Depersonalization-Derealization Disorder
Depersonalization-Derealization Disorder is a mental health condition characterized by persistent or recurrent feelings of detachment from one's own thoughts, feelings, or sensations (depersonalization) and/or a sense of detachment from the external world (derealization).

What is Depersonalization-Derealization Disorder?
Depersonalization-Derealization Disorder is a mental health condition characterized by persistent or recurrent feelings of detachment from one's own thoughts, feelings, or sensations (depersonalization) and/or a sense of detachment from the external world (derealization). These experiences can feel surreal, dreamlike, or as if one is watching themselves from a distance. The condition can cause significant distress and impairment in daily functioning.
How many and what type of people does Depersonalization-Derealization Disorder affect?
Depersonalization-Derealization Disorder can affect individuals of any age, gender, or cultural background. However, it is more commonly diagnosed in adolescents and young adults. It is estimated that the prevalence of depersonalization-derealization disorder is around 1-2% of the general population. The condition can occur on its own, but it is also commonly associated with other mental health conditions such as anxiety, depression, and post-traumatic stress disorder.
What are symptoms of a Depersonalization-Derealization Disorder?
The symptoms of Depersonalization-Derealization Disorder can include:
A persistent or recurrent feeling of detachment or estrangement from one's thoughts, feelings, or body (depersonalization)
A persistent or recurrent feeling of detachment or estrangement from the external world (derealization)
Feeling as though one is in a dream or watching oneself from outside the body
Feeling disconnected from one's own emotions or senses
Feeling as though time is passing slowly or quickly, or as if time is unreal
Feeling as though one's surroundings are unreal or artificial
Feeling a lack of control over one's actions or speech
Feeling like one is not a real person, or like one is in a movie or video game
These symptoms can cause significant distress and impairment in daily functioning, and they may not be attributable to any other medical or mental health condition. It's important to note that many people may experience transient depersonalization or derealization symptoms at some point in their lives, but a diagnosis of depersonalization-derealization disorder requires that these symptoms be persistent or recurrent and cause significant distress or impairment.
What is the criteria for a Depersonalization-Derealization Disorder diagnosis?
The diagnostic criteria for Depersonalization-Derealization Disorder, according to the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5), include:
Presence of persistent or recurrent experiences of depersonalization and/or derealization.
The experiences of depersonalization and/or derealization cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
The depersonalization and/or derealization experiences are not attributable to the physiological effects of a substance or another medical condition.
The depersonalization and/or derealization experiences are not better explained by another mental disorder, such as schizophrenia, panic disorder, acute stress disorder, or another dissociative disorder.
The diagnosis of Depersonalization-Derealization Disorder requires that the symptoms be persistent or recurrent, and not better explained by another mental health or medical condition. A thorough evaluation by a mental health professional is necessary to confirm a diagnosis and rule out other probable causes of the symptoms.
What are treatments for overcoming a Depersonalization-Derealization Disorder?
There is no single, universally effective treatment for Depersonalization-Derealization Disorder, but several strategies and approaches can be helpful in managing the condition. Some of these include:
Psychotherapy: Psychotherapy, such as cognitive-behavioral therapy (CBT) or psychodynamic therapy, can be helpful in helping individuals understand and manage their symptoms. CBT may involve identifying and challenging negative or distorted thoughts, while psychodynamic therapy may involve exploring the underlying psychological causes of the symptoms.
Medication: Some medications, such as selective serotonin reuptake inhibitors (SSRIs) or benzodiazepines, may be helpful in reducing anxiety and other symptoms of depersonalization-derealization disorder.
Mindfulness and relaxation techniques: Mindfulness-based stress reduction (MBSR) and other relaxation techniques, such as yoga, meditation, or deep breathing exercises, can be helpful in reducing anxiety and promoting relaxation.
Addressing any underlying medical conditions: If the symptoms of depersonalization-derealization disorder are caused by an underlying medical condition, such as epilepsy or migraines, treating the underlying condition may help alleviate the symptoms.
Self-care: Practicing good self-care, such as getting enough sleep, eating a healthy diet, and engaging in regular exercise, can be helpful in reducing stress and promoting overall well-being.
It's important to note that the best approach to treating Depersonalization-Derealization Disorder may vary from person to person, and a combination of strategies may be most effective. It's also important to seek professional help from a mental health provider for a thorough evaluation and appropriate treatment recommendations.
This content is provided for informational and entertainment value only. It is not a replacement for a trained professional's diagnosis or for the treatment of any illness. If you feel like you are struggling with this condition, it is important to seek help from a mental health professional. With the right treatment and support, individuals with this condition can learn to manage their symptoms and lead fulfilling lives. BetterPsych provides full psychological services via telehealth and offers a 100% satisfaction guarantee on our services. For more information and to find a therapist specializing in this disorder, please call (833) 496-5011, or visit https://www.betterpsych.com.