regions were observed [93•]. As abovementioned, these areas have been implicated in dissociation [10, 61, 62, 85].
Derealization sometimes can be a symptom of a medical condition. Other times, it can happen on its own, often in reaction to severe trauma or stress.
Introduction: The phenomena of depersonalisation/derealisation have classically been associated with the initial phases of psychosis, and it is assumed that they would precede (even by years) the onset of clinical psychosis, being much more common in the prodromal and acute phases of the illness.
It is a phenomenon characterised by a disruption in self-awareness and emotional numbness, where many people feel that they are disconnected or estranged from one's self. Many people experience depersonalisation during a panic attack and this is often characterised as the peak level of anxiety.
Depersonalization (also referred to as "derealization") is a common symptom of anxiety disorder. Many anxiety disorder sufferers get depersonalization as a symptom, especially when anxiety has become chronic. There are many reasons why anxiety can cause depersonalization (derealization) symptoms.
Derealization symptoms
Feelings of being alienated from or unfamiliar with your surroundings — for example, like you're living in a movie or a dream. Feeling emotionally disconnected from people you care about, as if you were separated by a glass wall.
Four stages of the formation of depersonalization were identified: vital, allopsychic, somatopsychis and autopsychic. The correlations of the leading depersonalizational and related affective and neurosis-like disorders were considered at each stage.
Derealization symptoms include
Subjective distortion of the world is common. For example, objects may appear blurry or unusually clear; they may seem flat or smaller or larger than they are. Sounds may seem louder or softer than they are; time may seem to be going too slow or too fast.
Many of us have had the thought, “I feel like I'm losing my mind” at one time or another. This thought may surface in times of heightened stress, but it can also be a manifestation of a mental health condition, such as anxiety,1 panic disorder,2 or depersonalization.
You may feel as if you are observing yourself from outside of your body or feeling like things around you aren't real. It's a symptom that affects people who experience conditions ranging from depression to bipolar disorder to schizoid personality disorder or those who have survived trauma.
Derealization can last for as long as the panic attack lasts, which can range in length from a few minutes to 20 or 30 minutes. In some cases, however, these sensations can persist for hours and even days or weeks.
Summarizing the current state of information we consider depersonalization with the experience of being in a dream or being dead as a heuristic reaction to brain damage. Similar models have already been discussed in neuropsychological disorders as for instance reduplicative paramnesias, neglect, and anosognosia.
Can Depersonalization turn into Schizophrenia? No, it can't. They are completely different conditions. Depersonalization is an anxiety spectrum condition, while Schizophrenia is an organic brain disorder.
Depersonalization is your brain's natural response to trauma. That may be from violence, a car crash, a panic attack, a bad experience from smoking weed etc. Your brain thinks it's in danger, so in order to deal with the perceived trauma, it kicks in with 'fight or flight' response.
Health Research Funding reports that stress and anxiety are the primary causes of derealization, and that women are twice as likely to experience it as men. Up to 66 percent of people who experience a trauma will have some form of derealization.
Depersonalization symptoms
Feeling like a robot or that you're not in control of your speech or movements. The sense that your body, legs or arms appear distorted, enlarged or shrunken, or that your head is wrapped in cotton. Emotional or physical numbness of your senses or responses to the world around you.
Feeling like you're looking at yourself from the outside
Feel as though you are watching yourself in a film or looking at yourself from the outside. Feel as if you are just observing your emotions. Feel disconnected from parts of your body or your emotions. Feel as if you are floating away.
No, Depersonalization is not permanent. Like other anxiety-spectrum conditions (like GAD and agoraphobia) it can persist if not addressed properly, but like those conditions it can be managed, reduced and stopped.
Severe stress, anxiety, and depression are common triggers for DPDR. A lack of sleep or an overstimulating environment can also make DPDR symptoms worse.