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.
Already in 1998, Sierra and Berrios proposed that symptoms of depersonalization may be associated with a “disconnection” of a cortico-limbic brain system, involving the amygdala, anterior cingulate cortex (ACC), and prefrontal structures.
Depersonalization is thought to reflect an impairment in emotional processing; patients seem to have great difficulty in identifying their own feelings. Some neuroimaging studies indicate that depersonalization experiences are accompanied by involuntary inhibition of emotional response.
The outlook for people with this disorder is good. The symptoms associated with depersonalization disorder often go away. They may resolve on their own or after treatment to help deal with symptom triggers. Treatment is important so that the symptoms don't come back.
Severe stress, anxiety, and depression are common triggers for DPDR. A lack of sleep or an overstimulating environment can also make DPDR symptoms worse.
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.
Brain damage to the occipital or temporal lobes may also cause both depersonalization and derealization. Drugs such as marijuana, hallucinogens, pain medication, and even large quantities of caffeine may contribute to derealization.
Derealization and depersonalization disorder is considered to be a subset of post-traumatic stress disorder. Depersonalization is a feeling of being disconnected or detached from yourself.
Depersonalization is often triggered by some form of traumatic event and is believed to be due to a chemical imbalance in the brain.
With Depersonalization Disorder, it can certainly become frightening -- but there is never anything remotely close to a split in personality occurring. Because of the anxiety it can sometimes become difficult to concentrate and recall things, but there is never any actual loss of memory.
Myth: Depersonalization is a permanent condition.
Often, it is only a transient or temporary condition related to stressful periods of life that lasts for different amounts of time for different people. For many, episodes of depersonalization become less severe and less frequent over time.
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.
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.
Stress does not just cause racing thoughts and behavioral symptoms, intense stress affects the physical brain as well. So, in the case of an overly stressed brain, a person often experiences depersonalization as a way of separating from that stress, essentially providing a bit of relief.
Depersonalization disorder falls under the dissociative disorders group of conditions, which are characterized by feelings of disconnection from reality.
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.
Depersonalisation is where you have the feeling of being outside yourself and observing your actions, feelings or thoughts from a distance. Derealisation is where you feel the world around is unreal. People and things around you may seem "lifeless" or "foggy".
Why? Because it's part of the body and brain's natural response to anxiety and trauma. And for the vast majority of those people, the DP fades away naturally in a few minutes or hours as the anxiety does, which, since DP is just a symptom of anxiety, is exactly what it's supposed to do!
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.
Dissociative symptoms include derealization/depersonalization, absorption, and amnesia. These experiences can cause a loss of control over mental processes, including memory and attention.