Depersonalization-derealization disorder occurs when you persistently or repeatedly have the feeling that you're observing yourself from outside your body or you have a sense that things around you aren't real, or both.
Depersonalization disorder, or depersonalization/derealization disorder, is a mental health condition that creates dissociative states of consciousness, which can be debilitating and highly stressful if left untreated.
Psychotherapy, also called counseling or talk therapy, is the main treatment. The goal is to gain control over the symptoms so that they lessen or go away. Two such psychotherapies include cognitive behavioral therapy and psychodynamic therapy.
Is depersonalization disorder a psychotic disorder? 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.
One of the most common symptoms of Depersonalization is having constant racing thoughts, intense self-analysis and weird existential fears. Things that are usually perfectly normal and everyday can seem bizarre. When I had Depersonalization, I remember constantly thinking "I feel like I'm going crazy".
Depersonalization/derealization disorder involves a persistent or recurring feeling of being detached from one's body or mental processes, like an outside observer of one's life (depersonalization), and/or a feeling of being detached from one's surroundings (derealization).
Severe stress, such as major relationship, financial or work-related issues. Depression or anxiety, especially severe or prolonged depression, or anxiety with panic attacks. Using recreational drugs, which can trigger episodes of depersonalization or derealization.
Severe stress, anxiety, and depression are common triggers for DPDR. A lack of sleep or an overstimulating environment can also make DPDR symptoms worse.
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.
Depersonalization and memory loss are not connected. Sure, DPDR can temporarily affect your concentration but it has absolutely nothing to do with and cannot affect the memory centres of your brain.
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].
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.
3. Myth: Depersonalization is a permanent condition. Fact: Many people recover from depersonalization-derealization disorder, often without treatment. Some mental illnesses are considered lifelong conditions, but this is not the case with depersonalization-derealization.
Depersonalization can be its own disorder, or a symptom of depression, drug use, or psychotropic medications. But when it occurs as a symptom of severe or prolonged stress and anxiety, experts agree that it's not dangerous — or a sign of psychosis — like many people fear.
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.
Depersonalization disorder is believed to affect women twice as much as men. The disorder most commonly affects individuals between the ages of 15 and 30. It is rarely seen in those over the age of 40.
Emotional numbness can be a symptom of depersonalization-derealization disorder, which can, in turn, be a symptom of other dissociative disorders. In a person with depersonalization-derealization disorder, there is a persistent disruption of self-awareness.
Derealization involves feeling detached from people, places, or objects in one's environment. Although derealization is linked to worse outcomes following trauma, how or why this occurs is unclear.
Dissociative symptoms include derealization/depersonalization, absorption, and amnesia. These experiences can cause a loss of control over mental processes, including memory and attention.
Hallucinations, delusions, and episodes of depersonalization and derealization are also common experiences in those suffering from schizophrenia, as are phobias and severe anxiety.
Causes of Depersonalization-Derealization
The exact cause of this disorder has not been identified but current research points to an imbalance of neurotransmitters (chemicals in the brain) that make the brain vulnerable to heightened responses when exposed to severe stress.
Like other dissociative disorders, depersonalization disorder often is triggered by intense stress or a traumatic event -- such as war, abuse, accidents, disasters, or extreme violence -- that the person has experienced or witnessed.
Depersonalization occurs on a spectrum, from few/transient episodes in individuals with a variety of psychiatric disorders, to recurrent or ongoing episodes experienced in those with posttraumatic and dissociative disorders.