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. Feelings of depersonalization and derealization can be very disturbing and may feel like you're living in a dream.
Many people have a passing experience of depersonalization or derealization at some point. But when these feelings keep occurring or never completely go away, it's considered depersonalization-derealization disorder. This disorder is more common in people who've had traumatic experiences.
Depersonalization-derealization disorder can be severe and may interfere with relationships, work and other daily activities. The main treatment for depersonalization-derealization disorder is talk therapy (psychotherapy), although sometimes medications also are used.
May 24, 2014
- Depersonalization/derealization disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-5. 5th ed. Arlington, Va.: American Psychiatric Association; 2013. http://www.psychiatryonline.org. Accessed March 18, 2014.
- Highlights of changes from DSM-IV-TR to DSM-5. American Psychiatric Association. http://www.dsm5.org/Pages/Default.aspx. Accessed March 23. 2013.
- Somer E, et al. Evidence-based treatment for depersonalisation-derealisation disorder (DPRD). BMC Psychology. 2013;1:20.
- Simeon D. Depersonalization derealization disorder: Epidemiology, pathogenesis, clinical manifestations, course, and diagnosis. http://www.uptodate.com/home. Accessed March 24, 2014.
- Simeon D. Treatment of depersonalization derealization disorder. http://www.uptodate.com/home. Accessed March 24, 2014.
- Palmer BA (expert opinion). Mayo Clinic, Rochester, Minn. April 1, 2014.
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