▼ Derealization Disorder ▼

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》  Depersonalization/derealization disorder is an altered state of self-awareness and identity that results in a feeling of dissociation, or disconnection, from oneself, one's surroundings, or both. It is often felt as a sense of unreality or detachment from one's body.






》  Depersonalization, in psychology, a state in which an individual feels that either he himself or the outside world is unreal.






》  Studies indicate that .8 to 2.8 percent of the population in the United States and elsewhere has had the disorder at some point in the course of their life.






》  Episodes of depersonalization and/or derealization may last for hours or days at a time and recur for weeks, months, or even years.

At all times, the individual is typically aware of both their inner thoughts and what is going on around them; as a result, they are conscious of the fact that they feel detached from their body and/or their surroundings.





》  Mild feelings of depersonalization occur during the normal processes of personality integration and individuation in a high percentage of adolescents and young adults, and it need not impair social or psychological functioning.





》  Such feelings may also occur in adults after long periods of emotional stress.



》  Derealization is a sense of distance from activities going on in the world or feeling that one's surroundings are distorted or somewhat unrecognizable. This may include:

Feeling as if objects are the wrong size or color

Feeling as though time is speeding up or slowing down

Experiencing sounds as louder or softer than expected

Feeling as though one is watching events and activities unfold in a movie or on a computer screen, rather than actually participating



》  Feelings of depersonalization may also be present as features of some personality disorders and as symptoms of depression, anxiety, and schizophrenia.




》  The primary symptom is an unpleasant sense of experiencing one's own behavior, thoughts, and feelings from a dreamlike distance. According to DSM-5, symptoms include:

Feeling emotionally numb, or as if the person is not controlling his or her words and actions

Feeling detached from ordinary sensations, such as touch, thirst, hunger, and libido




》  There is no recognized drug treatment for DP/DR and patients are primarily treated with psychotherapy, although medications may be used to treat co-existing mental health problems such as anxiety and depression. Recently, a variation of Cognitive and Behavioral Therapy (CBT) has been developed that addresses depersonalization.

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